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.
Notable: Payments increased 127% in 2017
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $370.43 | $160.42 | 2.31x | $210.01 | $453.5K | 2.7K | 1.7K |
| 2015 | $375.26 | $165.36 | 2.27x | $209.90 | $263.7K | 1.6K | 1.4K |
| 2016 | $428.28 | $197.75 | 2.17x | $230.53 | $213.5K | 1.3K | 1.1K |
| 2017 | $515.89 | $240.90 | 2.14x | $274.99 | $484.8K | 2.2K | 1.5K |
| 2018 | $666.34 | $319.56 | 2.09x | $346.78 | $598.4K | 1.7K | 1.1K |
| 2019 | $828.88 | $316.09 | 2.62x | $512.79 | $656.0K | 1.8K | 1.0K |
| 2020 | $846.45 | $316.37 | 2.68x | $530.08 | $728.1K | 1.7K | 931 |
| 2021 | $834.10 | $303.91 | 2.74x | $530.19 | $654.7K | 1.5K | 740 |
| 2022 | $943.70 | $312.71 | 3.02x | $630.99 | $386.9K | 982 | 498 |
| 2023 | $931.57 | $278.20 | 3.35x | $653.37 | $506.7K | 1.2K | 493 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 834 | $1.2M | $1.4K | 2.69x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 773 | $897.9K | $1.2K | 4.30x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 563 | $617.0K | $1.1K | 1.83x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.1K | $496.6K | $447.02 | 2.24x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.1K | $300.5K | $263.36 | 1.31x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.2K | $219.1K | $183.95 | 3.05x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.1K | $190.2K | $178.22 | 2.54x |
| 36011 | Insertion of catheter into vein | 223 | $170.2K | $763.09 | 1.81x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.3K | $154.2K | $66.77 | 2.20x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 1.1K | $118.0K | $111.88 | 2.57x |
| 36473 | Mechanicochemical destruction of insufficient vein of arm or leg, accessed through the skin using imaging guidance | 70 | $95.8K | $1.4K | 1.83x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 519 | $93.1K | $179.31 | 2.48x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 280 | $63.8K | $227.94 | 1.93x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 478 | $41.0K | $85.77 | 2.55x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 207 | $37.4K | $180.54 | 2.49x |
| J2785 | Injection, regadenoson, 0.1 mg | 832 | $36.1K | $43.35 | 2.16x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 510 | $32.4K | $63.49 | 3.39x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 295 | $31.7K | $107.41 | 2.74x |
| 36471 | Injection of chemical agent into multiple veins of same leg | 232 | $24.9K | $107.37 | 2.49x |
| 94644 | Respiratory inhaled aerosol treatment to relieve airway obstruction, first hour | 491 | $20.2K | $41.05 | 2.44x |
This provider submits charges 2.68 times higher than what Medicare actually pays.
A markup ratio of 2.68x means for every $100 Medicare pays, this provider initially charges $268. 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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