This provider's $3.8M in total Medicare payments ranks in the 97th percentile of Interventional Cardiology providers nationally.
Their average markup ratio of 7.31x is significantly above the specialty median of 4.0x.
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 | $2.1K | $271.32 | 7.72x | $1.8K | $391.6K | 1.2K | 1.2K |
| 2015 | $2.6K | $451.87 | 5.67x | $2.1K | $420.1K | 1.2K | 1.1K |
| 2016 | $2.3K | $388.76 | 6.04x | $2.0K | $409.4K | 1.2K | 1.2K |
| 2017 | $2.8K | $397.18 | 7.00x | $2.4K | $470.9K | 1.5K | 1.5K |
| 2018 | $2.3K | $355.78 | 6.55x | $2.0K | $427.5K | 1.3K | 1.3K |
| 2019 | $2.6K | $382.62 | 6.89x | $2.3K | $463.9K | 1.4K | 1.4K |
| 2020 | $2.6K | $351.72 | 7.28x | $2.2K | $295.8K | 943 | 917 |
| 2021 | $2.9K | $382.70 | 7.69x | $2.6K | $319.5K | 967 | 940 |
| 2022 | $2.3K | $295.74 | 7.84x | $2.0K | $350.2K | 1.2K | 1.1K |
| 2023 | $2.5K | $297.65 | 8.33x | $2.2K | $297.4K | 1.1K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 2.1K | $1.7M | $787.96 | 9.34x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 3.4K | $634.9K | $187.55 | 3.85x |
| 33418 | Replacement of aortic valve with prosthetic valve accessed through the skin | 280 | $464.2K | $1.7K | 4.89x |
| 93456 | Insertion of catheter in right heart for X-ray imaging of blood vessels or grafts | 674 | $190.1K | $282.05 | 10.06x |
| 92986 | Catheter based repair of left lower heart (aortic) valve, accessed through the skin | 131 | $163.8K | $1.3K | 3.52x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 335 | $147.3K | $439.82 | 9.69x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.1K | $108.7K | $99.09 | 4.03x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.4K | $95.6K | $66.04 | 3.86x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 444 | $68.6K | $154.48 | 3.98x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 185 | $55.3K | $298.86 | 11.15x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 236 | $37.4K | $158.58 | 11.40x |
| 33419 | Replacement of aortic valve with prosthetic valve accessed through the skin | 78 | $30.3K | $388.10 | 9.83x |
| 93457 | Insertion of catheter in right heart for imaging of blood vessels or grafts | 88 | $29.2K | $331.53 | 11.46x |
| 92978 | Ultrasound evaluation of heart blood vessel or graft | 313 | $28.1K | $89.81 | 7.83x |
| 33370 | Placement and subsequent removal of device to protect brain from embolism through catheter using imaging guidance | 218 | $28.1K | $128.71 | 3.96x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 165 | $25.0K | $151.23 | 4.18x |
| 33365 | Replacement of aortic valve with prosthetic valve | 12 | $12.8K | $1.1K | 8.14x |
| 0483T | Insertion of artificial valve between left heart chambers, accessed through the skin | 13 | $11.3K | $870.53 | 7.58x |
| 93571 | Ultrasound evaluation of heart blood vessel during diagnosis or treatment | 101 | $8.3K | $82.31 | 6.48x |
| 93451 | Insertion of catheter for diagnostic evaluation of right heart structures | 75 | $7.4K | $99.08 | 10.02x |
This provider submits charges 7.31 times higher than what Medicare actually pays.
A markup ratio of 7.31x means for every $100 Medicare pays, this provider initially charges $731. 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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