This provider averages 51 services per working day
Based on 126.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.8M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Their average markup ratio of 5.85x is significantly above the specialty median of 3.6x.
Averaging 51 services per working day raises questions about billing patterns.
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 | $673.61 | $96.98 | 6.95x | $576.63 | $851.2K | 13.9K | 9.0K |
| 2015 | $651.20 | $92.67 | 7.03x | $558.53 | $857.2K | 13.7K | 9.3K |
| 2016 | $684.78 | $93.64 | 7.31x | $591.14 | $874.2K | 13.5K | 9.8K |
| 2017 | $656.91 | $86.04 | 7.63x | $570.87 | $869.2K | 13.6K | 10.2K |
| 2018 | $612.52 | $95.74 | 6.40x | $516.78 | $1.0M | 13.6K | 10.1K |
| 2019 | $664.63 | $101.69 | 6.54x | $562.94 | $954.5K | 12.8K | 9.5K |
| 2020 | $652.67 | $95.81 | 6.81x | $556.86 | $876.9K | 11.3K | 8.8K |
| 2021 | $603.26 | $86.21 | 7.00x | $517.05 | $900.4K | 11.3K | 8.8K |
| 2022 | $630.86 | $87.92 | 7.18x | $542.94 | $823.6K | 10.9K | 8.4K |
| 2023 | $585.55 | $80.80 | 7.25x | $504.75 | $821.7K | 11.8K | 8.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 6.2K | $2.1M | $341.22 | 6.87x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 19.1K | $1.4M | $71.25 | 3.02x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 8.2K | $1.0M | $124.37 | 10.01x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 16.5K | $836.4K | $50.66 | 2.77x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 3.7K | $672.8K | $182.17 | 1.37x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 5.0K | $634.1K | $127.41 | 5.02x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 6.3K | $300.9K | $47.51 | 13.16x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 23.8K | $242.2K | $10.18 | 7.37x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 2.6K | $225.4K | $86.83 | 2.88x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.1K | $212.2K | $194.50 | 11.57x |
| J2785 | Injection, regadenoson, 0.1 mg | 3.4K | $150.2K | $44.39 | 3.94x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 657 | $111.0K | $169.00 | 4.42x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.2K | $109.6K | $95.12 | 4.20x |
| 93226 | Heart rhythm analysis, interpretation and report of 48-hour EKG | 3.4K | $86.1K | $25.51 | 7.84x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.2K | $82.6K | $67.47 | 3.72x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 183 | $79.8K | $435.99 | 6.88x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 567 | $73.4K | $129.40 | 4.83x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.4K | $72.0K | $53.09 | 3.97x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 2.3K | $66.0K | $28.51 | 5.26x |
| 93227 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 3.4K | $61.6K | $18.11 | 5.53x |
This provider submits charges 5.85 times higher than what Medicare actually pays.
A markup ratio of 5.85x means for every $100 Medicare pays, this provider initially charges $585. 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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