This provider's $11.8M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 77% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 119% 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 | $183.41 | $124.20 | 1.48x | $59.21 | $725.4K | 6.4K | 5.3K |
| 2015 | $213.02 | $115.97 | 1.84x | $97.05 | $740.0K | 6.6K | 5.5K |
| 2016 | $792.09 | $148.00 | 5.35x | $644.09 | $803.6K | 6.9K | 5.8K |
| 2017 | $1.0K | $353.79 | 2.89x | $668.71 | $864.0K | 6.6K | 5.6K |
| 2018 | $854.67 | $130.58 | 6.55x | $724.09 | $758.4K | 6.6K | 5.6K |
| 2019 | $1.5K | $367.71 | 4.02x | $1.1K | $1.7M | 8.3K | 7.3K |
| 2020 | $1.2K | $166.28 | 7.31x | $1.0K | $1.8M | 8.2K | 7.3K |
| 2021 | $544.57 | $141.97 | 3.84x | $402.60 | $1.7M | 7.6K | 6.9K |
| 2022 | $347.79 | $135.12 | 2.57x | $212.67 | $1.6M | 7.6K | 6.8K |
| 2023 | $557.74 | $131.46 | 4.24x | $426.28 | $1.3M | 6.6K | 6.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 4.2K | $4.5M | $1.1K | 1.27x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 4.9K | $1.9M | $382.07 | 1.32x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 6.4K | $988.3K | $154.85 | 1.43x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 4.2K | $888.3K | $209.90 | 1.29x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.6K | $822.6K | $85.97 | 1.35x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.3K | $338.2K | $146.60 | 1.37x |
| J2785 | Injection, regadenoson, 0.1 mg | 7.3K | $329.2K | $44.84 | 1.29x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 5.9K | $306.2K | $51.49 | 1.47x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 4.9K | $296.8K | $61.01 | 1.30x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 25 | $202.8K | $8.1K | 2.22x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.4K | $174.9K | $123.67 | 1.32x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 143 | $147.2K | $1.0K | 3.85x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 538 | $121.2K | $225.28 | 11.20x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 271 | $119.8K | $442.14 | 1.41x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 7.5K | $87.8K | $11.74 | 2.42x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.3K | $78.5K | $58.88 | 1.36x |
| 93356 | Heart muscle strain imaging | 1.5K | $47.3K | $30.76 | 1.28x |
| 93922 | Ultrasound study of arteries of both arms and legs | 667 | $42.9K | $64.31 | 1.43x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 715 | $41.2K | $57.64 | 1.28x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 450 | $40.6K | $90.32 | 1.39x |
This provider submits charges 1.6 times higher than what Medicare actually pays.
A markup ratio of 1.6x means for every $100 Medicare pays, this provider initially charges $160. This is lower 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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