This provider's $19.3M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 343% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 114% in 2017
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 | $397.59 | $142.62 | 2.79x | $254.97 | $480.8K | 4.7K | 3.3K |
| 2015 | $1.6K | $541.44 | 2.93x | $1.0K | $788.4K | 4.3K | 3.1K |
| 2016 | $1.3K | $457.09 | 2.86x | $850.52 | $1.0M | 6.4K | 4.8K |
| 2017 | $2.2K | $757.14 | 2.92x | $1.5K | $2.2M | 6.6K | 4.6K |
| 2018 | $2.3K | $864.24 | 2.64x | $1.4K | $3.1M | 10.7K | 7.6K |
| 2019 | $2.5K | $883.61 | 2.83x | $1.6K | $3.0M | 10.8K | 7.0K |
| 2020 | $2.5K | $709.92 | 3.49x | $1.8K | $2.0M | 8.9K | 5.2K |
| 2021 | $2.6K | $694.19 | 3.73x | $1.9K | $2.5M | 10.1K | 5.8K |
| 2022 | $2.9K | $866.41 | 3.31x | $2.0K | $2.1M | 5.9K | 4.0K |
| 2023 | $2.9K | $806.60 | 3.60x | $2.1K | $2.1M | 6.2K | 4.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 553 | $3.9M | $7.0K | 3.27x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 239 | $2.5M | $10.4K | 3.00x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 262 | $1.9M | $7.3K | 3.28x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 1.1K | $1.3M | $1.2K | 2.10x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.4K | $866.5K | $83.22 | 2.53x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 285 | $852.0K | $3.0K | 2.92x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 7.3K | $523.4K | $71.80 | 2.56x |
| 37231 | Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure | 54 | $516.6K | $9.6K | 3.05x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 4.8K | $515.9K | $108.00 | 2.68x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.3K | $426.0K | $326.20 | 2.46x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 2.7K | $418.7K | $157.05 | 3.17x |
| 36247 | Insertion of catheter into abdominal pelvic or leg artery | 452 | $408.2K | $903.04 | 3.83x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 429 | $402.5K | $938.30 | 2.77x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.1K | $397.4K | $364.93 | 2.56x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 173 | $339.5K | $2.0K | 2.56x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 480 | $271.6K | $565.73 | 2.44x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 204 | $232.7K | $1.1K | 2.81x |
| 37233 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 172 | $178.4K | $1.0K | 2.94x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 353 | $167.6K | $474.73 | 3.53x |
| 93979 | Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan | 1.9K | $167.6K | $87.73 | 2.57x |
This provider submits charges 2.99 times higher than what Medicare actually pays.
A markup ratio of 2.99x means for every $100 Medicare pays, this provider initially charges $299. 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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