This provider's $12.0M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 204% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 72% in 2016
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 | $253.47 | $92.85 | 2.73x | $160.62 | $492.1K | 7.1K | 5.1K |
| 2015 | $244.77 | $89.25 | 2.74x | $155.52 | $560.5K | 7.5K | 5.5K |
| 2016 | $335.91 | $132.47 | 2.54x | $203.44 | $965.1K | 8.7K | 6.6K |
| 2017 | $317.90 | $124.29 | 2.56x | $193.61 | $1.0M | 10.0K | 7.4K |
| 2018 | $334.36 | $135.28 | 2.47x | $199.08 | $1.4M | 13.5K | 9.5K |
| 2019 | $321.16 | $133.32 | 2.41x | $187.84 | $1.6M | 14.4K | 10.3K |
| 2020 | $330.47 | $141.72 | 2.33x | $188.75 | $1.3M | 10.2K | 7.4K |
| 2021 | $334.38 | $141.85 | 2.36x | $192.53 | $1.6M | 11.4K | 8.5K |
| 2022 | $345.18 | $145.30 | 2.38x | $199.88 | $1.5M | 10.6K | 8.3K |
| 2023 | $312.11 | $125.87 | 2.48x | $186.24 | $1.5M | 10.3K | 8.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 3.0K | $3.5M | $1.2K | 2.40x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 25.4K | $2.1M | $81.31 | 2.86x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 3.0K | $1.8M | $614.09 | 1.34x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 9.6K | $1.2M | $124.15 | 2.65x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 10.2K | $587.2K | $57.54 | 2.47x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.3K | $502.0K | $381.74 | 2.71x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 4.9K | $268.1K | $54.89 | 3.26x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.0K | $240.5K | $121.63 | 2.77x |
| 78434 | Nuclear medicine absolute quantification of blood flow in heart muscle | 1.6K | $231.2K | $149.15 | 2.53x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.6K | $175.5K | $106.72 | 2.54x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.7K | $163.3K | $97.73 | 1.30x |
| J2785 | Injection, regadenoson, 0.1 mg | 3.4K | $150.9K | $44.91 | 1.34x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 832 | $131.0K | $157.41 | 2.54x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 10.5K | $125.8K | $11.99 | 3.06x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 1.7K | $101.7K | $61.40 | 3.32x |
| 78451 | Nuclear medicine study of vessels of heart using drugs or exercise single study | 331 | $91.5K | $276.30 | 2.67x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 13.5K | $87.5K | $6.48 | 4.62x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 473 | $72.2K | $152.74 | 3.41x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 998 | $56.1K | $56.21 | 2.78x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 1.0K | $51.4K | $50.78 | 2.62x |
This provider submits charges 2.41 times higher than what Medicare actually pays.
A markup ratio of 2.41x means for every $100 Medicare pays, this provider initially charges $241. 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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