This provider's $3.8M in total Medicare payments ranks in the 97th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 198% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 134% in 2021
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 | $317.90 | $76.97 | 4.13x | $240.93 | $248.5K | 3.3K | 2.8K |
| 2015 | $338.59 | $80.28 | 4.22x | $258.31 | $210.9K | 3.1K | 2.5K |
| 2016 | $414.33 | $97.79 | 4.24x | $316.54 | $170.8K | 2.3K | 1.8K |
| 2017 | $419.18 | $115.53 | 3.63x | $303.65 | $209.8K | 3.3K | 2.7K |
| 2018 | $466.96 | $128.96 | 3.62x | $338.00 | $274.7K | 4.0K | 3.2K |
| 2019 | $513.41 | $133.88 | 3.83x | $379.53 | $325.5K | 4.8K | 3.5K |
| 2020 | $448.27 | $103.79 | 4.32x | $344.48 | $278.2K | 4.6K | 3.3K |
| 2021 | $359.05 | $91.19 | 3.94x | $267.86 | $650.2K | 8.0K | 5.4K |
| 2022 | $459.31 | $108.95 | 4.22x | $350.36 | $697.0K | 8.0K | 5.7K |
| 2023 | $440.75 | $110.94 | 3.97x | $329.81 | $739.5K | 8.0K | 6.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 11.0K | $883.6K | $80.07 | 3.56x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 507 | $557.2K | $1.1K | 3.85x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.2K | $276.8K | $53.59 | 3.45x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 2.0K | $211.5K | $104.19 | 4.97x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 507 | $205.4K | $405.15 | 4.06x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.2K | $184.0K | $152.92 | 3.22x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $147.3K | $111.33 | 3.39x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 591 | $129.2K | $218.67 | 3.84x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.0K | $114.0K | $56.39 | 3.61x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.4K | $86.9K | $60.18 | 3.87x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 784 | $81.4K | $103.86 | 4.46x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 142 | $67.3K | $474.24 | 3.71x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 509 | $64.5K | $126.78 | 4.01x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 515 | $57.9K | $112.50 | 3.66x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 673 | $54.2K | $80.58 | 3.44x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 4.9K | $52.0K | $10.67 | 4.70x |
| 93243 | Heart rhythm analysis and report of continous external ekg over more than 48 hours up to 7 days | 371 | $48.5K | $130.81 | 1.87x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 420 | $43.9K | $104.51 | 3.57x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 234 | $39.4K | $168.42 | 4.95x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 39 | $37.8K | $968.36 | 4.35x |
This provider submits charges 3.82 times higher than what Medicare actually pays.
A markup ratio of 3.82x means for every $100 Medicare pays, this provider initially charges $382. 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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