This provider's $10.3M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 1070% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 519% 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 | $384.21 | $95.23 | 4.03x | $288.98 | $367.7K | 3.9K | 22 |
| 2015 | $403.05 | $96.53 | 4.18x | $306.52 | $277.0K | 2.9K | 14 |
| 2016 | $316.04 | $88.59 | 3.57x | $227.45 | $349.5K | 3.9K | 36 |
| 2017 | $156.60 | $73.60 | 2.13x | $83.00 | $420.9K | 5.7K | 41 |
| 2018 | $143.98 | $67.06 | 2.15x | $76.92 | $317.1K | 4.7K | 33 |
| 2019 | $165.60 | $71.43 | 2.32x | $94.17 | $247.8K | 3.5K | 18 |
| 2020 | $436.45 | $173.74 | 2.51x | $262.71 | $1.5M | 8.8K | 24 |
| 2021 | $388.81 | $153.70 | 2.53x | $235.11 | $1.6M | 10.4K | 31 |
| 2022 | $471.85 | $174.80 | 2.70x | $297.05 | $919.3K | 5.3K | 30 |
| 2023 | $655.07 | $353.85 | 1.85x | $301.22 | $4.3M | 12.2K | 36 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36475 | Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance | 1.6K | $1.8M | $1.1K | 2.79x |
| Q4248 | Dermacyte amniotic membrane allograft, per square centimeter | 2.1K | $1.7M | $832.67 | 1.30x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 1.3K | $1.4M | $1.1K | 3.00x |
| Q4236 | Carepatch, per square centimeter | 1.1K | $1.0M | $936.42 | 1.28x |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow | 5.6K | $468.3K | $84.25 | 2.05x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 7.9K | $448.6K | $56.52 | 2.53x |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 2.2K | $278.8K | $129.45 | 2.59x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 246 | $255.7K | $1.0K | 4.37x |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 2.5K | $208.7K | $84.02 | 2.24x |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 2.0K | $187.7K | $94.74 | 2.19x |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 3.3K | $186.2K | $55.80 | 2.86x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.2K | $184.0K | $58.15 | 2.95x |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 975 | $154.9K | $158.87 | 2.54x |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 1.0K | $149.7K | $145.10 | 2.44x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.1K | $126.5K | $115.07 | 2.90x |
| 93880 | Ultrasound of both sides of head and neck blood flow | 794 | $107.1K | $134.87 | 2.50x |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 2.3K | $98.7K | $42.04 | 2.14x |
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | 358 | $89.6K | $250.34 | 2.65x |
| Q4177 | Floweramnioflo, 0.1 cc | 400 | $80.0K | $200.00 | 1.25x |
| 95957 | Measurement of brain wave activity (eeg), digital analysis | 485 | $77.9K | $160.58 | 2.55x |
This provider submits charges 2.36 times higher than what Medicare actually pays.
A markup ratio of 2.36x means for every $100 Medicare pays, this provider initially charges $236. 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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