This provider's $5.5M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 8932% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 579% in 2018
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 | $319.29 | $102.72 | 3.11x | $216.57 | $14.2K | 142 | 126 |
| 2015 | $262.50 | $88.06 | 2.98x | $174.44 | $39.7K | 461 | 386 |
| 2018 | $303.41 | $102.71 | 2.95x | $200.70 | $269.7K | 2.9K | 1.6K |
| 2019 | $274.97 | $100.35 | 2.74x | $174.62 | $867.2K | 9.3K | 4.7K |
| 2020 | $273.24 | $101.78 | 2.68x | $171.46 | $943.8K | 9.7K | 4.5K |
| 2021 | $432.22 | $156.91 | 2.75x | $275.31 | $1.2M | 12.2K | 5.8K |
| 2022 | $400.47 | $137.89 | 2.90x | $262.58 | $928.4K | 10.1K | 5.5K |
| 2023 | $379.57 | $125.65 | 3.02x | $253.92 | $1.3M | 14.5K | 7.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 6.6K | $1.2M | $185.10 | 3.25x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 11.4K | $1.0M | $89.72 | 2.52x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.3K | $676.0K | $93.20 | 2.57x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.6K | $500.0K | $89.28 | 2.78x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 7.3K | $465.3K | $63.41 | 2.49x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 773 | $329.8K | $426.68 | 2.71x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.7K | $271.0K | $157.08 | 2.79x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $165.1K | $123.41 | 2.94x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 68 | $110.0K | $1.6K | 3.16x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 909 | $103.8K | $114.21 | 2.59x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 6.8K | $76.8K | $11.24 | 3.41x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 890 | $76.3K | $85.77 | 2.55x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.1K | $69.5K | $65.73 | 2.74x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 775 | $64.5K | $83.22 | 1.46x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 894 | $50.1K | $56.07 | 2.90x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 101 | $46.8K | $463.17 | 2.74x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 192 | $40.6K | $211.61 | 3.32x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 100 | $28.0K | $280.19 | 2.97x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 263 | $20.7K | $78.83 | 2.58x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 471 | $18.5K | $39.23 | 2.66x |
This provider submits charges 2.79 times higher than what Medicare actually pays.
A markup ratio of 2.79x means for every $100 Medicare pays, this provider initially charges $279. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Cardiology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Leo Polosajian, M.D. | Reseda, CA | $52.5M | ✓ Clear |
| Athar Ansari, M.D. | El Centro, CA | $38.2M | ✓ Clear |
| Hanumandla Reddy, M.D | Hanford, CA | $38.1M | ✓ Clear |
| Mehran Khorsandi, M.D., | Los Angeles, CA | $36.4M | ✓ Clear |
| Shashi Sharma, D.M. | Visalia, CA | $35.4M | ✓ Clear |
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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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