This provider's $3.7M in total Medicare payments ranks in the 97th 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 | $790.23 | $224.86 | 3.51x | $565.37 | $430.8K | 2.4K | 2.0K |
| 2015 | $692.19 | $197.89 | 3.50x | $494.30 | $406.5K | 2.2K | 1.9K |
| 2016 | $713.85 | $200.13 | 3.57x | $513.72 | $422.4K | 2.3K | 2.0K |
| 2017 | $642.46 | $167.55 | 3.83x | $474.91 | $376.9K | 2.1K | 1.9K |
| 2018 | $673.81 | $180.46 | 3.73x | $493.35 | $368.7K | 2.2K | 2.0K |
| 2019 | $682.62 | $181.47 | 3.76x | $501.15 | $465.9K | 2.9K | 2.6K |
| 2020 | $900.27 | $188.55 | 4.77x | $711.72 | $272.1K | 1.8K | 1.6K |
| 2021 | $918.22 | $191.31 | 4.80x | $726.91 | $360.3K | 2.4K | 2.2K |
| 2022 | $891.22 | $182.49 | 4.88x | $708.73 | $310.1K | 2.1K | 1.9K |
| 2023 | $824.67 | $177.42 | 4.65x | $647.25 | $311.8K | 2.2K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 2.0K | $763.2K | $391.00 | 4.35x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 760 | $494.2K | $650.28 | 3.71x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.8K | $283.5K | $161.24 | 5.55x |
| 92943 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin | 518 | $270.8K | $522.75 | 3.63x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.3K | $217.9K | $161.67 | 3.12x |
| 99236 | Hospital observation or inpatient care high severity, 55 minutes per day | 1.1K | $189.5K | $175.83 | 3.28x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $135.2K | $117.73 | 3.67x |
| 92920 | Balloon dilation of narrowed or blocked major coronary artery or branch (accessed through the skin) | 393 | $129.6K | $329.80 | 4.71x |
| 92978 | Ultrasound evaluation of heart blood vessel or graft | 1.6K | $126.0K | $76.50 | 4.25x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 781 | $86.1K | $110.27 | 6.27x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.4K | $84.5K | $59.16 | 3.07x |
| 99239 | Hospital discharge day management, more than 30 minutes | 907 | $80.2K | $88.46 | 3.16x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 467 | $80.2K | $171.67 | 5.61x |
| 93456 | Insertion of catheter in right heart for X-ray imaging of blood vessels or grafts | 381 | $79.7K | $209.27 | 4.39x |
| 92933 | Removal of plaque and insertion of stent in major coronary artery or branch, accessed through the skin | 159 | $79.5K | $499.74 | 3.70x |
| 92937 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin | 202 | $78.7K | $389.36 | 4.17x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 878 | $74.8K | $85.19 | 3.38x |
| 93571 | Ultrasound evaluation of heart blood vessel during diagnosis or treatment | 1.0K | $70.0K | $69.45 | 3.65x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 256 | $60.1K | $234.94 | 4.77x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 693 | $58.6K | $84.60 | 2.98x |
This provider submits charges 4.14 times higher than what Medicare actually pays.
A markup ratio of 4.14x means for every $100 Medicare pays, this provider initially charges $414. 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.
Other Interventional Cardiology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Moinakhtar Lala, M.D. | Reseda, CA | $43.9M | ✓ Clear |
| Mohamed Khan, M.D. | Redding, CA | $42.2M | ✓ Clear |
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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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