This provider's $3.4M in total Medicare payments ranks in the 98th percentile of Cardiac Surgery 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 97% in 2022
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 | $326.04 | $97.84 | 3.33x | $228.20 | $429.8K | 6.1K | 4.5K |
| 2015 | $281.80 | $95.81 | 2.94x | $185.99 | $406.8K | 5.0K | 3.5K |
| 2016 | $337.75 | $103.86 | 3.25x | $233.89 | $288.4K | 3.8K | 2.6K |
| 2017 | $339.32 | $97.82 | 3.47x | $241.50 | $286.3K | 4.0K | 2.8K |
| 2018 | $382.95 | $128.25 | 2.99x | $254.70 | $366.7K | 4.2K | 3.2K |
| 2019 | $338.72 | $133.38 | 2.54x | $205.34 | $338.6K | 3.9K | 3.0K |
| 2020 | $339.70 | $114.65 | 2.96x | $225.05 | $263.0K | 3.1K | 2.4K |
| 2021 | $273.78 | $97.93 | 2.80x | $175.85 | $176.6K | 2.0K | 1.6K |
| 2022 | $339.35 | $88.00 | 3.86x | $251.35 | $348.7K | 3.6K | 3.2K |
| 2023 | $596.84 | $192.00 | 3.11x | $404.84 | $476.6K | 3.6K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.5K | $502.1K | $77.58 | 2.89x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.6K | $352.2K | $97.71 | 3.64x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 1.3K | $231.3K | $175.65 | 2.27x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.6K | $210.0K | $128.94 | 3.21x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.2K | $193.2K | $166.24 | 2.28x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.4K | $172.6K | $126.83 | 2.85x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.5K | $135.7K | $53.99 | 2.31x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 474 | $126.8K | $267.55 | 3.26x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 276 | $115.3K | $417.93 | 2.55x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 322 | $112.9K | $350.61 | 2.36x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 726 | $105.1K | $144.74 | 2.37x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.0K | $102.4K | $51.84 | 2.11x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 530 | $94.5K | $178.30 | 3.25x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 186 | $84.9K | $456.36 | 1.42x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 304 | $64.3K | $211.60 | 3.38x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 784 | $60.8K | $77.57 | 1.95x |
| 33285 | Insertion of heart rhythm monitor under skin | 16 | $52.6K | $3.3K | 2.97x |
| 93320 | Doppler ultrasound study of heart blood flow, valves, and chambers | 1.3K | $49.8K | $38.30 | 3.86x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 4.5K | $48.6K | $10.86 | 3.37x |
| 93462 | Insertion of catheter into left heart for diagnosis | 326 | $47.8K | $146.53 | 2.34x |
This provider submits charges 2.95 times higher than what Medicare actually pays.
A markup ratio of 2.95x means for every $100 Medicare pays, this provider initially charges $295. 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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