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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. Khoi Le
❤️
MDIndividual

Khoi Le, M.D.

NPI: 1629048012
Fresno, CA
10 years of data
Cardiology
$13.5M
Total Payments
70.2K
Beneficiaries
92.8K
Services
3.67x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$13.5M
Specialty median$193.1K

📋 Key Findings

1Billed $13.5M over 10 years
23.67x markup ratio (above median)
399th percentile in Cardiology by payments
4Payments surged 97% in 2017
517 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $13.5M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.

Medicare payments to this provider grew 187% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 97% in 2017

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

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$547.70$178.053.08x$369.65$648.6K11.2K8.5K
2015$515.93$165.483.12x$350.45$443.5K7.3K5.9K
2016$583.13$168.033.47x$415.10$595.3K7.6K5.7K
2017$582.63$145.004.02x$437.63$1.2M10.0K7.3K
2018$659.59$174.413.78x$485.18$1.6M10.4K7.5K
2019$621.10$159.813.89x$461.29$1.8M10.6K7.9K
2020$686.80$189.633.62x$497.17$1.7M8.9K6.7K
2021$635.75$165.533.84x$470.22$1.8M8.8K6.7K
2022$684.63$193.503.54x$491.13$1.8M8.9K7.0K
2023$716.55$184.803.88x$531.75$1.9M9.0K7.1K

Top Procedures (20)

78492Nuclear medicine study heart muscle at rest and/or stress multiple studies⚠ 3.1x markup
$5.2M
4.3K services$1.2K/svc3.15x markup
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
$1.6M
4.3K services$379.90/svc1.85x markup
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days⚠ 3.8x markup
$1.1M
1.7K services$652.61/svc3.83x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 4.6x markup
$1.1M
9.4K services$113.96/svc4.63x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 4.3x markup
$779.4K
9.0K services$86.60/svc4.32x markup
99215Established patient office or other outpatient, visit typically 40 minutes⚠ 3.6x markup
$514.8K
4.7K services$110.07/svc3.62x markup
78499Nuclear medicine study of cardiovascular systems⚠ 5.0x markup
$412.0K
2.2K services$187.86/svc4.98x markup
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report⚠ 5.4x markup
$257.9K
4.5K services$57.10/svc5.42x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$244.3K
1.5K services$158.72/svc2.07x markup
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm⚠ 3.1x markup
$214.8K
245 services$876.63/svc3.06x markup
J2785Injection, regadenoson, 0.1 mg⚠ 8.4x markup
$195.2K
4.3K services$45.66/svc8.38x markup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies⚠ 3.4x markup
$155.3K
401 services$387.34/svc3.41x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 7.9x markup
$145.3K
12.0K services$12.13/svc7.90x markup
99204New patient office or other outpatient visit, typically 45 minutes⚠ 4.2x markup
$129.9K
1.1K services$122.70/svc4.24x markup
93224Heart rhythm tracing, analysis, and interpretation of 48-hour EKG⚠ 5.1x markup
$104.5K
1.8K services$58.48/svc5.13x markup
93922Ultrasound study of arteries of both arms and legs
$100.9K
1.5K services$65.52/svc2.29x markup
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles⚠ 3.1x markup
$98.4K
336 services$293.00/svc3.14x markup
93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report⚠ 17.3x markup
$96.7K
14.6K services$6.63/svc17.34x markup
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes⚠ 3.6x markup
$91.2K
259 services$351.99/svc3.59x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 4.9x markup
$84.0K
1.2K services$68.41/svc4.94x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78492Nuclear medicine study heart muscle at rest and/or stress multiple studies4.3K$5.2M$1.2K3.15x
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries4.3K$1.6M$379.901.85x
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days1.7K$1.1M$652.613.83x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function9.4K$1.1M$113.964.63x
99214Established patient office or other outpatient, visit typically 25 minutes9.0K$779.4K$86.604.32x
99215Established patient office or other outpatient, visit typically 40 minutes4.7K$514.8K$110.073.62x
78499Nuclear medicine study of cardiovascular systems2.2K$412.0K$187.864.98x
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report4.5K$257.9K$57.105.42x
99223Initial hospital inpatient care, typically 70 minutes per day1.5K$244.3K$158.722.07x
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm245$214.8K$876.633.06x
J2785Injection, regadenoson, 0.1 mg4.3K$195.2K$45.668.38x
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies401$155.3K$387.343.41x
93000Routine EKG using at least 12 leads including interpretation and report12.0K$145.3K$12.137.90x
99204New patient office or other outpatient visit, typically 45 minutes1.1K$129.9K$122.704.24x
93224Heart rhythm tracing, analysis, and interpretation of 48-hour EKG1.8K$104.5K$58.485.13x
93922Ultrasound study of arteries of both arms and legs1.5K$100.9K$65.522.29x
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles336$98.4K$293.003.14x
93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report14.6K$96.7K$6.6317.34x
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes259$91.2K$351.993.59x
99213Established patient office or other outpatient visit, typically 15 minutes1.2K$84.0K$68.414.94x

Markup Analysis

Charge-to-Payment Ratio

3.67x

This provider submits charges 3.67 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.67x means for every $100 Medicare pays, this provider initially charges $367. 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.

Khoi Le (you)
$13.5M
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.

Believe this data is inaccurate? Dispute this data