This provider's $13.8M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 77% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 70% in 2019
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $355.21 | $123.87 | 2.87x | $231.34 | $828.0K | 10.1K | 7.6K |
| 2015 | $379.45 | $131.18 | 2.89x | $248.27 | $875.3K | 9.7K | 7.1K |
| 2016 | $427.18 | $144.16 | 2.96x | $283.02 | $990.8K | 10.5K | 7.8K |
| 2017 | $366.93 | $164.46 | 2.23x | $202.47 | $1.5M | 11.4K | 8.8K |
| 2018 | $377.76 | $124.75 | 3.03x | $253.01 | $1.1M | 12.7K | 9.3K |
| 2019 | $382.38 | $128.42 | 2.98x | $253.96 | $1.9M | 14.2K | 10.8K |
| 2020 | $373.65 | $131.00 | 2.85x | $242.65 | $1.5M | 11.9K | 9.1K |
| 2021 | $345.27 | $123.00 | 2.81x | $222.27 | $1.8M | 14.4K | 9.7K |
| 2022 | $340.90 | $111.78 | 3.05x | $229.12 | $1.8M | 12.9K | 10.2K |
| 2023 | $544.77 | $140.61 | 3.87x | $404.16 | $1.5M | 11.2K | 9.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 3.8K | $4.4M | $1.2K | 2.43x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 30.8K | $2.6M | $85.92 | 2.34x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.4K | $1.3M | $392.85 | 1.82x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 3.8K | $1.2M | $316.28 | 2.53x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 7.9K | $1.2M | $147.31 | 5.90x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 3.4K | $326.2K | $97.18 | 2.50x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 5.9K | $324.8K | $54.63 | 10.40x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 24.3K | $297.5K | $12.25 | 5.31x |
| J2785 | Injection, regadenoson, 0.1 mg | 5.3K | $239.1K | $45.36 | 1.90x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $201.4K | $120.43 | 2.63x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 957 | $151.9K | $158.75 | 2.50x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.4K | $139.0K | $57.75 | 2.34x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 219 | $125.4K | $572.43 | 2.62x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 2.0K | $121.8K | $60.65 | 5.77x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 240 | $119.7K | $498.71 | 1.88x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 535 | $117.6K | $219.81 | 4.54x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.4K | $116.5K | $84.33 | 2.43x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 343 | $104.5K | $304.55 | 3.67x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.5K | $90.3K | $59.33 | 2.40x |
| 93296 | Remote evaluations of defibrillator transmissions, technician review, support and distribution of results up to 90 days | 2.7K | $49.5K | $18.57 | 4.63x |
This provider submits charges 2.99 times higher than what Medicare actually pays.
A markup ratio of 2.99x means for every $100 Medicare pays, this provider initially charges $299. This is higher than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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