This provider's $8.2M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 59% in 2017
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 | $323.22 | $71.75 | 4.50x | $251.47 | $717.9K | 11.0K | 7.9K |
| 2015 | $327.13 | $73.68 | 4.44x | $253.45 | $746.4K | 10.4K | 7.8K |
| 2016 | $393.28 | $88.00 | 4.47x | $305.28 | $750.1K | 9.8K | 7.4K |
| 2017 | $361.20 | $113.93 | 3.17x | $247.27 | $1.2M | 9.5K | 7.8K |
| 2018 | $332.84 | $86.26 | 3.86x | $246.58 | $906.9K | 9.2K | 7.3K |
| 2019 | $325.97 | $76.51 | 4.26x | $249.46 | $824.4K | 8.5K | 6.9K |
| 2020 | $388.86 | $86.11 | 4.52x | $302.75 | $637.2K | 6.4K | 5.4K |
| 2021 | $403.03 | $94.18 | 4.28x | $308.85 | $824.8K | 7.1K | 5.9K |
| 2022 | $384.78 | $88.78 | 4.33x | $296.00 | $790.4K | 6.9K | 6.0K |
| 2023 | $491.74 | $108.74 | 4.52x | $383.00 | $839.8K | 7.4K | 6.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 14.2K | $2.2M | $153.37 | 5.06x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 6.4K | $1.3M | $204.93 | 4.08x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 7.0K | $1.1M | $156.24 | 4.70x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.4K | $570.2K | $89.74 | 1.83x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 5.8K | $543.4K | $93.42 | 2.40x |
| 93922 | Ultrasound study of arteries of both arms and legs | 7.0K | $405.1K | $57.71 | 5.85x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.2K | $397.1K | $181.57 | 2.34x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 3.1K | $369.2K | $119.91 | 4.97x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 5.4K | $356.1K | $65.73 | 2.37x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 1.1K | $173.9K | $153.51 | 4.52x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.1K | $125.6K | $58.57 | 1.79x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 653 | $112.3K | $171.95 | 1.99x |
| 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 646 | $72.8K | $112.71 | 5.44x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 9.3K | $69.7K | $7.47 | 5.41x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 518 | $58.7K | $113.25 | 2.09x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 3.5K | $55.5K | $15.79 | 2.72x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 578 | $54.0K | $93.38 | 5.48x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 284 | $44.1K | $155.29 | 6.68x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 733 | $43.8K | $59.77 | 7.53x |
| 85610 | Blood test, clotting time | 4.7K | $23.7K | $5.07 | 3.55x |
This provider submits charges 4.13 times higher than what Medicare actually pays.
A markup ratio of 4.13x means for every $100 Medicare pays, this provider initially charges $413. 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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