This provider's $8.3M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 355% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 70% in 2015
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 | $230.21 | $86.58 | 2.66x | $143.63 | $254.9K | 4.1K | 3.4K |
| 2015 | $254.68 | $97.15 | 2.62x | $157.53 | $434.2K | 6.0K | 4.7K |
| 2016 | $272.92 | $103.28 | 2.64x | $169.64 | $719.3K | 9.0K | 6.7K |
| 2017 | $263.23 | $101.11 | 2.60x | $162.12 | $791.8K | 10.5K | 8.0K |
| 2018 | $299.19 | $114.64 | 2.61x | $184.55 | $937.7K | 12.6K | 9.0K |
| 2019 | $333.53 | $129.81 | 2.57x | $203.72 | $1.0M | 14.0K | 9.8K |
| 2020 | $300.93 | $118.30 | 2.54x | $182.63 | $1.1M | 13.3K | 9.1K |
| 2021 | $313.07 | $121.61 | 2.57x | $191.46 | $1.0M | 13.1K | 9.0K |
| 2022 | $237.75 | $86.68 | 2.74x | $151.07 | $902.5K | 12.0K | 8.6K |
| 2023 | $259.57 | $93.17 | 2.79x | $166.40 | $1.2M | 15.6K | 11.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 28.5K | $2.4M | $84.23 | 2.25x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.8K | $1.1M | $291.21 | 2.40x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 13.3K | $1.1M | $79.62 | 4.06x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 6.8K | $392.6K | $57.81 | 2.21x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 3.0K | $347.4K | $117.51 | 1.92x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 2.9K | $313.9K | $108.35 | 2.27x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.3K | $286.0K | $213.27 | 2.84x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 479 | $227.5K | $474.98 | 2.41x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.5K | $180.7K | $121.22 | 2.41x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 178 | $152.5K | $856.56 | 2.46x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.7K | $142.3K | $83.29 | 2.21x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 119 | $136.3K | $1.1K | 2.26x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 921 | $131.7K | $142.99 | 2.91x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.6K | $119.1K | $45.06 | 2.04x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 9.9K | $115.7K | $11.73 | 3.92x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 698 | $99.9K | $143.18 | 2.93x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.4K | $76.6K | $54.53 | 4.35x |
| 92941 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel during heart attack, accessed through the skin | 123 | $70.5K | $573.51 | 2.24x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 266 | $61.2K | $230.03 | 2.96x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 814 | $45.4K | $55.73 | 2.31x |
This provider submits charges 2.65 times higher than what Medicare actually pays.
A markup ratio of 2.65x means for every $100 Medicare pays, this provider initially charges $265. 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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