This provider's $21.2M in total Medicare payments ranks in the 99th 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 | $2.5K | $900.13 | 2.83x | $1.6K | $1.8M | 7.3K | 4.2K |
| 2015 | $2.7K | $953.30 | 2.84x | $1.8K | $1.6M | 7.4K | 3.6K |
| 2016 | $2.0K | $719.81 | 2.79x | $1.3K | $1.6M | 8.0K | 4.0K |
| 2017 | $2.6K | $871.93 | 2.93x | $1.7K | $2.3M | 8.9K | 4.7K |
| 2018 | $2.2K | $756.09 | 2.90x | $1.4K | $2.3M | 9.3K | 4.8K |
| 2019 | $2.2K | $780.71 | 2.83x | $1.4K | $2.6M | 9.9K | 4.9K |
| 2020 | $2.1K | $740.82 | 2.78x | $1.3K | $2.3M | 9.8K | 5.4K |
| 2021 | $1.5K | $536.75 | 2.73x | $926.63 | $2.2M | 11.0K | 7.0K |
| 2022 | $1.7K | $636.48 | 2.74x | $1.1K | $2.5M | 10.0K | 6.1K |
| 2023 | $1.0K | $379.26 | 2.74x | $658.07 | $1.9M | 9.8K | 6.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 776 | $6.2M | $7.9K | 2.59x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 28.0K | $2.4M | $84.11 | 2.71x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 184 | $2.1M | $11.3K | 2.53x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 215 | $1.6M | $7.5K | 2.74x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 305 | $912.1K | $3.0K | 2.54x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 880 | $808.6K | $918.91 | 2.51x |
| 37228 | Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure | 332 | $806.6K | $2.4K | 3.95x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 596 | $677.2K | $1.1K | 2.56x |
| 37221 | Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure | 180 | $442.8K | $2.5K | 3.59x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 283 | $414.1K | $1.5K | 2.50x |
| 37239 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 268 | $390.3K | $1.5K | 2.54x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.2K | $340.2K | $285.92 | 2.49x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.6K | $247.9K | $53.90 | 2.85x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 510 | $243.7K | $477.78 | 2.80x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.1K | $235.2K | $209.05 | 3.15x |
| 37224 | Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure | 110 | $217.5K | $2.0K | 3.62x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 2.2K | $213.4K | $98.75 | 2.60x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $205.4K | $118.54 | 2.70x |
| 37226 | Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 29 | $197.2K | $6.8K | 2.58x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 341 | $190.8K | $559.50 | 2.55x |
This provider submits charges 2.74 times higher than what Medicare actually pays.
A markup ratio of 2.74x means for every $100 Medicare pays, this provider initially charges $274. 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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