This provider's $7.0M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Their average markup ratio of 5.68x is significantly above the specialty median of 3.6x.
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 | $260.10 | $98.07 | 2.65x | $162.03 | $906.4K | 11.0K | 7.0K |
| 2015 | $469.81 | $112.51 | 4.18x | $357.30 | $899.4K | 10.9K | 6.7K |
| 2016 | $621.59 | $109.30 | 5.69x | $512.29 | $733.7K | 7.8K | 5.9K |
| 2017 | $572.64 | $116.86 | 4.90x | $455.78 | $701.7K | 7.4K | 5.7K |
| 2018 | $619.90 | $111.56 | 5.56x | $508.34 | $685.5K | 7.4K | 5.5K |
| 2019 | $645.47 | $116.36 | 5.55x | $529.11 | $678.1K | 7.2K | 5.5K |
| 2020 | $877.53 | $101.47 | 8.65x | $776.06 | $540.4K | 6.0K | 4.5K |
| 2021 | $683.11 | $92.38 | 7.39x | $590.73 | $619.5K | 8.3K | 7.0K |
| 2022 | $630.52 | $106.95 | 5.90x | $523.57 | $557.1K | 7.1K | 5.8K |
| 2023 | $635.02 | $109.85 | 5.78x | $525.17 | $715.8K | 7.1K | 5.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.5K | $1.6M | $454.93 | 5.67x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 6.8K | $1.3M | $192.60 | 7.19x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.9K | $868.1K | $97.19 | 3.90x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.6K | $475.8K | $184.48 | 6.74x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.7K | $313.2K | $116.37 | 6.31x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 18.1K | $261.1K | $14.43 | 8.11x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.6K | $235.4K | $65.13 | 4.44x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.5K | $223.6K | $63.47 | 2.82x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.4K | $196.9K | $143.44 | 4.66x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.1K | $187.9K | $59.83 | 8.49x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 786 | $177.5K | $225.89 | 1.94x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 1.9K | $143.4K | $74.02 | 10.52x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.1K | $139.6K | $124.22 | 3.22x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 387 | $87.2K | $225.43 | 5.56x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 398 | $73.3K | $184.08 | 3.20x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.7K | $72.3K | $43.71 | 12.42x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 493 | $67.9K | $137.81 | 4.52x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 344 | $63.2K | $183.84 | 4.47x |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 485 | $62.3K | $128.48 | 1.74x |
| 93924 | Ultrasound study of arteries of both legs at rest and exercise | 379 | $60.5K | $159.66 | 3.44x |
This provider submits charges 5.68 times higher than what Medicare actually pays.
A markup ratio of 5.68x means for every $100 Medicare pays, this provider initially charges $568. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data