This provider's $7.8M in total Medicare payments ranks in the 99th 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 | $194.07 | $87.65 | 2.21x | $106.42 | $657.4K | 12.2K | 8.2K |
| 2015 | $204.42 | $92.44 | 2.21x | $111.98 | $728.0K | 13.1K | 9.0K |
| 2016 | $223.95 | $86.65 | 2.58x | $137.30 | $856.9K | 14.7K | 10.3K |
| 2017 | $231.46 | $83.26 | 2.78x | $148.20 | $925.6K | 14.0K | 10.2K |
| 2018 | $258.66 | $90.72 | 2.85x | $167.94 | $877.7K | 13.5K | 10.0K |
| 2019 | $260.36 | $82.97 | 3.14x | $177.39 | $848.6K | 13.3K | 9.9K |
| 2020 | $254.50 | $90.75 | 2.80x | $163.75 | $580.9K | 8.7K | 6.2K |
| 2021 | $258.63 | $92.52 | 2.80x | $166.11 | $689.9K | 9.7K | 7.0K |
| 2022 | $244.41 | $84.81 | 2.88x | $159.60 | $913.7K | 11.8K | 9.4K |
| 2023 | $233.06 | $79.14 | 2.94x | $153.92 | $764.8K | 10.5K | 8.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 5.3K | $1.9M | $369.62 | 2.45x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 20.5K | $1.6M | $79.53 | 2.70x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 7.5K | $822.1K | $109.60 | 2.59x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 5.0K | $507.6K | $100.64 | 3.88x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 6.9K | $406.3K | $58.97 | 2.25x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.9K | $307.9K | $162.32 | 2.35x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 4.3K | $213.2K | $49.24 | 3.25x |
| J2785 | Injection, regadenoson, 0.1 mg | 4.1K | $184.5K | $44.70 | 2.42x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 10.6K | $159.6K | $15.09 | 2.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.0K | $157.6K | $52.51 | 2.61x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 723 | $156.8K | $216.88 | 3.03x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.3K | $155.6K | $118.85 | 2.65x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 305 | $144.2K | $472.68 | 2.54x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 10.3K | $124.0K | $12.09 | 3.22x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.2K | $103.8K | $89.48 | 2.43x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 614 | $71.6K | $116.62 | 2.74x |
| 85610 | Blood test, clotting time | 14.7K | $68.5K | $4.67 | 3.40x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 198 | $58.7K | $296.35 | 2.74x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 471 | $51.6K | $109.64 | 2.21x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 6.9K | $45.2K | $6.59 | 2.79x |
This provider submits charges 2.69 times higher than what Medicare actually pays.
A markup ratio of 2.69x means for every $100 Medicare pays, this provider initially charges $269. 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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