This provider's $3.6M in total Medicare payments ranks in the 99th percentile of Undefined Physician type providers nationally.
Medicare payments to this provider grew 56% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 55% 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 | $329.30 | $112.92 | 2.92x | $216.38 | $308.7K | 3.1K | 2.4K |
| 2015 | $279.60 | $96.64 | 2.89x | $182.96 | $328.5K | 3.6K | 2.8K |
| 2016 | $376.28 | $120.12 | 3.13x | $256.16 | $327.9K | 3.7K | 2.9K |
| 2017 | $426.92 | $120.50 | 3.54x | $306.42 | $302.5K | 3.2K | 2.5K |
| 2018 | $374.17 | $93.19 | 4.02x | $280.98 | $316.9K | 4.0K | 3.1K |
| 2019 | $560.40 | $139.53 | 4.02x | $420.87 | $322.9K | 4.1K | 3.3K |
| 2020 | $394.80 | $116.18 | 3.40x | $278.62 | $296.0K | 3.9K | 3.3K |
| 2021 | $421.79 | $111.87 | 3.77x | $309.92 | $457.5K | 5.1K | 4.3K |
| 2022 | $676.94 | $217.45 | 3.11x | $459.49 | $488.8K | 5.1K | 4.1K |
| 2023 | $603.14 | $183.63 | 3.28x | $419.51 | $480.4K | 5.0K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.2K | $760.4K | $93.19 | 2.42x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.2K | $534.6K | $436.38 | 2.10x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.6K | $486.6K | $134.75 | 2.70x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.8K | $230.7K | $61.50 | 2.45x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.1K | $173.6K | $84.14 | 2.84x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.8K | $162.7K | $89.55 | 2.25x |
| 33285 | Insertion of heart rhythm monitor under skin | 34 | $143.9K | $4.2K | 2.29x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 672 | $115.6K | $172.08 | 2.19x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 643 | $107.6K | $167.30 | 2.25x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.2K | $102.8K | $85.69 | 3.50x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 151 | $99.2K | $657.25 | 5.75x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 217 | $96.9K | $446.46 | 2.69x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 114 | $80.7K | $708.24 | 2.52x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.4K | $78.4K | $57.08 | 5.17x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 320 | $62.9K | $196.60 | 6.17x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 4.1K | $56.0K | $13.64 | 5.50x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 213 | $34.4K | $161.51 | 6.75x |
| J2785 | Injection, regadenoson, 0.1 mg | 725 | $31.9K | $43.95 | 1.71x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 215 | $29.3K | $136.42 | 2.20x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 4.2K | $28.8K | $6.81 | 3.08x |
This provider submits charges 2.91 times higher than what Medicare actually pays.
A markup ratio of 2.91x means for every $100 Medicare pays, this provider initially charges $291. 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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