This provider's $8.5M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 267% from 2014 to 2023.
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 | $358.47 | $111.61 | 3.21x | $246.86 | $487.5K | 5.7K | 4.6K |
| 2015 | $368.92 | $109.63 | 3.37x | $259.29 | $506.1K | 6.3K | 5.0K |
| 2016 | $401.95 | $121.25 | 3.32x | $280.70 | $577.3K | 7.2K | 5.5K |
| 2017 | $359.59 | $107.50 | 3.35x | $252.09 | $525.7K | 6.8K | 5.3K |
| 2018 | $501.19 | $163.62 | 3.06x | $337.57 | $585.4K | 6.8K | 5.7K |
| 2019 | $506.79 | $169.14 | 3.00x | $337.65 | $780.5K | 7.2K | 5.7K |
| 2020 | $699.06 | $241.13 | 2.90x | $457.93 | $790.3K | 6.1K | 5.1K |
| 2021 | $595.08 | $208.79 | 2.85x | $386.29 | $1.0M | 9.8K | 6.6K |
| 2022 | $504.48 | $196.59 | 2.57x | $307.89 | $1.4M | 14.7K | 7.0K |
| 2023 | $504.65 | $207.68 | 2.43x | $296.97 | $1.8M | 16.3K | 7.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78431 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress, with concurrently acquired ct transmission scan | 1.0K | $2.0M | $2.0K | 2.20x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.1K | $1.0M | $83.40 | 3.23x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.3K | $772.8K | $336.87 | 3.07x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.1K | $638.8K | $157.25 | 3.25x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.0K | $407.9K | $58.20 | 3.15x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.2K | $387.8K | $319.93 | 2.47x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 7.8K | $331.3K | $42.28 | 3.18x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 7.5K | $297.4K | $39.75 | 2.39x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.4K | $297.0K | $122.26 | 3.33x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 203 | $243.2K | $1.2K | 2.44x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.9K | $182.6K | $94.09 | 1.58x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.3K | $181.0K | $54.39 | 3.29x |
| 99458 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute | 5.4K | $178.1K | $32.81 | 2.35x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 792 | $173.5K | $219.02 | 3.70x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 13.7K | $167.0K | $12.21 | 3.35x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.0K | $163.0K | $160.29 | 3.24x |
| 78434 | Nuclear medicine absolute quantification of blood flow in heart muscle | 1.0K | $151.0K | $150.09 | 2.35x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 279 | $140.5K | $503.43 | 3.18x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 950 | $119.7K | $125.99 | 3.29x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.1K | $96.7K | $45.12 | 3.01x |
This provider submits charges 2.83 times higher than what Medicare actually pays.
A markup ratio of 2.83x means for every $100 Medicare pays, this provider initially charges $283. 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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