This provider's $4.9M 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 | $293.52 | $94.32 | 3.11x | $199.20 | $393.5K | 5.8K | 3.7K |
| 2015 | $272.09 | $132.54 | 2.05x | $139.55 | $459.8K | 6.3K | 4.1K |
| 2016 | $253.38 | $120.24 | 2.11x | $133.14 | $587.7K | 6.0K | 4.0K |
| 2017 | $319.99 | $96.92 | 3.30x | $223.07 | $538.9K | 6.8K | 3.8K |
| 2018 | $302.08 | $99.03 | 3.05x | $203.05 | $484.1K | 7.0K | 3.4K |
| 2019 | $320.87 | $111.95 | 2.87x | $208.92 | $510.6K | 7.4K | 3.5K |
| 2020 | $287.15 | $104.44 | 2.75x | $182.71 | $421.0K | 7.3K | 3.2K |
| 2021 | $312.19 | $114.59 | 2.72x | $197.60 | $504.6K | 7.8K | 3.7K |
| 2022 | $265.19 | $93.18 | 2.85x | $172.01 | $478.5K | 8.1K | 3.8K |
| 2023 | $265.49 | $92.23 | 2.88x | $173.26 | $475.0K | 9.1K | 3.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 1.0K | $1.3M | $1.2K | 2.91x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.9K | $519.1K | $58.10 | 2.52x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 7.7K | $376.8K | $49.21 | 2.39x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.0K | $341.9K | $330.07 | 2.67x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.6K | $266.3K | $168.87 | 2.63x |
| 93283 | Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report | 2.3K | $147.7K | $64.30 | 2.45x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.7K | $140.5K | $81.45 | 2.06x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 354 | $140.4K | $396.57 | 2.58x |
| 93296 | Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days | 6.3K | $123.3K | $19.65 | 2.93x |
| 93290 | Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including connection, recording, disconnection, and analysis | 3.7K | $118.8K | $31.85 | 2.27x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 4.4K | $101.7K | $23.27 | 2.80x |
| 93297 | Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days | 4.7K | $94.8K | $20.19 | 2.70x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.4K | $86.9K | $60.20 | 2.76x |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 3.3K | $83.3K | $24.90 | 2.01x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 1.1K | $80.0K | $71.31 | 2.42x |
| 93282 | Evaluation, testing, and programming adjustment of permanent single lead cardioverter-defibrillator including physician analysis, review, and report | 1.5K | $74.4K | $50.00 | 2.48x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 1.9K | $67.4K | $34.95 | 3.38x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 690 | $61.7K | $89.38 | 2.24x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.4K | $59.5K | $43.47 | 2.75x |
| 93279 | Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report | 1.4K | $57.3K | $40.68 | 2.43x |
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.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Cardiology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Leo Polosajian, M.D. | Reseda, CA | $52.5M | ✓ Clear |
| Athar Ansari, M.D. | El Centro, CA | $38.2M | ✓ Clear |
| Hanumandla Reddy, M.D | Hanford, 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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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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