This provider's $12.1M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 147% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 51% in 2020
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 | $529.56 | $106.45 | 4.97x | $423.11 | $645.1K | 7.9K | 5.7K |
| 2015 | $647.59 | $128.11 | 5.05x | $519.48 | $888.9K | 9.2K | 7.0K |
| 2016 | $558.74 | $114.23 | 4.89x | $444.51 | $995.2K | 9.7K | 7.7K |
| 2017 | $543.71 | $158.55 | 3.43x | $385.16 | $1.5M | 9.8K | 8.0K |
| 2018 | $501.55 | $111.39 | 4.50x | $390.16 | $1.2M | 11.0K | 8.9K |
| 2019 | $506.37 | $101.91 | 4.97x | $404.46 | $941.7K | 9.9K | 7.9K |
| 2020 | $562.14 | $119.13 | 4.72x | $443.01 | $1.4M | 10.1K | 8.4K |
| 2021 | $639.02 | $145.38 | 4.40x | $493.64 | $1.3M | 9.3K | 7.6K |
| 2022 | $692.50 | $153.35 | 4.52x | $539.15 | $1.6M | 9.1K | 7.6K |
| 2023 | $757.70 | $169.23 | 4.48x | $588.47 | $1.6M | 9.5K | 7.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 6.6K | $2.7M | $405.13 | 4.95x |
| 78492 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress | 1.3K | $1.3M | $1.1K | 3.60x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 11.4K | $1.0M | $90.26 | 1.82x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.9K | $777.5K | $131.67 | 5.13x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 6.2K | $645.4K | $104.89 | 2.86x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.7K | $571.8K | $343.41 | 1.75x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 8.5K | $544.6K | $63.83 | 2.44x |
| 78431 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress, with concurrently acquired ct transmission scan | 388 | $532.3K | $1.4K | 3.82x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.8K | $454.9K | $163.06 | 4.74x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 7.7K | $445.2K | $57.53 | 7.82x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.2K | $395.4K | $177.94 | 2.39x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.5K | $310.9K | $126.69 | 1.87x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.6K | $303.5K | $192.82 | 4.17x |
| J2785 | Injection, regadenoson, 0.1 mg | 6.0K | $268.0K | $44.67 | 2.24x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 400 | $209.6K | $524.00 | 6.68x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.1K | $197.4K | $91.93 | 2.44x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 971 | $149.9K | $154.40 | 4.54x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 807 | $134.6K | $166.75 | 2.06x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 528 | $118.4K | $224.21 | 6.02x |
| 92933 | Removal of plaque and insertion of stent in major coronary artery or branch, accessed through the skin | 197 | $116.1K | $589.36 | 5.95x |
This provider submits charges 3.93 times higher than what Medicare actually pays.
A markup ratio of 3.93x means for every $100 Medicare pays, this provider initially charges $393. 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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