This provider's $4.6M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $240.19 | $110.32 | 2.18x | $129.87 | $592.2K | 5.6K | 3.8K |
| 2015 | $248.07 | $120.12 | 2.07x | $127.95 | $644.7K | 6.0K | 4.2K |
| 2016 | $256.76 | $119.54 | 2.15x | $137.22 | $573.6K | 5.4K | 3.6K |
| 2017 | $250.00 | $115.57 | 2.16x | $134.43 | $521.4K | 4.8K | 3.3K |
| 2018 | $234.26 | $104.66 | 2.24x | $129.60 | $445.2K | 4.1K | 3.0K |
| 2019 | $239.31 | $110.92 | 2.16x | $128.39 | $394.5K | 3.5K | 2.6K |
| 2020 | $251.52 | $120.68 | 2.08x | $130.84 | $326.0K | 2.8K | 2.2K |
| 2021 | $287.94 | $131.13 | 2.20x | $156.81 | $378.3K | 3.1K | 2.3K |
| 2022 | $287.81 | $126.03 | 2.28x | $161.78 | $358.7K | 3.0K | 2.2K |
| 2023 | $265.51 | $110.13 | 2.41x | $155.38 | $363.3K | 3.2K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.8K | $733.4K | $94.03 | 1.60x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.6K | $694.2K | $436.34 | 2.29x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.7K | $676.3K | $182.44 | 1.64x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.5K | $635.9K | $181.69 | 2.20x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 3.6K | $612.0K | $168.23 | 2.38x |
| 93923 | Ultrasound study of arteries of both arms and legs | 1.8K | $226.9K | $123.09 | 2.44x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.6K | $168.3K | $105.89 | 2.76x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.7K | $110.8K | $65.24 | 3.82x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 7.5K | $106.5K | $14.14 | 4.95x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 418 | $88.8K | $212.32 | 1.76x |
| 93922 | Ultrasound study of arteries of both arms and legs | 1.1K | $87.0K | $81.42 | 1.86x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 868 | $76.0K | $87.58 | 1.72x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 340 | $57.5K | $169.21 | 1.77x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 463 | $53.9K | $116.31 | 1.72x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 305 | $43.3K | $142.02 | 1.76x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 482 | $38.2K | $79.16 | 5.05x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 595 | $34.7K | $58.37 | 1.71x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 104 | $24.8K | $238.80 | 1.79x |
| J2785 | Injection, regadenoson, 0.1 mg | 499 | $22.0K | $44.11 | 1.82x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 302 | $20.6K | $68.34 | 1.46x |
This provider submits charges 2.17 times higher than what Medicare actually pays.
A markup ratio of 2.17x means for every $100 Medicare pays, this provider initially charges $217. 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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