This provider's $4.3M in total Medicare payments ranks in the 98th percentile of Interventional Cardiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $759.22 | $159.61 | 4.76x | $599.61 | $390.3K | 4.0K | 3.1K |
| 2015 | $689.59 | $150.99 | 4.57x | $538.60 | $422.7K | 4.3K | 3.2K |
| 2016 | $709.26 | $149.86 | 4.73x | $559.40 | $419.9K | 4.3K | 3.3K |
| 2017 | $757.50 | $185.64 | 4.08x | $571.86 | $421.9K | 3.9K | 2.9K |
| 2018 | $683.45 | $159.45 | 4.29x | $524.00 | $449.8K | 4.0K | 3.1K |
| 2019 | $870.94 | $197.71 | 4.41x | $673.23 | $463.3K | 3.9K | 3.0K |
| 2020 | $728.58 | $171.59 | 4.25x | $556.99 | $412.0K | 3.7K | 2.8K |
| 2021 | $892.85 | $192.49 | 4.64x | $700.36 | $454.3K | 4.0K | 2.9K |
| 2022 | $938.80 | $197.21 | 4.76x | $741.59 | $451.6K | 3.9K | 2.9K |
| 2023 | $921.73 | $188.96 | 4.88x | $732.77 | $410.8K | 3.6K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.2K | $906.4K | $68.80 | 3.72x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 1.6K | $822.2K | $513.23 | 5.00x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.7K | $340.6K | $202.73 | 5.37x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 3.1K | $306.4K | $98.33 | 3.53x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 869 | $257.9K | $296.74 | 4.64x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.2K | $257.8K | $61.59 | 3.06x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.7K | $167.9K | $45.93 | 3.78x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 226 | $164.6K | $728.29 | 3.11x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $141.3K | $107.94 | 3.70x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 711 | $120.8K | $169.91 | 3.42x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 945 | $109.7K | $116.06 | 3.77x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 366 | $78.2K | $213.61 | 5.70x |
| 33418 | Replacement of mitral valve with prosthetic valve accessed through the skin, initial | 46 | $75.0K | $1.6K | 4.21x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 834 | $74.0K | $88.73 | 2.98x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 2.0K | $68.1K | $33.85 | 3.61x |
| 92941 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel during heart attack, accessed through the skin | 88 | $55.8K | $634.51 | 4.54x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 389 | $54.5K | $140.15 | 3.67x |
| 93461 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 174 | $50.2K | $288.54 | 5.34x |
| 93451 | Insertion of catheter for diagnostic evaluation of right heart structures | 311 | $36.6K | $117.77 | 4.30x |
| 93571 | Ultrasound evaluation of heart blood vessel during diagnosis or treatment | 276 | $22.2K | $80.48 | 9.95x |
This provider submits charges 4.23 times higher than what Medicare actually pays.
A markup ratio of 4.23x means for every $100 Medicare pays, this provider initially charges $423. 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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