This provider's $8.2M in total Medicare payments ranks in the 99th 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.
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 | $954.38 | $230.25 | 4.14x | $724.13 | $751.7K | 5.7K | 4.6K |
| 2015 | $997.20 | $237.60 | 4.20x | $759.60 | $708.4K | 5.3K | 4.8K |
| 2016 | $1.1K | $248.19 | 4.37x | $837.27 | $703.1K | 6.1K | 4.8K |
| 2017 | $869.87 | $199.93 | 4.35x | $669.94 | $816.4K | 5.8K | 5.3K |
| 2018 | $944.84 | $222.71 | 4.24x | $722.13 | $853.8K | 5.7K | 5.1K |
| 2019 | $952.70 | $230.96 | 4.12x | $721.74 | $949.8K | 6.0K | 5.3K |
| 2020 | $1.0K | $250.04 | 4.08x | $769.77 | $778.1K | 5.0K | 4.6K |
| 2021 | $913.29 | $241.12 | 3.79x | $672.17 | $885.9K | 5.4K | 4.9K |
| 2022 | $926.24 | $236.08 | 3.92x | $690.16 | $865.6K | 5.3K | 5.0K |
| 2023 | $823.95 | $206.49 | 3.99x | $617.46 | $905.9K | 5.6K | 5.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 9.4K | $2.4M | $257.56 | 4.49x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 4.0K | $2.3M | $574.90 | 3.95x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.6K | $847.9K | $67.06 | 4.22x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 2.0K | $569.3K | $278.79 | 4.77x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 9.1K | $357.6K | $39.28 | 4.10x |
| 92978 | Ultrasound evaluation of heart blood vessel or graft | 2.7K | $261.2K | $95.90 | 4.01x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 1.1K | $247.3K | $218.29 | 4.17x |
| 92920 | Balloon dilation of narrowed or blocked major coronary artery or branch (accessed through the skin) | 383 | $189.6K | $494.94 | 4.15x |
| 92933 | Removal of plaque and insertion of stent in major coronary artery or branch, accessed through the skin | 278 | $184.1K | $662.37 | 3.84x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 461 | $167.4K | $363.11 | 3.91x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.2K | $122.9K | $98.70 | 4.08x |
| 92937 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin | 201 | $118.8K | $591.17 | 3.87x |
| 93455 | Insertion of catheter for imaging of heart blood vessels or grafts | 446 | $108.4K | $243.13 | 4.36x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 5.2K | $83.4K | $16.16 | 4.45x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 4.4K | $62.4K | $14.17 | 4.50x |
| 93567 | Injection for X-ray imaging of aorta above heart valve | 803 | $40.9K | $50.92 | 4.30x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 455 | $29.2K | $64.18 | 4.07x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 245 | $23.9K | $97.59 | 4.02x |
| 93456 | Insertion of catheter in right heart for x-ray imaging of blood vessels or grafts | 58 | $17.6K | $303.24 | 3.75x |
| 92979 | Ultrasound evaluation of heart blood vessel or graft | 208 | $16.1K | $77.54 | 3.69x |
This provider submits charges 4.23 times higher than what Medicare actually pays.
A markup ratio of 4.23x means for every $100 Medicare pays, this provider initially charges $423. 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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