This provider's $7.4M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
Medicare payments to this provider grew 16514% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 231% in 2016
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 | $237.64 | $100.53 | 2.36x | $137.11 | $8.9K | 95 | 71 |
| 2015 | $227.35 | $56.54 | 4.02x | $170.81 | $28.4K | 598 | 533 |
| 2016 | $312.15 | $73.95 | 4.22x | $238.20 | $93.8K | 1.6K | 1.4K |
| 2017 | $417.70 | $113.38 | 3.68x | $304.32 | $189.9K | 1.9K | 1.6K |
| 2018 | $365.91 | $100.03 | 3.66x | $265.88 | $531.3K | 5.3K | 4.9K |
| 2019 | $377.46 | $110.70 | 3.41x | $266.76 | $657.8K | 7.5K | 6.9K |
| 2020 | $407.75 | $125.20 | 3.26x | $282.55 | $1.4M | 8.1K | 7.4K |
| 2021 | $501.86 | $139.73 | 3.59x | $362.13 | $1.3M | 6.7K | 6.1K |
| 2022 | $643.98 | $137.02 | 4.70x | $506.96 | $1.7M | 7.3K | 6.6K |
| 2023 | $782.27 | $168.97 | 4.63x | $613.30 | $1.5M | 7.4K | 6.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 4.0K | $2.2M | $564.57 | 3.88x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.9K | $1.5M | $819.08 | 3.16x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.0K | $619.5K | $312.56 | 3.70x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.0K | $449.3K | $113.75 | 4.31x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.2K | $335.8K | $80.83 | 3.65x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.6K | $255.8K | $55.27 | 4.05x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.1K | $236.5K | $113.87 | 3.84x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 985 | $236.2K | $239.84 | 4.36x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 412 | $228.0K | $553.42 | 3.53x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.8K | $179.1K | $47.53 | 4.12x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 316 | $142.5K | $451.07 | 3.79x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.9K | $132.5K | $45.45 | 2.67x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 898 | $115.0K | $128.01 | 3.74x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.6K | $86.5K | $55.56 | 2.13x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 609 | $43.6K | $71.64 | 4.26x |
| 36223 | Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist | 23 | $39.8K | $1.7K | 4.88x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 596 | $32.9K | $55.21 | 2.94x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 68 | $30.2K | $444.26 | 3.65x |
| 78473 | Nuclear medicine study of heart function wall motion at rest and stress with evaluation of blood ejection from heart, multiple studies | 138 | $27.1K | $196.37 | 3.76x |
| 93018 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report | 2.3K | $25.4K | $11.02 | 3.59x |
This provider submits charges 3.72 times higher than what Medicare actually pays.
A markup ratio of 3.72x means for every $100 Medicare pays, this provider initially charges $372. 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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