This provider's $6.4M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $244.47 | $79.22 | 3.09x | $165.25 | $664.9K | 8.6K | 3.1K |
| 2015 | $230.23 | $69.40 | 3.32x | $160.83 | $531.2K | 7.2K | 2.4K |
| 2016 | $213.00 | $74.03 | 2.88x | $138.97 | $550.5K | 7.2K | 2.1K |
| 2017 | $184.70 | $65.20 | 2.83x | $119.50 | $593.9K | 8.8K | 1.8K |
| 2018 | $165.58 | $55.41 | 2.99x | $110.17 | $469.8K | 7.6K | 1.4K |
| 2019 | $241.73 | $67.29 | 3.59x | $174.44 | $593.6K | 9.9K | 1.6K |
| 2020 | $243.85 | $67.60 | 3.61x | $176.25 | $747.4K | 12.1K | 1.9K |
| 2021 | $231.92 | $64.14 | 3.62x | $167.78 | $693.7K | 11.0K | 1.8K |
| 2022 | $178.96 | $68.04 | 2.63x | $110.92 | $712.1K | 11.6K | 1.7K |
| 2023 | $181.44 | $68.07 | 2.67x | $113.37 | $812.7K | 12.5K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 49.2K | $2.8M | $57.79 | 2.77x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 8.1K | $706.1K | $87.43 | 2.41x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 7.8K | $557.4K | $71.43 | 2.88x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 8.3K | $493.8K | $59.74 | 2.65x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.6K | $388.7K | $84.62 | 2.48x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 2.6K | $292.2K | $111.09 | 2.54x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 2.1K | $218.6K | $105.34 | 2.81x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 2.8K | $212.4K | $75.01 | 2.59x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 1.1K | $114.1K | $106.21 | 2.58x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 699 | $113.8K | $162.87 | 2.91x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.4K | $77.2K | $54.23 | 6.06x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 273 | $49.5K | $181.46 | 1.93x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 780 | $43.3K | $55.56 | 2.36x |
| 99239 | Hospital discharge day management, more than 30 minutes | 371 | $32.9K | $88.69 | 2.12x |
| 99497 | Advance care planning, first 30 minutes | 470 | $30.4K | $64.65 | 2.63x |
| 17004 | Destruction of 15 or more skin growths | 225 | $27.0K | $119.89 | 3.53x |
| 17000 | Destruction of skin growth | 489 | $25.8K | $52.82 | 3.63x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple | 537 | $23.3K | $43.47 | 3.11x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 161 | $21.3K | $132.26 | 2.90x |
| G0181 | Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of c | 224 | $20.1K | $89.56 | 2.78x |
This provider submits charges 2.76 times higher than what Medicare actually pays.
A markup ratio of 2.76x means for every $100 Medicare pays, this provider initially charges $276. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Cardiology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Leo Polosajian, M.D. | Reseda, CA | $52.5M | ✓ Clear |
| Athar Ansari, M.D. | El Centro, CA | $38.2M | ✓ Clear |
| Hanumandla Reddy, M.D | Hanford, CA | $38.1M | ✓ Clear |
| Mehran Khorsandi, M.D., | Los Angeles, CA | $36.4M | ✓ Clear |
| Shashi Sharma, D.M. | Visalia, CA | $35.4M | ✓ Clear |
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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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