This provider's $5.1M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 70% from 2014 to 2023.
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 | $195.83 | $60.94 | 3.21x | $134.89 | $364.8K | 5.7K | 4.2K |
| 2015 | $224.88 | $67.59 | 3.33x | $157.29 | $467.0K | 6.3K | 5.3K |
| 2016 | $216.32 | $61.88 | 3.50x | $154.44 | $581.9K | 7.2K | 6.4K |
| 2017 | $199.81 | $56.94 | 3.51x | $142.87 | $577.7K | 7.4K | 6.7K |
| 2018 | $209.84 | $61.55 | 3.41x | $148.29 | $539.3K | 7.3K | 6.6K |
| 2019 | $175.62 | $51.75 | 3.39x | $123.87 | $435.1K | 6.3K | 5.7K |
| 2020 | $191.47 | $56.17 | 3.41x | $135.30 | $464.4K | 6.3K | 5.4K |
| 2021 | $196.53 | $62.44 | 3.15x | $134.09 | $491.3K | 6.8K | 6.1K |
| 2022 | $183.32 | $50.25 | 3.65x | $133.07 | $600.0K | 8.7K | 8.0K |
| 2023 | $171.30 | $45.52 | 3.76x | $125.78 | $620.2K | 8.3K | 7.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 5.1K | $1.6M | $310.06 | 3.41x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 11.7K | $1.6M | $133.32 | 3.81x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 4.2K | $454.6K | $107.53 | 2.49x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.8K | $401.2K | $69.63 | 2.47x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 4.9K | $220.2K | $44.72 | 4.39x |
| J2785 | Injection, regadenoson, 0.1 mg | 4.9K | $213.4K | $43.99 | 2.39x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 5.0K | $195.9K | $39.31 | 9.17x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 12.8K | $130.2K | $10.21 | 4.21x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.0K | $85.5K | $42.39 | 2.46x |
| 93356 | Heart muscle strain imaging | 2.0K | $51.2K | $26.08 | 3.45x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 571 | $31.1K | $54.41 | 4.55x |
| 93296 | Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days | 1.9K | $27.8K | $15.02 | 4.78x |
| 93288 | Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection | 1.1K | $27.2K | $23.79 | 3.62x |
| 93289 | Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including device connection, recording, and disconnection | 617 | $24.3K | $39.35 | 3.59x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 1.1K | $22.3K | $20.05 | 3.94x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 706 | $19.9K | $28.21 | 5.18x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 2.8K | $17.0K | $6.07 | 3.41x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 104 | $11.2K | $107.92 | 2.23x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 75 | $11.2K | $148.78 | 2.31x |
| 93244 | Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days | 519 | $8.6K | $16.66 | 3.39x |
This provider submits charges 3.62 times higher than what Medicare actually pays.
A markup ratio of 3.62x means for every $100 Medicare pays, this provider initially charges $362. 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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