This provider's $5.6M in total Medicare payments ranks in the 98th percentile of Interventional 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 357% 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 | $558.96 | $113.76 | 4.91x | $445.20 | $711.1K | 9.1K | 7.6K |
| 2015 | $564.49 | $113.27 | 4.98x | $451.22 | $687.3K | 9.0K | 7.5K |
| 2016 | $578.94 | $113.19 | 5.11x | $465.75 | $686.2K | 9.1K | 7.7K |
| 2017 | $546.11 | $109.97 | 4.97x | $436.14 | $613.4K | 8.4K | 7.1K |
| 2018 | $491.07 | $101.33 | 4.85x | $389.74 | $444.1K | 6.4K | 5.3K |
| 2019 | $473.72 | $101.97 | 4.65x | $371.75 | $414.9K | 4.7K | 4.1K |
| 2020 | $379.70 | $82.71 | 4.59x | $296.99 | $446.6K | 4.9K | 4.4K |
| 2021 | $649.79 | $225.81 | 2.88x | $423.98 | $129.7K | 928 | 908 |
| 2022 | $466.31 | $157.70 | 2.96x | $308.61 | $592.1K | 4.1K | 3.9K |
| 2023 | $484.11 | $180.24 | 2.69x | $303.87 | $891.9K | 6.3K | 5.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.8K | $1.3M | $336.29 | 4.14x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 7.8K | $1.1M | $142.47 | 6.30x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.1K | $492.7K | $54.02 | 2.70x |
| 78431 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress, with concurrently acquired ct transmission scan | 249 | $481.6K | $1.9K | 2.48x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 7.4K | $427.7K | $57.55 | 2.78x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.7K | $266.8K | $161.41 | 2.63x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.7K | $250.0K | $91.48 | 2.46x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 3.5K | $211.8K | $61.27 | 1.29x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 4.0K | $201.9K | $50.16 | 4.88x |
| J2785 | Injection, regadenoson, 0.1 mg | 3.1K | $129.0K | $41.80 | 1.37x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 405 | $102.7K | $253.51 | 6.92x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 644 | $79.4K | $123.25 | 2.77x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 250 | $78.7K | $314.79 | 1.27x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 140 | $70.2K | $501.22 | 3.99x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 4.9K | $58.6K | $11.89 | 5.05x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 6.6K | $44.3K | $6.75 | 4.44x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 243 | $41.4K | $170.48 | 8.21x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 127 | $36.4K | $287.01 | 7.96x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 440 | $36.0K | $81.73 | 2.45x |
| 78434 | Nuclear medicine absolute quantification of blood flow in heart muscle | 249 | $34.8K | $139.66 | 2.79x |
This provider submits charges 3.93 times higher than what Medicare actually pays.
A markup ratio of 3.93x means for every $100 Medicare pays, this provider initially charges $393. 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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