This provider's $5.3M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 134% 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 | $236.40 | $75.01 | 3.15x | $161.39 | $441.9K | 8.5K | 4.3K |
| 2015 | $217.93 | $61.76 | 3.53x | $156.17 | $385.1K | 8.2K | 4.5K |
| 2016 | $261.87 | $67.43 | 3.88x | $194.44 | $371.8K | 7.8K | 4.6K |
| 2017 | $251.90 | $59.19 | 4.26x | $192.71 | $354.1K | 8.0K | 4.7K |
| 2018 | $235.13 | $60.02 | 3.92x | $175.11 | $417.1K | 8.3K | 5.3K |
| 2019 | $282.41 | $76.93 | 3.67x | $205.48 | $596.9K | 10.4K | 6.3K |
| 2020 | $289.98 | $78.84 | 3.68x | $211.14 | $460.1K | 7.9K | 5.0K |
| 2021 | $284.40 | $78.99 | 3.60x | $205.41 | $510.1K | 8.5K | 5.7K |
| 2022 | $279.22 | $77.33 | 3.61x | $201.89 | $722.7K | 14.4K | 7.1K |
| 2023 | $263.17 | $70.36 | 3.74x | $192.81 | $1.0M | 25.1K | 6.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 19.3K | $1.5M | $77.59 | 3.85x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.3K | $617.7K | $142.70 | 3.67x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.3K | $430.9K | $344.74 | 3.69x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 521 | $295.6K | $567.41 | 3.32x |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 5.7K | $258.5K | $45.36 | 3.90x |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 6.8K | $244.4K | $36.06 | 2.75x |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 5.5K | $162.0K | $29.46 | 3.16x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 4.3K | $159.6K | $36.73 | 3.88x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 4.7K | $139.7K | $29.79 | 3.56x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 12.4K | $139.6K | $11.24 | 4.45x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $138.8K | $115.96 | 3.95x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 951 | $130.0K | $136.67 | 4.20x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.4K | $125.5K | $92.79 | 1.78x |
| 99427 | Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month | 3.4K | $118.7K | $35.30 | 3.83x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.9K | $92.7K | $48.74 | 4.45x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 641 | $72.1K | $112.53 | 3.64x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 1.1K | $49.6K | $46.22 | 3.22x |
| 76376 | 3D radiographic procedure | 2.8K | $49.1K | $17.57 | 8.82x |
| 93288 | Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection | 1.4K | $46.9K | $32.50 | 3.04x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.1K | $46.6K | $43.27 | 2.54x |
This provider submits charges 3.73 times higher than what Medicare actually pays.
A markup ratio of 3.73x means for every $100 Medicare pays, this provider initially charges $373. 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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