This provider's $20.0M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
Medicare payments to this provider grew 867% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 622% in 2019
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 | $273.65 | $101.67 | 2.69x | $171.98 | $261.5K | 3.7K | 2.7K |
| 2015 | $581.74 | $115.27 | 5.05x | $466.47 | $127.8K | 1.6K | 1.4K |
| 2016 | $1.0K | $128.08 | 7.90x | $884.04 | $381.5K | 3.9K | 3.2K |
| 2017 | $451.40 | $132.04 | 3.42x | $319.36 | $613.0K | 5.9K | 4.8K |
| 2018 | $469.93 | $133.24 | 3.53x | $336.69 | $599.3K | 6.1K | 4.8K |
| 2019 | $3.2K | $854.39 | 3.76x | $2.4K | $4.3M | 7.5K | 5.9K |
| 2020 | $2.9K | $770.13 | 3.79x | $2.2K | $4.1M | 7.1K | 5.4K |
| 2021 | $2.8K | $776.70 | 3.66x | $2.1K | $4.1M | 7.2K | 5.6K |
| 2022 | $3.6K | $744.51 | 4.84x | $2.9K | $3.0M | 6.5K | 5.2K |
| 2023 | $4.4K | $733.51 | 5.96x | $3.6K | $2.5M | 5.9K | 4.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 1.8K | $7.7M | $4.4K | 3.96x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 1.2K | $3.8M | $3.2K | 5.68x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 585 | $3.5M | $6.0K | 3.47x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.2K | $562.0K | $77.56 | 2.15x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.7K | $452.8K | $96.43 | 3.87x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.3K | $408.0K | $311.49 | 3.22x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 2.2K | $344.3K | $157.00 | 3.30x |
| 37233 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 539 | $295.4K | $548.11 | 3.59x |
| 37228 | Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure | 184 | $227.0K | $1.2K | 6.78x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.9K | $208.6K | $111.88 | 2.45x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.6K | $206.2K | $57.21 | 2.05x |
| 37220 | Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure | 294 | $182.6K | $621.11 | 6.00x |
| 37232 | Balloon dilation of artery in one leg, endovascular, accessed through the skin or open procedure | 325 | $174.3K | $536.38 | 3.53x |
| 37231 | Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure | 45 | $159.2K | $3.5K | 3.66x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 229 | $156.4K | $683.09 | 4.67x |
| 75716 | Radiological supervision and interpretation of imaging of arteries of both arms or legs | 1.4K | $144.2K | $99.81 | 3.52x |
| 75625 | Radiological supervision and interpretation X-ray of abdominal aorta | 1.6K | $126.0K | $80.47 | 3.99x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 1.0K | $88.3K | $84.72 | 3.12x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 981 | $81.4K | $82.98 | 5.93x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.4K | $72.1K | $53.42 | 2.17x |
This provider submits charges 4.12 times higher than what Medicare actually pays.
A markup ratio of 4.12x means for every $100 Medicare pays, this provider initially charges $412. 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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