This provider averages 59 services per working day
Based on 148.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.8M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 59 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 115% from 2014 to 2023.
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 | $205.20 | $82.39 | 2.49x | $122.81 | $717.8K | 10.9K | 6.5K |
| 2015 | $230.83 | $97.84 | 2.36x | $132.99 | $772.9K | 11.0K | 6.7K |
| 2016 | $393.85 | $99.85 | 3.94x | $294.00 | $763.7K | 11.4K | 7.0K |
| 2017 | $416.16 | $91.49 | 4.55x | $324.67 | $824.7K | 12.6K | 7.6K |
| 2018 | $414.04 | $97.41 | 4.25x | $316.63 | $1.0M | 13.5K | 8.8K |
| 2019 | $456.12 | $102.97 | 4.43x | $353.15 | $1.2M | 17.1K | 10.8K |
| 2020 | $435.50 | $101.19 | 4.30x | $334.31 | $1.2M | 17.1K | 10.3K |
| 2021 | $356.60 | $98.48 | 3.62x | $258.12 | $1.4M | 18.7K | 11.9K |
| 2022 | $337.17 | $92.32 | 3.65x | $244.85 | $1.3M | 16.7K | 11.2K |
| 2023 | $360.18 | $95.56 | 3.77x | $264.62 | $1.5M | 19.4K | 13.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 26.6K | $2.2M | $83.90 | 3.65x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 13.5K | $1.6M | $121.36 | 3.78x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.5K | $1.1M | $304.82 | 3.31x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 10.8K | $917.0K | $84.79 | 3.61x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 3.3K | $514.1K | $155.84 | 3.85x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 7.9K | $452.0K | $57.01 | 3.02x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.6K | $379.1K | $145.53 | 3.90x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.8K | $376.9K | $215.00 | 4.00x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 611 | $355.0K | $580.98 | 3.41x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.5K | $297.3K | $118.17 | 3.94x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 613 | $289.2K | $471.73 | 3.46x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.8K | $260.1K | $91.52 | 4.13x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 2.0K | $215.6K | $105.18 | 2.97x |
| 93888 | Ultrasound limited scanning of head and neck blood flow (inside the brain) | 2.0K | $200.1K | $102.23 | 1.97x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.6K | $187.0K | $116.64 | 3.55x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 13.8K | $162.2K | $11.76 | 4.68x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 2.9K | $142.8K | $49.46 | 4.55x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 7.1K | $108.1K | $15.26 | 3.56x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.0K | $90.2K | $45.23 | 3.43x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 11.2K | $74.0K | $6.60 | 4.62x |
This provider submits charges 3.63 times higher than what Medicare actually pays.
A markup ratio of 3.63x means for every $100 Medicare pays, this provider initially charges $363. 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.
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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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