This provider's $10.0M in total Medicare payments ranks in the 99th 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.
Notable: Payments increased 52% in 2017
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 | $646.82 | $121.79 | 5.31x | $525.03 | $992.1K | 11.9K | 9.8K |
| 2015 | $631.57 | $112.38 | 5.62x | $519.19 | $940.8K | 11.4K | 9.3K |
| 2016 | $662.11 | $115.87 | 5.71x | $546.24 | $984.6K | 11.9K | 10.0K |
| 2017 | $672.58 | $174.30 | 3.86x | $498.28 | $1.5M | 12.4K | 10.5K |
| 2018 | $589.18 | $120.78 | 4.88x | $468.40 | $1.2M | 12.1K | 10.5K |
| 2019 | $588.03 | $104.09 | 5.65x | $483.94 | $893.2K | 10.4K | 8.9K |
| 2020 | $671.31 | $124.86 | 5.38x | $546.45 | $781.2K | 8.3K | 7.2K |
| 2021 | $725.75 | $144.70 | 5.02x | $581.05 | $952.5K | 8.8K | 7.5K |
| 2022 | $813.74 | $161.66 | 5.03x | $652.08 | $975.8K | 8.5K | 7.5K |
| 2023 | $779.91 | $152.25 | 5.12x | $627.66 | $845.9K | 6.0K | 5.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 4.1K | $1.3M | $305.92 | 4.91x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 7.0K | $875.5K | $124.26 | 1.91x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 8.9K | $854.2K | $96.05 | 2.33x |
| 74174 | CT scan of abdominal and pelvic blood vessels with contrast | 1.5K | $516.4K | $342.41 | 6.63x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 407 | $497.1K | $1.2K | 4.50x |
| 75574 | CT scan of heart blood vessels and grafts with contrast dye | 1.7K | $489.1K | $281.56 | 8.15x |
| 78492 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress | 441 | $462.0K | $1.0K | 3.61x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.7K | $429.9K | $91.54 | 4.99x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.2K | $418.2K | $187.60 | 2.27x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.6K | $413.8K | $89.34 | 1.84x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.7K | $364.8K | $216.62 | 4.01x |
| 75635 | CT scan of abdominal aorta and both leg arteries with contrast | 998 | $311.2K | $311.86 | 9.48x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.8K | $300.3K | $62.88 | 2.48x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.8K | $293.8K | $160.90 | 4.80x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 2.7K | $267.0K | $99.02 | 3.03x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 153 | $209.4K | $1.4K | 3.84x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 596 | $208.0K | $348.99 | 1.72x |
| 71275 | CT scan of blood vessels in chest with contrast | 1.1K | $192.4K | $167.62 | 13.66x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.3K | $185.3K | $56.76 | 7.93x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.1K | $130.0K | $117.62 | 2.56x |
This provider submits charges 4.48 times higher than what Medicare actually pays.
A markup ratio of 4.48x means for every $100 Medicare pays, this provider initially charges $448. 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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