This provider's $7.4M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Their average markup ratio of 5.53x is significantly above the specialty median of 3.6x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 51% in 2022
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $282.17 | $86.69 | 3.25x | $195.48 | $709.7K | 7.0K | 5.4K |
| 2015 | $296.50 | $87.00 | 3.41x | $209.50 | $719.2K | 6.6K | 5.3K |
| 2016 | $386.01 | $101.45 | 3.80x | $284.56 | $709.0K | 6.3K | 5.1K |
| 2017 | $587.88 | $92.88 | 6.33x | $495.00 | $765.7K | 7.0K | 5.3K |
| 2018 | $651.45 | $105.17 | 6.19x | $546.28 | $783.4K | 7.0K | 5.5K |
| 2019 | $595.89 | $95.67 | 6.23x | $500.22 | $855.5K | 8.2K | 6.6K |
| 2020 | $596.66 | $98.04 | 6.09x | $498.62 | $675.0K | 6.4K | 5.3K |
| 2021 | $596.75 | $105.57 | 5.65x | $491.18 | $523.8K | 4.1K | 3.6K |
| 2022 | $559.96 | $90.38 | 6.20x | $469.58 | $791.8K | 7.5K | 6.0K |
| 2023 | $546.00 | $91.82 | 5.95x | $454.18 | $901.7K | 9.8K | 8.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 9.4K | $1.6M | $171.57 | 7.02x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 16.2K | $1.6M | $97.21 | 4.53x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.8K | $1.3M | $452.55 | 4.10x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 4.1K | $705.7K | $172.70 | 6.98x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 2.8K | $423.7K | $148.92 | 3.85x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.4K | $335.8K | $142.71 | 4.86x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.0K | $180.9K | $59.48 | 9.11x |
| 93979 | Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan | 1.6K | $154.5K | $94.80 | 8.48x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 564 | $120.2K | $213.14 | 4.84x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 850 | $103.7K | $121.97 | 3.81x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 628 | $89.5K | $142.57 | 4.78x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 6.2K | $86.9K | $14.05 | 9.23x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.8K | $79.3K | $44.48 | 3.67x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.1K | $72.4K | $65.39 | 3.75x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 372 | $65.8K | $176.82 | 4.63x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 791 | $60.3K | $76.23 | 8.35x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 234 | $53.4K | $228.42 | 5.89x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 937 | $52.6K | $56.15 | 5.70x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 777 | $48.8K | $62.84 | 4.39x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 428 | $41.8K | $97.63 | 4.54x |
This provider submits charges 5.53 times higher than what Medicare actually pays.
A markup ratio of 5.53x means for every $100 Medicare pays, this provider initially charges $553. 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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