This provider's $3.8M in total Medicare payments ranks in the 99th percentile of Advanced Heart Failure and Transplant Cardiology providers nationally.
Medicare payments to this provider grew 90% 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 | $289.69 | $72.25 | 4.01x | $217.44 | $314.4K | 4.9K | 3.9K |
| 2015 | $275.29 | $67.72 | 4.07x | $207.57 | $309.0K | 4.6K | 3.5K |
| 2016 | $321.04 | $87.66 | 3.66x | $233.38 | $336.9K | 4.4K | 3.5K |
| 2017 | $324.32 | $92.90 | 3.49x | $231.42 | $302.8K | 4.1K | 3.3K |
| 2018 | $337.13 | $93.05 | 3.62x | $244.08 | $317.7K | 4.4K | 3.5K |
| 2019 | $370.66 | $100.64 | 3.68x | $270.02 | $424.1K | 5.8K | 4.9K |
| 2020 | $480.91 | $145.75 | 3.30x | $335.16 | $367.6K | 4.7K | 4.1K |
| 2021 | $477.73 | $142.43 | 3.35x | $335.30 | $387.0K | 4.7K | 3.9K |
| 2022 | $602.87 | $181.75 | 3.32x | $421.12 | $425.8K | 5.9K | 4.9K |
| 2023 | $555.52 | $168.94 | 3.29x | $386.58 | $598.4K | 6.1K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.2K | $1.3M | $90.61 | 1.85x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.2K | $482.9K | $399.40 | 4.31x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.1K | $399.9K | $128.54 | 7.92x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.2K | $285.1K | $129.82 | 1.76x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 98 | $203.8K | $2.1K | 3.61x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 9.6K | $122.8K | $12.84 | 7.01x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.0K | $113.8K | $113.39 | 1.90x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.8K | $110.4K | $60.45 | 2.07x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 149 | $92.6K | $621.71 | 1.27x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.5K | $80.1K | $54.84 | 5.47x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 111 | $72.6K | $654.26 | 3.36x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.2K | $69.4K | $57.58 | 2.01x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 511 | $67.7K | $132.53 | 1.97x |
| 78492 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress | 48 | $65.3K | $1.4K | 3.45x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.2K | $59.5K | $50.25 | 1.28x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 7.0K | $48.7K | $6.99 | 7.58x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 230 | $37.8K | $164.26 | 1.98x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 315 | $26.7K | $84.61 | 2.33x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 290 | $25.5K | $87.80 | 1.88x |
| J2785 | Injection, regadenoson, 0.1 mg | 530 | $20.4K | $38.50 | 1.28x |
This provider submits charges 3.34 times higher than what Medicare actually pays.
A markup ratio of 3.34x means for every $100 Medicare pays, this provider initially charges $334. 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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