This provider's $7.2M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 118% 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 | $170.44 | $110.12 | 1.55x | $60.32 | $420.8K | 6.3K | 4.1K |
| 2015 | $215.82 | $119.77 | 1.80x | $96.05 | $575.7K | 7.5K | 5.2K |
| 2016 | $248.69 | $122.08 | 2.04x | $126.61 | $703.6K | 8.6K | 5.8K |
| 2017 | $175.08 | $110.03 | 1.59x | $65.05 | $673.8K | 8.2K | 5.9K |
| 2018 | $173.91 | $106.57 | 1.63x | $67.34 | $648.5K | 7.9K | 5.7K |
| 2019 | $187.75 | $114.56 | 1.64x | $73.19 | $724.7K | 8.8K | 6.4K |
| 2020 | $192.47 | $119.47 | 1.61x | $73.00 | $658.9K | 7.4K | 5.5K |
| 2021 | $193.61 | $116.13 | 1.67x | $77.48 | $970.7K | 9.6K | 6.9K |
| 2022 | $188.17 | $105.17 | 1.79x | $83.00 | $910.1K | 9.4K | 6.7K |
| 2023 | $183.67 | $99.82 | 1.84x | $83.85 | $916.4K | 9.9K | 7.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 22.5K | $2.2M | $96.45 | 1.70x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.7K | $1.1M | $188.15 | 1.60x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.4K | $1.0M | $440.89 | 1.47x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.4K | $620.0K | $180.08 | 1.47x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 2.1K | $463.9K | $220.91 | 1.71x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 24.6K | $342.7K | $13.96 | 2.17x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.6K | $329.1K | $59.20 | 1.74x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.3K | $240.6K | $102.72 | 2.76x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.3K | $163.1K | $122.46 | 1.40x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $150.9K | $139.24 | 1.49x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 2.4K | $141.0K | $58.60 | 3.65x |
| 93320 | Doppler ultrasound study of heart blood flow, valves, and chambers | 2.1K | $104.7K | $49.33 | 1.67x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.3K | $83.4K | $64.37 | 1.47x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 277 | $81.9K | $295.71 | 1.51x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 725 | $64.2K | $88.61 | 1.67x |
| 93325 | Doppler ultrasound study of color-directed heart blood flow, rate, and valve function | 2.1K | $49.6K | $23.38 | 2.29x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 553 | $40.2K | $72.61 | 2.59x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 124 | $18.7K | $151.05 | 1.80x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 26 | $4.8K | $185.16 | 1.43x |
| J2785 | Injection, regadenoson, 0.1 mg | 104 | $4.7K | $44.79 | 1.68x |
This provider submits charges 1.72 times higher than what Medicare actually pays.
A markup ratio of 1.72x means for every $100 Medicare pays, this provider initially charges $172. This is lower 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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