This provider's $3.8M in total Medicare payments ranks in the 97th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 9407% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 13376% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $315.34 | $93.68 | 3.37x | $221.66 | $12.2K | 131 | 110 |
| 2017 | $433.94 | $128.26 | 3.38x | $305.68 | $8.5K | 76 | 71 |
| 2018 | $285.00 | $81.83 | 3.48x | $203.17 | $982.02 | 12 | 11 |
| 2019 | $186.63 | $77.09 | 2.42x | $109.54 | $132.3K | 1.6K | 828 |
| 2020 | $284.77 | $70.10 | 4.06x | $214.67 | $450.3K | 4.4K | 1.7K |
| 2021 | $416.20 | $122.73 | 3.39x | $293.47 | $898.6K | 7.8K | 2.3K |
| 2022 | $415.72 | $130.58 | 3.18x | $285.14 | $1.1M | 9.5K | 2.8K |
| 2023 | $444.09 | $125.58 | 3.54x | $318.51 | $1.2M | 9.3K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 10.9K | $2.0M | $181.90 | 2.90x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 13.3K | $1.2M | $91.07 | 2.58x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 2.1K | $147.5K | $68.71 | 2.78x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 816 | $139.7K | $171.14 | 2.36x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 735 | $78.5K | $106.74 | 2.03x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 943 | $58.4K | $61.97 | 2.45x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour ekg up to 30 days | 47 | $36.4K | $774.73 | 2.32x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 117 | $25.2K | $215.12 | 11.40x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 394 | $18.7K | $47.54 | 2.97x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 281 | $16.4K | $58.44 | 2.89x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 2.0K | $14.4K | $7.02 | 2.85x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 94 | $12.8K | $135.72 | 2.44x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 51 | $12.6K | $247.65 | 2.12x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 46 | $8.3K | $179.44 | 2.51x |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 78 | $6.0K | $77.43 | 2.58x |
| 93312 | Insertion of probe in esophagus for heart ultrasound examination including interpretation and report | 29 | $2.7K | $92.78 | 2.69x |
| 99239 | Hospital discharge day management, more than 30 minutes | 28 | $2.3K | $82.61 | 2.93x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 68 | $2.3K | $33.64 | 2.65x |
| 99220 | Hospital observation care typically 70 minutes per day | 11 | $2.3K | $205.02 | 3.00x |
| 93000 | Routine ekg using at least 12 leads including interpretation and report | 175 | $2.2K | $12.56 | 3.08x |
This provider submits charges 2.8 times higher than what Medicare actually pays.
A markup ratio of 2.8x means for every $100 Medicare pays, this provider initially charges $280. 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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