This provider's $7.7M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 57% 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 | $239.44 | $81.91 | 2.92x | $157.53 | $725.1K | 8.4K | 6.6K |
| 2015 | $262.65 | $86.97 | 3.02x | $175.68 | $747.1K | 8.2K | 6.8K |
| 2016 | $248.49 | $82.90 | 3.00x | $165.59 | $597.0K | 6.9K | 5.3K |
| 2017 | $260.50 | $85.23 | 3.06x | $175.27 | $623.3K | 8.2K | 5.6K |
| 2018 | $270.88 | $89.91 | 3.01x | $180.97 | $570.0K | 7.6K | 5.1K |
| 2019 | $249.32 | $80.11 | 3.11x | $169.21 | $553.8K | 6.7K | 5.2K |
| 2020 | $270.96 | $88.69 | 3.06x | $182.27 | $702.8K | 8.0K | 6.1K |
| 2021 | $268.58 | $87.75 | 3.06x | $180.83 | $998.4K | 10.6K | 8.0K |
| 2022 | $233.92 | $74.77 | 3.13x | $159.15 | $995.4K | 11.5K | 9.0K |
| 2023 | $220.97 | $68.46 | 3.23x | $152.51 | $1.1M | 15.2K | 11.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 5.7K | $2.2M | $381.88 | 2.52x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 16.8K | $1.5M | $87.77 | 2.50x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.6K | $870.2K | $155.05 | 3.56x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 4.9K | $449.3K | $92.42 | 2.14x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.0K | $411.2K | $58.89 | 2.18x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 5.9K | $308.1K | $52.24 | 6.22x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.7K | $302.3K | $113.25 | 2.63x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.4K | $213.6K | $149.61 | 3.57x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 14.3K | $175.5K | $12.30 | 5.28x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 3.9K | $158.8K | $40.44 | 2.52x |
| J2785 | Injection, regadenoson, 0.1 mg | 3.5K | $153.8K | $44.56 | 1.42x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 670 | $84.2K | $125.61 | 2.78x |
| 78472 | Nuclear medicine study of heart wall motion at rest or stress with evaluation of blood ejection from heart, single study | 442 | $81.6K | $184.70 | 2.84x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 873 | $72.5K | $83.02 | 1.66x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 945 | $58.9K | $62.35 | 2.31x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 1.2K | $57.9K | $47.60 | 3.15x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 255 | $51.4K | $201.69 | 2.95x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 432 | $46.7K | $108.18 | 2.63x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 519 | $41.5K | $79.94 | 2.49x |
| 93793 | Anti-clotting management for patient taking warfarin | 4.3K | $40.9K | $9.43 | 2.65x |
This provider submits charges 2.85 times higher than what Medicare actually pays.
A markup ratio of 2.85x means for every $100 Medicare pays, this provider initially charges $285. 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.
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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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