This provider's $5.1M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Their average markup ratio of 35.54x is significantly above the specialty median of 3.6x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 103% in 2022
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 | $6.9K | $155.55 | 44.18x | $6.7K | $594.0K | 5.9K | 4.5K |
| 2015 | $6.0K | $108.15 | 55.45x | $5.9K | $458.9K | 5.1K | 3.8K |
| 2016 | $6.4K | $116.57 | 55.03x | $6.3K | $365.3K | 4.2K | 3.3K |
| 2017 | $6.9K | $117.29 | 58.57x | $6.8K | $484.7K | 5.4K | 4.2K |
| 2018 | $6.8K | $114.98 | 59.17x | $6.7K | $461.8K | 5.2K | 4.1K |
| 2019 | $6.8K | $115.11 | 58.85x | $6.7K | $439.7K | 4.9K | 3.9K |
| 2020 | $7.8K | $124.47 | 62.69x | $7.7K | $253.8K | 2.6K | 2.2K |
| 2021 | $7.5K | $128.31 | 58.73x | $7.4K | $402.0K | 3.9K | 3.4K |
| 2022 | $8.9K | $171.06 | 52.15x | $8.8K | $817.1K | 4.2K | 3.6K |
| 2023 | $13.1K | $206.34 | 63.55x | $12.9K | $801.4K | 2.1K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.2K | $940.1K | $428.70 | 12.63x |
| 78492 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress | 681 | $913.9K | $1.3K | 37.97x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.0K | $719.5K | $181.38 | 46.48x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.0K | $601.8K | $60.13 | 10.35x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 684 | $278.3K | $406.87 | 64.87x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.2K | $224.3K | $102.15 | 15.93x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.1K | $182.3K | $165.87 | 27.21x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 542 | $113.9K | $210.15 | 40.13x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 2.1K | $108.9K | $52.27 | 59.56x |
| 96374 | Injection of drug or substance into a vein for therapy, diagnosis, or prevention | 2.2K | $97.0K | $44.23 | 15.31x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 193 | $87.0K | $450.60 | 126.13x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 416 | $78.9K | $189.74 | 363.11x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 467 | $76.7K | $164.24 | 27.48x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.6K | $71.4K | $44.42 | 8.98x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 304 | $63.8K | $210.00 | 9.52x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 396 | $61.8K | $156.12 | 12.81x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 733 | $61.0K | $83.27 | 7.48x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 402 | $51.0K | $126.94 | 4.90x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 3.5K | $45.7K | $12.91 | 19.36x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 477 | $33.2K | $69.69 | 64.77x |
This provider submits charges 35.54 times higher than what Medicare actually pays.
A markup ratio of 35.54x means for every $100 Medicare pays, this provider initially charges $3554. 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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