This provider's $6.5M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 84% from 2014 to 2023.
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 | $326.42 | $131.27 | 2.49x | $195.15 | $468.4K | 4.1K | 3.6K |
| 2015 | $268.05 | $107.75 | 2.49x | $160.30 | $544.1K | 4.2K | 3.7K |
| 2016 | $301.89 | $115.57 | 2.61x | $186.32 | $609.3K | 4.7K | 4.1K |
| 2017 | $297.25 | $115.65 | 2.57x | $181.60 | $513.2K | 3.5K | 3.2K |
| 2018 | $313.14 | $122.60 | 2.55x | $190.54 | $656.0K | 5.2K | 3.9K |
| 2019 | $318.18 | $118.95 | 2.67x | $199.23 | $692.0K | 5.2K | 4.1K |
| 2020 | $276.40 | $108.28 | 2.55x | $168.12 | $589.9K | 4.4K | 3.6K |
| 2021 | $242.47 | $107.63 | 2.25x | $134.84 | $790.2K | 5.8K | 4.7K |
| 2022 | $252.98 | $98.39 | 2.57x | $154.59 | $792.8K | 6.1K | 4.7K |
| 2023 | $310.19 | $128.01 | 2.42x | $182.18 | $860.7K | 6.1K | 4.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 4.7K | $2.1M | $445.21 | 2.25x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 7.7K | $1.3M | $161.93 | 2.73x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.3K | $543.3K | $165.03 | 2.41x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.4K | $354.6K | $65.35 | 2.06x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.8K | $345.4K | $122.78 | 4.59x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.6K | $327.3K | $90.19 | 1.92x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.3K | $295.3K | $223.03 | 2.00x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 4.7K | $269.6K | $57.37 | 3.49x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.8K | $242.1K | $132.23 | 1.70x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.8K | $187.2K | $101.56 | 5.23x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 158 | $123.5K | $781.36 | 1.81x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 3.1K | $112.7K | $35.84 | 1.81x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 638 | $102.2K | $160.25 | 2.79x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 1.1K | $59.4K | $54.37 | 1.58x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 541 | $49.4K | $91.27 | 1.64x |
| 93923 | Ultrasound study of arteries of both arms and legs | 249 | $26.2K | $105.17 | 2.85x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 194 | $22.3K | $115.01 | 2.17x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 451 | $20.2K | $44.81 | 1.52x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 279 | $19.1K | $68.54 | 3.64x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 1.2K | $14.8K | $12.44 | 4.42x |
This provider submits charges 2.56 times higher than what Medicare actually pays.
A markup ratio of 2.56x means for every $100 Medicare pays, this provider initially charges $256. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data