This provider's $3.6M in total Medicare payments ranks in the 97th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 162% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 101% in 2019
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 | $260.21 | $71.42 | 3.64x | $188.79 | $213.0K | 4.1K | 3.4K |
| 2015 | $308.48 | $81.78 | 3.77x | $226.70 | $248.8K | 4.8K | 4.1K |
| 2016 | $251.23 | $65.49 | 3.84x | $185.74 | $257.7K | 5.3K | 4.6K |
| 2017 | $233.04 | $60.58 | 3.85x | $172.46 | $235.7K | 5.0K | 4.2K |
| 2018 | $192.47 | $53.66 | 3.59x | $138.81 | $221.0K | 4.1K | 3.5K |
| 2019 | $124.97 | $48.16 | 2.59x | $76.81 | $444.1K | 6.1K | 4.8K |
| 2020 | $121.15 | $44.86 | 2.70x | $76.29 | $427.2K | 5.8K | 4.7K |
| 2021 | $134.54 | $50.36 | 2.67x | $84.18 | $494.9K | 6.5K | 5.4K |
| 2022 | $151.98 | $56.53 | 2.69x | $95.45 | $547.4K | 5.8K | 4.9K |
| 2023 | $169.65 | $63.02 | 2.69x | $106.63 | $558.0K | 5.6K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.4K | $972.4K | $78.34 | 2.88x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.5K | $594.6K | $235.68 | 2.73x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.4K | $583.6K | $107.76 | 3.04x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.4K | $282.8K | $117.64 | 2.89x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.3K | $271.0K | $202.36 | 2.54x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 894 | $146.8K | $164.17 | 3.20x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.2K | $103.2K | $85.40 | 3.12x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.4K | $62.7K | $46.31 | 3.08x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 502 | $58.0K | $115.51 | 2.74x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 793 | $46.9K | $59.11 | 3.15x |
| 93016 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision | 2.4K | $41.9K | $17.80 | 3.64x |
| J2785 | Injection, regadenoson, 0.1 mg | 828 | $38.2K | $46.10 | 2.56x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 115 | $31.7K | $275.67 | 3.98x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 2.5K | $29.2K | $11.67 | 2.74x |
| 93018 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report | 2.3K | $27.6K | $11.75 | 3.94x |
| 93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 534 | $26.3K | $49.27 | 2.96x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 3.6K | $23.9K | $6.67 | 8.80x |
| 93017 | Exercise or drug-induced heart and blood vessel stress test with EKG tracing and monitoring | 1.0K | $22.3K | $21.60 | 3.29x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 317 | $22.3K | $70.30 | 3.13x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 471 | $20.5K | $43.46 | 3.16x |
This provider submits charges 2.98 times higher than what Medicare actually pays.
A markup ratio of 2.98x means for every $100 Medicare pays, this provider initially charges $298. 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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