This provider's $4.0M in total Medicare payments ranks in the 98th 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.
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 | $61.68 | $45.64 | 1.35x | $16.04 | $538.1K | 19.1K | 10.2K |
| 2015 | $69.67 | $50.95 | 1.37x | $18.72 | $490.2K | 15.0K | 9.3K |
| 2016 | $68.69 | $48.41 | 1.42x | $20.28 | $431.1K | 9.9K | 6.4K |
| 2017 | $110.86 | $76.00 | 1.46x | $34.86 | $397.5K | 6.9K | 4.1K |
| 2018 | $113.12 | $75.15 | 1.51x | $37.97 | $377.3K | 6.0K | 3.5K |
| 2019 | $126.30 | $80.14 | 1.58x | $46.16 | $348.2K | 5.5K | 3.3K |
| 2020 | $116.47 | $76.90 | 1.51x | $39.57 | $288.0K | 4.9K | 3.0K |
| 2021 | $135.30 | $96.09 | 1.41x | $39.21 | $372.7K | 5.3K | 3.1K |
| 2022 | $138.65 | $94.56 | 1.47x | $44.09 | $339.3K | 4.9K | 3.0K |
| 2023 | $143.34 | $95.63 | 1.50x | $47.71 | $376.7K | 5.2K | 3.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 18.2K | $1.6M | $85.98 | 1.53x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.3K | $615.6K | $188.37 | 1.52x |
| 93922 | Ultrasound study of arteries of both arms and legs | 5.8K | $439.4K | $75.96 | 1.50x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 907 | $151.5K | $166.99 | 1.35x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 642 | $143.2K | $223.10 | 1.80x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.6K | $95.0K | $60.16 | 1.53x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.0K | $88.0K | $87.54 | 1.39x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 6.6K | $82.9K | $12.63 | 1.72x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 338 | $60.3K | $178.27 | 1.36x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 416 | $48.0K | $115.33 | 1.44x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 2.1K | $47.1K | $22.43 | 1.03x |
| 99239 | Hospital discharge day management, more than 30 minutes | 473 | $42.6K | $90.16 | 1.33x |
| 90662 | Vaccine for influenza for injection into muscle | 762 | $41.9K | $54.99 | 1.05x |
| 84480 | Thyroid hormone, T3 measurement | 2.1K | $40.0K | $18.92 | 1.03x |
| 99215 | Established patient outpatient visit, total time 40-54 minutes | 259 | $39.7K | $153.09 | 1.34x |
| G0008 | Administration of influenza virus vaccine | 1.5K | $38.4K | $25.72 | 1.16x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 998 | $36.9K | $36.94 | 1.50x |
| 36415 | Insertion of needle into vein for collection of blood sample | 11.0K | $33.0K | $2.99 | 1.12x |
| 83970 | Parathormone (parathyroid hormone) level | 499 | $27.5K | $55.05 | 1.19x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 1.8K | $26.8K | $14.71 | 1.09x |
This provider submits charges 1.47 times higher than what Medicare actually pays.
A markup ratio of 1.47x means for every $100 Medicare pays, this provider initially charges $147. This is lower 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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