This provider's $3.2M in total Medicare payments ranks in the 97th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 122% from 2014 to 2023.
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 | $241.72 | $76.50 | 3.16x | $165.22 | $211.0K | 2.9K | 1.9K |
| 2015 | $308.59 | $91.65 | 3.37x | $216.94 | $231.6K | 3.1K | 2.0K |
| 2016 | $310.84 | $87.72 | 3.54x | $223.12 | $216.5K | 2.9K | 1.9K |
| 2017 | $287.75 | $74.71 | 3.85x | $213.04 | $295.8K | 3.4K | 2.5K |
| 2018 | $312.27 | $78.72 | 3.97x | $233.55 | $340.0K | 3.9K | 3.0K |
| 2019 | $299.10 | $76.20 | 3.93x | $222.90 | $349.2K | 4.0K | 3.1K |
| 2020 | $289.03 | $69.60 | 4.15x | $219.43 | $326.3K | 3.9K | 3.4K |
| 2021 | $283.32 | $70.57 | 4.01x | $212.75 | $383.7K | 4.4K | 3.8K |
| 2022 | $345.07 | $79.85 | 4.32x | $265.22 | $423.8K | 4.9K | 4.2K |
| 2023 | $328.62 | $74.19 | 4.43x | $254.43 | $468.2K | 4.4K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.9K | $586.6K | $304.56 | 4.57x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.3K | $511.6K | $80.97 | 2.70x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.0K | $423.6K | $85.52 | 5.32x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 6.0K | $343.2K | $56.96 | 2.63x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.1K | $329.5K | $157.36 | 2.56x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.7K | $224.6K | $134.51 | 4.43x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.1K | $173.5K | $83.75 | 2.67x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 919 | $108.8K | $118.40 | 2.79x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.4K | $67.9K | $47.81 | 6.75x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 450 | $62.6K | $139.01 | 5.08x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.2K | $53.6K | $45.35 | 2.04x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 425 | $45.1K | $106.14 | 2.82x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 419 | $44.5K | $106.28 | 2.68x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 242 | $34.5K | $142.62 | 2.94x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 175 | $31.2K | $178.05 | 4.99x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 528 | $26.1K | $49.46 | 2.86x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 2.3K | $24.6K | $10.83 | 7.35x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 133 | $23.5K | $176.84 | 2.59x |
| 93018 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report | 1.2K | $13.6K | $11.20 | 4.46x |
| 93312 | Insertion of probe in esophagus for heart ultrasound examination including interpretation and report | 148 | $13.0K | $87.78 | 3.94x |
This provider submits charges 3.74 times higher than what Medicare actually pays.
A markup ratio of 3.74x means for every $100 Medicare pays, this provider initially charges $374. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data