This provider's $5.5M 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 | $224.00 | $70.75 | 3.17x | $153.25 | $558.0K | 11.5K | 4.0K |
| 2015 | $193.52 | $61.35 | 3.15x | $132.17 | $547.4K | 12.0K | 4.4K |
| 2016 | $187.32 | $58.16 | 3.22x | $129.16 | $496.4K | 11.9K | 3.6K |
| 2017 | $191.56 | $58.24 | 3.29x | $133.32 | $443.5K | 11.9K | 3.6K |
| 2018 | $194.22 | $61.10 | 3.18x | $133.12 | $520.9K | 11.8K | 3.7K |
| 2019 | $240.05 | $76.71 | 3.13x | $163.34 | $570.7K | 11.0K | 4.2K |
| 2020 | $250.24 | $84.79 | 2.95x | $165.45 | $532.8K | 9.5K | 4.0K |
| 2021 | $249.40 | $86.34 | 2.89x | $163.06 | $564.3K | 8.6K | 3.6K |
| 2022 | $263.13 | $97.90 | 2.69x | $165.23 | $664.9K | 9.4K | 4.3K |
| 2023 | $262.02 | $93.17 | 2.81x | $168.85 | $595.7K | 8.7K | 3.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 21.9K | $1.8M | $84.48 | 2.00x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.6K | $817.2K | $146.09 | 7.76x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 18.1K | $656.6K | $36.26 | 2.35x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 647 | $460.0K | $711.04 | 2.10x |
| 76705 | Ultrasound of abdomen | 4.3K | $341.7K | $78.91 | 3.80x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.1K | $265.4K | $126.84 | 2.43x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.8K | $240.3K | $85.34 | 2.09x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 922 | $164.9K | $178.86 | 2.17x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 676 | $108.5K | $160.43 | 1.91x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 648 | $104.3K | $160.92 | 1.84x |
| 85610 | Blood test, clotting time | 15.9K | $75.6K | $4.76 | 6.30x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 1.2K | $59.7K | $50.42 | 2.18x |
| 36415 | Insertion of needle into vein for collection of blood sample | 15.9K | $52.0K | $3.28 | 6.71x |
| 93285 | Evaluation, testing, and programming adjustment of implantable, patient activated heart recorder system including physician analysis, review, and report | 1.1K | $44.4K | $41.11 | 1.82x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 6.5K | $44.4K | $6.80 | 5.43x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 638 | $41.0K | $64.22 | 2.34x |
| 93016 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision | 1.5K | $26.7K | $17.74 | 6.68x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 775 | $21.1K | $27.19 | 2.92x |
| 93350 | Ultrasound examination of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 309 | $17.8K | $57.69 | 3.07x |
| 93018 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report | 1.5K | $17.8K | $11.83 | 11.10x |
This provider submits charges 3.26 times higher than what Medicare actually pays.
A markup ratio of 3.26x means for every $100 Medicare pays, this provider initially charges $326. 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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