This provider's $9.5M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
Medicare payments to this provider grew 180% 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 | $502.01 | $113.63 | 4.42x | $388.38 | $546.6K | 6.9K | 5.0K |
| 2015 | $525.53 | $122.10 | 4.30x | $403.43 | $590.5K | 7.0K | 5.4K |
| 2016 | $507.06 | $116.27 | 4.36x | $390.79 | $710.6K | 7.9K | 5.9K |
| 2017 | $460.77 | $109.59 | 4.20x | $351.18 | $720.2K | 7.9K | 5.9K |
| 2018 | $497.82 | $116.75 | 4.26x | $381.07 | $827.8K | 8.7K | 6.6K |
| 2019 | $650.83 | $151.18 | 4.31x | $499.65 | $1.1M | 8.8K | 6.6K |
| 2020 | $774.45 | $264.33 | 2.93x | $510.12 | $1.2M | 8.2K | 6.1K |
| 2021 | $614.28 | $166.60 | 3.69x | $447.68 | $1.1M | 7.0K | 5.5K |
| 2022 | $744.03 | $240.42 | 3.09x | $503.61 | $1.1M | 6.4K | 5.0K |
| 2023 | $609.90 | $194.41 | 3.14x | $415.49 | $1.5M | 10.7K | 5.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 1.1K | $1.2M | $1.1K | 3.30x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.5K | $1.1M | $86.25 | 3.66x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.4K | $977.1K | $678.56 | 2.22x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.5K | $738.3K | $293.08 | 4.05x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 361 | $711.2K | $2.0K | 1.52x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.6K | $668.4K | $119.30 | 4.06x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.0K | $436.1K | $145.62 | 4.30x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 4.9K | $410.9K | $83.56 | 3.71x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.9K | $294.4K | $155.68 | 3.67x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 5.1K | $293.1K | $57.96 | 3.70x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.8K | $267.6K | $146.57 | 6.13x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 4.7K | $253.7K | $54.46 | 4.55x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 238 | $223.7K | $940.03 | 4.31x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.1K | $223.1K | $194.20 | 3.63x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.5K | $184.8K | $121.21 | 3.76x |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 3.0K | $151.7K | $51.34 | 1.95x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.0K | $139.3K | $137.00 | 4.83x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.8K | $123.3K | $44.54 | 3.93x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 539 | $113.3K | $210.20 | 6.07x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.9K | $101.1K | $52.11 | 3.91x |
This provider submits charges 3.54 times higher than what Medicare actually pays.
A markup ratio of 3.54x means for every $100 Medicare pays, this provider initially charges $354. 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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