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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Sam Borno
❤️
MDIndividual

Sam Borno, MD

NPI: 1598758468
Fresno, CA
10 years of data
Cardiology
$16.6M
Total Payments
141.4K
Beneficiaries
155.0K
Services
2.61x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$16.6M
Specialty median$193.1K

📋 Key Findings

1Billed $16.6M over 10 years
22.61x markup ratio (above median)
399th percentile in Cardiology by payments
462 services/day — unusually high
56 procedures with >3x markup

This provider averages 62 services per working day

Based on 155.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $16.6M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.

Averaging 62 services per working day raises questions about billing patterns.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$227.66$92.812.45x$134.85$1.7M15.7K13.9K
2015$236.67$100.042.37x$136.63$1.8M16.4K15.1K
2016$242.34$96.962.50x$145.38$2.0M18.1K16.8K
2017$223.06$86.982.56x$136.08$2.1M19.6K17.9K
2018$240.83$95.932.51x$144.90$1.8M17.7K16.3K
2019$243.75$98.932.46x$144.82$1.6M15.4K13.9K
2020$227.32$96.082.37x$131.24$1.5M13.8K12.7K
2021$207.68$88.492.35x$119.19$1.4M13.5K12.3K
2022$207.51$87.882.36x$119.63$1.4M13.1K11.8K
2023$217.28$89.282.43x$128.00$1.2M11.7K10.7K

Top Procedures (20)

78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies
$4.7M
11.7K services$397.60/svc2.52x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 4.2x markup
$2.7M
16.5K services$165.66/svc4.23x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$1.9M
22.2K services$85.38/svc1.55x markup
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days
$1.2M
1.8K services$659.76/svc1.60x markup
A9500Technetium tc-99m sestamibi, diagnostic, per study dose
$1.1M
12.0K services$93.19/svc1.47x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck
$1.1M
7.0K services$155.37/svc2.12x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$736.4K
12.7K services$58.09/svc1.43x markup
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report⚠ 4.2x markup
$704.5K
11.7K services$60.15/svc4.16x markup
J2785Injection, regadenoson, 0.1 mg
$474.5K
10.9K services$43.63/svc2.29x markup
99203New patient office or other outpatient visit, typically 30 minutes
$457.4K
6.1K services$74.39/svc2.42x markup
93351Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report
$342.4K
1.7K services$200.61/svc2.24x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 4.9x markup
$256.3K
21.0K services$12.21/svc4.91x markup
93224Heart rhythm tracing, analysis, and interpretation of 48-hour EKG⚠ 4.7x markup
$190.3K
3.0K services$63.99/svc4.69x markup
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report
$146.6K
3.1K services$46.75/svc2.14x markup
93320Doppler ultrasound study of heart blood flow, valves, and chambers⚠ 4.2x markup
$76.9K
1.7K services$45.14/svc4.21x markup
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart
$65.8K
300 services$219.27/svc2.28x markup
93288Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection
$39.2K
1.3K services$29.16/svc2.74x markup
93284Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report
$39.1K
558 services$70.16/svc2.14x markup
93325Doppler ultrasound study of color-directed heart blood flow, rate, and valve function⚠ 8.4x markup
$36.6K
1.7K services$21.50/svc8.37x markup
93228Heart rhythm tracing, computer analysis, and interpretation of patient-triggered events greater than 24-hour EKG up to 30 days
$36.4K
1.8K services$20.03/svc2.50x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies11.7K$4.7M$397.602.52x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function16.5K$2.7M$165.664.23x
99214Established patient office or other outpatient, visit typically 25 minutes22.2K$1.9M$85.381.55x
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days1.8K$1.2M$659.761.60x
A9500Technetium tc-99m sestamibi, diagnostic, per study dose12.0K$1.1M$93.191.47x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck7.0K$1.1M$155.372.12x
99213Established patient office or other outpatient visit, typically 15 minutes12.7K$736.4K$58.091.43x
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report11.7K$704.5K$60.154.16x
J2785Injection, regadenoson, 0.1 mg10.9K$474.5K$43.632.29x
99203New patient office or other outpatient visit, typically 30 minutes6.1K$457.4K$74.392.42x
93351Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report1.7K$342.4K$200.612.24x
93000Routine EKG using at least 12 leads including interpretation and report21.0K$256.3K$12.214.91x
93224Heart rhythm tracing, analysis, and interpretation of 48-hour EKG3.0K$190.3K$63.994.69x
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report3.1K$146.6K$46.752.14x
93320Doppler ultrasound study of heart blood flow, valves, and chambers1.7K$76.9K$45.144.21x
93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart300$65.8K$219.272.28x
93288Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection1.3K$39.2K$29.162.74x
93284Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report558$39.1K$70.162.14x
93325Doppler ultrasound study of color-directed heart blood flow, rate, and valve function1.7K$36.6K$21.508.37x
93228Heart rhythm tracing, computer analysis, and interpretation of patient-triggered events greater than 24-hour EKG up to 30 days1.8K$36.4K$20.032.50x

Markup Analysis

Charge-to-Payment Ratio

2.61x

This provider submits charges 2.61 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.61x means for every $100 Medicare pays, this provider initially charges $261. This is higher than the national average.

Location

Fresno, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Cardiology providers in CA for peer comparison.

Sam Borno (you)
$16.6M
Leo Polosajian, M.D.
$52.5M
Athar Ansari, M.D.
$38.2M
Hanumandla Reddy, M.D
$38.1M
Mehran Khorsandi, M.D.,
$36.4M
Shashi Sharma, D.M.
$35.4M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Leo Polosajian, M.D.Reseda, CA$52.5M✓ Clear
Athar Ansari, M.D.El Centro, CA$38.2M✓ Clear
Hanumandla Reddy, M.DHanford, CA$38.1M✓ Clear
Mehran Khorsandi, M.D.,Los Angeles, CA$36.4M✓ Clear
Shashi Sharma, D.M.Visalia, CA$35.4M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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