This provider averages 150 services per working day
Based on 375.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $16.6M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 150 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 601% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 113% 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 | $57.72 | $12.51 | 4.61x | $45.21 | $464.5K | 37.1K | 31 |
| 2015 | $63.97 | $13.19 | 4.85x | $50.78 | $517.8K | 39.2K | 31 |
| 2016 | $69.32 | $14.55 | 4.76x | $54.77 | $430.4K | 29.6K | 31 |
| 2017 | $76.74 | $19.84 | 3.87x | $56.90 | $631.0K | 31.8K | 28 |
| 2018 | $131.15 | $37.63 | 3.49x | $93.52 | $794.0K | 21.1K | 40 |
| 2019 | $569.07 | $156.08 | 3.65x | $412.99 | $1.0M | 6.5K | 20 |
| 2020 | $182.02 | $44.15 | 4.12x | $137.87 | $2.2M | 49.1K | 33 |
| 2021 | $276.02 | $66.13 | 4.17x | $209.89 | $3.5M | 53.1K | 41 |
| 2022 | $269.04 | $66.50 | 4.05x | $202.54 | $3.8M | 57.8K | 46 |
| 2023 | $265.04 | $65.17 | 4.07x | $199.87 | $3.3M | 50.0K | 41 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 2.3K | $4.4M | $1.9K | 3.79x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 3.3K | $2.0M | $611.87 | 2.39x |
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 2.6K | $1.6M | $620.19 | 3.55x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 14.6K | $1.3M | $89.49 | 3.46x |
| 78492 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress | 930 | $958.0K | $1.0K | 3.82x |
| J2785 | Injection, regadenoson, 0.1 mg | 15.1K | $686.7K | $45.36 | 9.82x |
| 36482 | Chemical destruction of first incompetent vein of arm or leg using imaging guidance | 388 | $580.0K | $1.5K | 3.99x |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 4.1K | $541.4K | $133.52 | 4.61x |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 1.1K | $417.0K | $367.74 | 4.92x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 332 | $386.4K | $1.2K | 4.07x |
| 78434 | Nuclear medicine study of heart muscle blood flow by pet | 2.3K | $334.5K | $147.90 | 5.07x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 2.1K | $256.3K | $122.35 | 3.91x |
| 93925 | Ultrasound of leg arteries or artery grafts | 1.3K | $247.0K | $190.47 | 4.17x |
| 93880 | Ultrasound of both sides of head and neck blood flow | 1.7K | $238.8K | $139.24 | 4.48x |
| 93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 4.4K | $230.6K | $52.89 | 6.71x |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 1.7K | $228.7K | $133.36 | 4.57x |
| G0166 | External counterpulsation, per treatment session | 2.4K | $213.7K | $88.69 | 3.61x |
| 75574 | Ct scan of blood vessels and grafts of heart with contrast | 863 | $213.2K | $247.01 | 5.88x |
| 74174 | Ct scan of blood vessels of abdomen and pelvis with contrast | 550 | $167.3K | $304.13 | 4.68x |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 2.7K | $158.0K | $57.75 | 3.47x |
This provider submits charges 4.09 times higher than what Medicare actually pays.
A markup ratio of 4.09x means for every $100 Medicare pays, this provider initially charges $409. 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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