This provider's $5.7M in total Medicare payments ranks in the 98th percentile of 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 | $219.35 | $88.06 | 2.49x | $131.29 | $622.2K | 11.0K | 7.7K |
| 2015 | $216.41 | $88.80 | 2.44x | $127.61 | $607.6K | 11.4K | 7.8K |
| 2016 | $203.78 | $84.09 | 2.42x | $119.69 | $597.5K | 12.0K | 8.3K |
| 2017 | $214.06 | $85.84 | 2.49x | $128.22 | $562.5K | 11.3K | 8.1K |
| 2018 | $207.15 | $82.89 | 2.50x | $124.26 | $559.0K | 13.0K | 8.0K |
| 2019 | $199.68 | $80.29 | 2.49x | $119.39 | $545.4K | 13.0K | 8.1K |
| 2020 | $205.24 | $80.41 | 2.55x | $124.83 | $506.5K | 11.8K | 6.9K |
| 2021 | $190.35 | $79.55 | 2.39x | $110.80 | $583.6K | 12.7K | 7.7K |
| 2022 | $175.61 | $68.41 | 2.57x | $107.20 | $513.9K | 12.0K | 7.3K |
| 2023 | $171.09 | $62.97 | 2.72x | $108.12 | $611.6K | 13.1K | 8.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.4K | $1.2M | $81.50 | 1.82x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 15.1K | $831.8K | $54.98 | 1.76x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.4K | $604.2K | $112.35 | 3.15x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 7.1K | $401.5K | $56.80 | 1.74x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 29.8K | $352.5K | $11.84 | 3.97x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 2.8K | $296.7K | $105.35 | 1.89x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 1.4K | $266.6K | $188.27 | 2.91x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 646 | $200.9K | $311.05 | 2.04x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.1K | $161.0K | $77.06 | 2.23x |
| 78451 | Nuclear medicine study of vessels of heart using drugs or exercise single study | 478 | $127.6K | $267.04 | 1.98x |
| 93350 | Ultrasound examination of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 696 | $112.0K | $160.90 | 2.18x |
| 93793 | Anti-clotting management for patient taking warfarin | 12.7K | $107.3K | $8.44 | 3.55x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 678 | $103.7K | $152.97 | 1.90x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 493 | $96.1K | $195.02 | 2.32x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.0K | $91.4K | $89.52 | 3.82x |
| 93320 | Doppler ultrasound study of heart blood flow, valves, and chambers | 2.1K | $87.0K | $42.05 | 3.64x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 2.2K | $67.0K | $30.96 | 1.94x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 9.4K | $60.9K | $6.48 | 13.52x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 692 | $56.5K | $81.67 | 1.73x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.0K | $52.7K | $52.02 | 3.58x |
This provider submits charges 2.54 times higher than what Medicare actually pays.
A markup ratio of 2.54x means for every $100 Medicare pays, this provider initially charges $254. 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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