This provider averages 54 services per working day
Based on 134.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $14.8M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 54 services per working day raises questions about billing patterns.
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 | $400.11 | $129.44 | 3.09x | $270.67 | $1.3M | 12.1K | 9.2K |
| 2015 | $431.95 | $140.00 | 3.09x | $291.95 | $1.4M | 12.8K | 10.0K |
| 2016 | $412.42 | $131.58 | 3.13x | $280.84 | $1.4M | 14.0K | 10.4K |
| 2017 | $498.50 | $149.77 | 3.33x | $348.73 | $1.5M | 12.7K | 9.9K |
| 2018 | $529.49 | $142.19 | 3.72x | $387.30 | $1.4M | 11.8K | 9.5K |
| 2019 | $488.30 | $148.10 | 3.30x | $340.20 | $1.4M | 12.5K | 9.8K |
| 2020 | $467.68 | $144.93 | 3.23x | $322.75 | $1.5M | 13.3K | 9.6K |
| 2021 | $437.85 | $138.27 | 3.17x | $299.58 | $1.7M | 15.6K | 9.9K |
| 2022 | $474.33 | $149.38 | 3.18x | $324.95 | $1.6M | 14.2K | 9.8K |
| 2023 | $518.50 | $149.79 | 3.46x | $368.71 | $1.7M | 15.4K | 11.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 11.8K | $2.2M | $187.87 | 3.28x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 7.9K | $1.5M | $190.01 | 2.69x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.8K | $1.4M | $105.92 | 1.68x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.8K | $1.3M | $457.14 | 3.28x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 13.6K | $960.9K | $70.77 | 2.04x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 977 | $727.1K | $744.25 | 2.32x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 2.9K | $652.5K | $227.20 | 3.08x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 3.1K | $623.2K | $203.54 | 1.72x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 5.5K | $525.2K | $95.38 | 1.83x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 2.3K | $391.5K | $173.68 | 2.12x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.9K | $353.0K | $181.98 | 1.80x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.4K | $318.4K | $229.41 | 2.18x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 513 | $301.2K | $587.16 | 3.23x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 19.2K | $283.1K | $14.74 | 5.09x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 1.5K | $223.6K | $151.17 | 2.31x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $193.6K | $151.48 | 1.79x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.9K | $193.1K | $65.87 | 2.29x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 2.9K | $192.9K | $65.97 | 4.55x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 720 | $175.2K | $243.40 | 3.70x |
| 95924 | Testing of autonomic (sympathetic) nervous system function, at least 5 minutes of tilt | 1.3K | $175.1K | $138.46 | 2.89x |
This provider submits charges 2.89 times higher than what Medicare actually pays.
A markup ratio of 2.89x means for every $100 Medicare pays, this provider initially charges $289. 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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