This provider's $6.5M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 52% 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 | $151.57 | $107.21 | 1.41x | $44.36 | $451.5K | 4.8K | 3.4K |
| 2015 | $141.14 | $104.60 | 1.35x | $36.54 | $454.7K | 5.7K | 3.5K |
| 2016 | $144.87 | $100.43 | 1.44x | $44.44 | $518.7K | 7.1K | 4.1K |
| 2017 | $135.84 | $92.59 | 1.47x | $43.25 | $575.0K | 7.3K | 4.7K |
| 2018 | $148.10 | $106.85 | 1.39x | $41.25 | $676.8K | 8.0K | 4.9K |
| 2019 | $382.28 | $284.68 | 1.34x | $97.60 | $759.3K | 6.7K | 4.5K |
| 2020 | $376.58 | $296.93 | 1.27x | $79.65 | $834.5K | 5.8K | 3.8K |
| 2021 | $350.21 | $274.52 | 1.28x | $75.69 | $851.4K | 6.9K | 4.2K |
| 2022 | $346.90 | $268.50 | 1.29x | $78.40 | $731.5K | 6.0K | 3.8K |
| 2023 | $348.99 | $265.57 | 1.31x | $83.42 | $688.3K | 5.3K | 3.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 7.6K | $1.3M | $177.84 | 1.36x |
| 33285 | Insertion of heart rhythm monitor under skin | 257 | $1.2M | $4.5K | 1.27x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.8K | $896.5K | $60.43 | 1.45x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 4.7K | $792.5K | $170.35 | 1.36x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 1.3K | $281.4K | $212.05 | 1.35x |
| 99354 | Prolonged office or other outpatient service first hour | 2.4K | $253.8K | $103.86 | 1.34x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 1.5K | $252.3K | $170.59 | 1.36x |
| 99358 | Prolonged patient service without direct patient contact first hour | 2.3K | $209.2K | $90.97 | 1.31x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 2.4K | $157.6K | $66.25 | 1.38x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 2.5K | $132.3K | $52.09 | 1.46x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 3.4K | $116.4K | $34.13 | 1.37x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 244 | $109.5K | $448.62 | 1.36x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.3K | $108.5K | $84.35 | 1.41x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 7.1K | $83.5K | $11.70 | 1.55x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 655 | $83.0K | $126.77 | 1.43x |
| 0295T | External EKG recording for more than 48 hours up to 21 days with analysis, report, review and interpretation | 285 | $82.0K | $287.74 | 1.30x |
| 93285 | Evaluation, testing, and programming adjustment of implantable, patient activated heart recorder system including physician analysis, review, and report | 1.8K | $73.7K | $41.33 | 1.44x |
| 93610 | Insertion of temporary pacemaker electrode for diagnostic upper heart pacing | 332 | $46.3K | $139.41 | 1.34x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 2.1K | $45.8K | $21.72 | 1.33x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 1.2K | $43.8K | $37.06 | 1.39x |
This provider submits charges 1.36 times higher than what Medicare actually pays.
A markup ratio of 1.36x means for every $100 Medicare pays, this provider initially charges $136. This is lower 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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