This provider's $3.6M in total Medicare payments ranks in the 97th percentile of Interventional Cardiology providers nationally.
Medicare payments to this provider grew 164% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 102% in 2019
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 | $336.18 | $81.94 | 4.10x | $254.24 | $219.4K | 4.7K | 3.9K |
| 2015 | $384.81 | $93.91 | 4.10x | $290.90 | $260.8K | 5.0K | 4.2K |
| 2016 | $283.61 | $70.17 | 4.04x | $213.44 | $243.7K | 4.8K | 4.0K |
| 2017 | $310.87 | $73.11 | 4.25x | $237.76 | $213.5K | 4.0K | 3.3K |
| 2018 | $174.84 | $49.76 | 3.51x | $125.08 | $205.1K | 3.7K | 3.2K |
| 2019 | $141.90 | $53.33 | 2.66x | $88.57 | $414.3K | 5.5K | 4.6K |
| 2020 | $137.95 | $51.67 | 2.67x | $86.28 | $437.3K | 6.1K | 4.9K |
| 2021 | $157.41 | $59.49 | 2.65x | $97.92 | $487.8K | 6.1K | 5.1K |
| 2022 | $185.07 | $68.89 | 2.69x | $116.18 | $509.8K | 5.5K | 4.6K |
| 2023 | $206.05 | $76.95 | 2.68x | $129.10 | $578.4K | 5.7K | 4.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.1K | $1.0M | $76.96 | 2.94x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.8K | $633.1K | $229.22 | 2.74x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.2K | $558.5K | $107.23 | 3.05x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.3K | $270.0K | $204.43 | 2.53x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.2K | $255.8K | $116.23 | 2.92x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.7K | $102.3K | $59.08 | 3.14x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 713 | $80.1K | $112.30 | 3.27x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 701 | $75.1K | $107.16 | 2.87x |
| 93016 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision | 2.6K | $46.2K | $17.86 | 3.66x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 271 | $45.0K | $166.12 | 3.16x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 89 | $44.1K | $495.09 | 4.24x |
| J2785 | Injection, regadenoson, 0.1 mg | 875 | $40.3K | $46.06 | 2.54x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 163 | $34.5K | $211.57 | 5.19x |
| 93018 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report | 2.6K | $30.5K | $11.80 | 3.95x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 729 | $29.4K | $40.28 | 3.50x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 567 | $27.9K | $49.13 | 2.96x |
| 99497 | Advance care planning by the physician or other qualified health care professional, first 30 minutes | 388 | $25.0K | $64.55 | 2.72x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 152 | $24.6K | $161.77 | 2.78x |
| 93017 | Exercise or drug-induced heart and blood vessel stress test with EKG tracing and monitoring | 1.1K | $23.8K | $21.62 | 3.29x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 1.7K | $20.4K | $12.14 | 2.76x |
This provider submits charges 3.01 times higher than what Medicare actually pays.
A markup ratio of 3.01x means for every $100 Medicare pays, this provider initially charges $301. 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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