This provider's $5.1M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 386% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 147% 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 | $331.90 | $77.64 | 4.27x | $254.26 | $158.0K | 3.1K | 2.5K |
| 2015 | $355.04 | $81.31 | 4.37x | $273.73 | $124.5K | 2.5K | 2.1K |
| 2016 | $420.52 | $102.95 | 4.08x | $317.57 | $307.0K | 4.3K | 3.5K |
| 2017 | $451.02 | $114.88 | 3.93x | $336.14 | $288.0K | 3.6K | 3.1K |
| 2018 | $511.59 | $127.29 | 4.02x | $384.30 | $375.2K | 3.6K | 3.0K |
| 2019 | $479.26 | $139.04 | 3.45x | $340.22 | $636.6K | 2.5K | 1.8K |
| 2020 | $649.21 | $196.54 | 3.30x | $452.67 | $714.8K | 2.6K | 1.6K |
| 2021 | $1.2K | $365.40 | 3.19x | $799.02 | $858.6K | 2.7K | 1.5K |
| 2022 | $1.2K | $329.58 | 3.57x | $845.53 | $869.5K | 2.7K | 1.6K |
| 2023 | $1.2K | $323.02 | 3.69x | $868.80 | $768.5K | 2.9K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 1.7K | $1.5M | $907.07 | 4.46x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 741 | $907.8K | $1.2K | 3.18x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 821 | $866.0K | $1.1K | 2.78x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 2.9K | $381.5K | $132.50 | 3.65x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 3.2K | $272.5K | $84.33 | 2.65x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.4K | $230.0K | $68.08 | 4.30x |
| 76970 | Ultrasound follow-up study | 1.9K | $122.1K | $63.10 | 2.73x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.4K | $83.9K | $59.78 | 4.45x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 615 | $79.0K | $128.48 | 3.71x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.5K | $67.8K | $45.43 | 4.22x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 349 | $64.9K | $186.07 | 5.36x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 155 | $62.1K | $400.95 | 3.99x |
| 36470 | Injection of chemical agent into single vein | 872 | $60.9K | $69.80 | 3.94x |
| 36471 | Injection of chemical agent into multiple incompetent veins of one leg | 401 | $50.6K | $126.09 | 2.57x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 420 | $41.5K | $98.93 | 4.24x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 948 | $39.4K | $41.55 | 2.76x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 363 | $26.4K | $72.66 | 3.06x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 857 | $25.2K | $29.44 | 3.73x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 157 | $23.1K | $147.04 | 3.39x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 378 | $20.8K | $54.90 | 2.92x |
This provider submits charges 3.64 times higher than what Medicare actually pays.
A markup ratio of 3.64x means for every $100 Medicare pays, this provider initially charges $364. 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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