This provider's $4.3M in total Medicare payments ranks in the 98th percentile of 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 | $229.48 | $93.26 | 2.46x | $136.22 | $435.5K | 5.8K | 3.1K |
| 2015 | $207.80 | $84.33 | 2.46x | $123.47 | $496.3K | 6.2K | 3.7K |
| 2016 | $247.82 | $93.99 | 2.64x | $153.83 | $492.0K | 6.7K | 3.7K |
| 2017 | $286.23 | $114.13 | 2.51x | $172.10 | $489.1K | 6.4K | 3.8K |
| 2018 | $244.70 | $98.69 | 2.48x | $146.01 | $413.8K | 5.5K | 3.4K |
| 2019 | $247.07 | $97.55 | 2.53x | $149.52 | $444.3K | 5.7K | 3.5K |
| 2020 | $245.62 | $101.37 | 2.42x | $144.25 | $423.6K | 5.8K | 3.0K |
| 2021 | $204.31 | $81.55 | 2.51x | $122.76 | $381.3K | 5.4K | 3.4K |
| 2022 | $231.74 | $86.41 | 2.68x | $145.33 | $338.2K | 4.5K | 3.3K |
| 2023 | $234.81 | $83.02 | 2.83x | $151.79 | $387.8K | 5.7K | 3.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 17.4K | $1.0M | $58.76 | 2.50x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 6.5K | $846.4K | $130.86 | 1.93x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.3K | $708.3K | $85.12 | 1.51x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 5.3K | $577.6K | $109.51 | 2.58x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.5K | $563.2K | $161.09 | 2.95x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 9.7K | $119.4K | $12.27 | 6.87x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 253 | $101.2K | $399.92 | 2.00x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 252 | $66.5K | $263.85 | 1.80x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 196 | $32.2K | $164.10 | 3.20x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 373 | $26.9K | $72.04 | 2.78x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 1.1K | $22.5K | $19.90 | 5.02x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 630 | $21.7K | $34.50 | 4.64x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 392 | $21.2K | $54.19 | 4.70x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 436 | $20.3K | $46.60 | 4.08x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 486 | $19.4K | $39.92 | 3.76x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 102 | $19.4K | $190.20 | 2.11x |
| 93923 | Ultrasound study of arteries of both arms and legs | 115 | $11.7K | $102.11 | 2.94x |
| J2785 | Injection, regadenoson, 0.1 mg | 238 | $10.8K | $45.46 | 1.86x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 117 | $9.8K | $83.61 | 2.40x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 16 | $9.5K | $593.67 | 2.53x |
This provider submits charges 2.47 times higher than what Medicare actually pays.
A markup ratio of 2.47x means for every $100 Medicare pays, this provider initially charges $247. 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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