This provider averages 81 services per working day
Based on 202.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $4.4M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Averaging 81 services per working day raises questions about billing patterns.
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 | $559.74 | $162.04 | 3.45x | $397.70 | $553.4K | 24.7K | 9.3K |
| 2015 | $877.71 | $174.85 | 5.02x | $702.86 | $527.9K | 24.3K | 9.3K |
| 2016 | $1.2K | $180.89 | 6.54x | $1.0K | $532.7K | 23.6K | 9.2K |
| 2017 | $1.1K | $189.72 | 5.68x | $887.84 | $518.0K | 22.9K | 8.7K |
| 2018 | $1.2K | $172.86 | 6.83x | $1.0K | $490.8K | 22.0K | 8.4K |
| 2019 | $1.3K | $188.44 | 7.15x | $1.2K | $481.0K | 21.4K | 8.2K |
| 2020 | $1.2K | $165.67 | 7.37x | $1.1K | $349.5K | 16.8K | 6.3K |
| 2021 | $1.3K | $170.26 | 7.81x | $1.2K | $323.3K | 15.7K | 6.7K |
| 2022 | $737.20 | $159.01 | 4.64x | $578.19 | $312.5K | 15.4K | 6.7K |
| 2023 | $754.89 | $148.92 | 5.07x | $605.97 | $323.2K | 15.5K | 6.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 168.2K | $1.3M | $7.55 | 5.61x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 14.5K | $960.4K | $66.25 | 3.26x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.5K | $671.4K | $89.95 | 3.89x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.5K | $380.0K | $254.34 | 10.46x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.0K | $371.7K | $182.75 | 3.30x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 631 | $355.8K | $563.86 | 3.51x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 5.8K | $85.8K | $14.89 | 3.60x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 591 | $82.8K | $140.07 | 3.58x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 160 | $56.2K | $351.50 | 8.21x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 228 | $46.1K | $202.05 | 4.00x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 93 | $27.1K | $291.55 | 8.35x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 137 | $17.5K | $127.85 | 3.85x |
| 92920 | Balloon dilation of narrowed or blocked major coronary artery or branch (accessed through the skin) | 35 | $15.5K | $442.69 | 4.09x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 75 | $14.1K | $188.21 | 13.10x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 93 | $11.2K | $120.72 | 3.85x |
| 99239 | Hospital discharge day management, more than 30 minutes | 108 | $10.5K | $97.18 | 3.16x |
| 99238 | Hospital discharge day management, 30 minutes or less | 123 | $8.3K | $67.19 | 3.48x |
| 92978 | Ultrasound evaluation of heart blood vessel or graft, initial vessel | 66 | $6.4K | $96.38 | 5.37x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 103 | $6.2K | $59.96 | 3.39x |
| 93571 | Ultrasound evaluation of heart blood vessel during diagnosis or treatment | 56 | $4.5K | $80.20 | 5.34x |
This provider submits charges 4.85 times higher than what Medicare actually pays.
A markup ratio of 4.85x means for every $100 Medicare pays, this provider initially charges $485. 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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