This provider's $3.6M in total Medicare payments ranks in the 97th 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 | $1.1K | $174.79 | 6.52x | $965.57 | $367.9K | 3.6K | 2.6K |
| 2015 | $1.2K | $191.85 | 6.33x | $1.0K | $385.4K | 3.9K | 2.6K |
| 2016 | $749.43 | $175.92 | 4.26x | $573.51 | $350.2K | 3.2K | 2.3K |
| 2017 | $688.36 | $156.69 | 4.39x | $531.67 | $345.1K | 4.1K | 2.9K |
| 2018 | $787.33 | $170.21 | 4.63x | $617.12 | $374.7K | 4.1K | 3.0K |
| 2019 | $740.59 | $161.77 | 4.58x | $578.82 | $432.7K | 5.3K | 4.1K |
| 2020 | $651.73 | $139.31 | 4.68x | $512.42 | $338.3K | 4.4K | 3.5K |
| 2021 | $1.7K | $298.06 | 5.54x | $1.4K | $434.9K | 4.1K | 3.2K |
| 2022 | $660.72 | $135.47 | 4.88x | $525.25 | $315.0K | 4.5K | 3.5K |
| 2023 | $669.62 | $131.22 | 5.10x | $538.40 | $292.8K | 4.2K | 3.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 2.2K | $717.0K | $329.50 | 4.84x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 376 | $293.4K | $780.37 | 6.17x |
| 92933 | Removal of plaque and insertion of stent in major coronary artery or branch, accessed through the skin | 690 | $274.4K | $397.70 | 4.46x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 417 | $244.4K | $586.03 | 6.14x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.4K | $193.1K | $138.46 | 5.86x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 2.7K | $192.6K | $70.47 | 3.67x |
| 92943 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin | 390 | $184.3K | $472.65 | 3.76x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.0K | $158.5K | $79.19 | 2.81x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 508 | $116.5K | $229.25 | 4.45x |
| 37231 | Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure | 166 | $94.5K | $569.39 | 4.81x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 656 | $94.0K | $143.28 | 6.62x |
| 92937 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin | 316 | $93.3K | $295.38 | 5.40x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 13.8K | $83.3K | $6.04 | 8.54x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 964 | $78.8K | $81.74 | 3.08x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 129 | $51.9K | $401.99 | 6.19x |
| 33990 | Insertion of lower heart chamber blood flow assist device through the skin including radiological supervision and interpretation | 308 | $49.4K | $160.47 | 7.10x |
| 37221 | Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure | 193 | $45.7K | $236.83 | 8.07x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 141 | $45.3K | $321.16 | 6.22x |
| 75630 | Radiological supervision and interpretation X-ray of abdominal aorta and both leg arteries | 638 | $44.3K | $69.42 | 3.27x |
| 93571 | Ultrasound evaluation of heart blood vessel during diagnosis or treatment | 632 | $39.3K | $62.16 | 3.60x |
This provider submits charges 4.95 times higher than what Medicare actually pays.
A markup ratio of 4.95x means for every $100 Medicare pays, this provider initially charges $495. 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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