This provider's $3.9M in total Medicare payments ranks in the 99th percentile of Undefined Physician type providers nationally.
Medicare payments to this provider grew 1769% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 426% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $227.04 | $92.20 | 2.46x | $134.84 | $35.5K | 592 | 494 |
| 2016 | $357.05 | $105.69 | 3.38x | $251.36 | $186.8K | 2.3K | 1.6K |
| 2017 | $394.45 | $110.34 | 3.57x | $284.11 | $279.8K | 3.1K | 2.1K |
| 2018 | $411.02 | $115.02 | 3.57x | $296.00 | $422.3K | 4.3K | 3.1K |
| 2019 | $359.26 | $102.52 | 3.50x | $256.74 | $498.4K | 5.0K | 3.5K |
| 2020 | $502.85 | $131.58 | 3.82x | $371.27 | $528.3K | 5.0K | 3.5K |
| 2021 | $529.91 | $139.96 | 3.79x | $389.95 | $643.9K | 6.3K | 4.5K |
| 2022 | $498.55 | $142.52 | 3.50x | $356.03 | $677.1K | 6.8K | 4.6K |
| 2023 | $464.28 | $129.49 | 3.59x | $334.79 | $663.1K | 6.7K | 4.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.8K | $815.4K | $92.22 | 3.04x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.6K | $401.4K | $110.37 | 3.42x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 886 | $356.0K | $401.86 | 3.23x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 4.0K | $344.0K | $86.61 | 3.09x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 651 | $277.2K | $425.81 | 3.59x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.5K | $243.6K | $162.19 | 3.14x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 849 | $161.9K | $190.73 | 4.20x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour ekg up to 30 days | 203 | $140.9K | $694.15 | 2.61x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 420 | $102.8K | $244.82 | 4.12x |
| 33340 | Repair of left upper heart | 122 | $79.5K | $651.39 | 3.17x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.3K | $77.8K | $60.75 | 2.95x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 872 | $75.3K | $86.40 | 3.22x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 530 | $74.0K | $139.70 | 3.08x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 528 | $67.9K | $128.65 | 3.33x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.1K | $57.7K | $54.02 | 3.72x |
| 33418 | Replacement of aortic valve with prosthetic valve accessed through the skin | 57 | $54.0K | $947.18 | 4.97x |
| 92920 | Balloon dilation of narrowed or blocked major coronary artery or branch (accessed through the skin) | 140 | $50.2K | $358.86 | 3.84x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 710 | $48.5K | $68.35 | 2.77x |
| 93312 | Insertion of probe in esophagus for heart ultrasound examination including interpretation and report | 457 | $40.8K | $89.27 | 3.06x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 64 | $40.3K | $630.28 | 5.60x |
This provider submits charges 3.33 times higher than what Medicare actually pays.
A markup ratio of 3.33x means for every $100 Medicare pays, this provider initially charges $333. 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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