This provider averages 63 services per working day
Based on 156.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.2M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 63 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 | $572.96 | $103.71 | 5.52x | $469.25 | $1.5M | 18.1K | 13.2K |
| 2015 | $573.22 | $96.22 | 5.96x | $477.00 | $1.4M | 18.6K | 13.7K |
| 2016 | $590.49 | $106.45 | 5.55x | $484.04 | $1.4M | 16.3K | 12.2K |
| 2017 | $623.62 | $112.09 | 5.56x | $511.53 | $1.3M | 15.7K | 11.4K |
| 2018 | $679.64 | $116.23 | 5.85x | $563.41 | $1.3M | 15.8K | 11.9K |
| 2019 | $649.89 | $114.34 | 5.68x | $535.55 | $1.4M | 16.6K | 12.7K |
| 2020 | $660.85 | $114.38 | 5.78x | $546.47 | $1.1M | 13.1K | 9.8K |
| 2021 | $730.66 | $129.24 | 5.65x | $601.42 | $1.2M | 13.8K | 10.5K |
| 2022 | $832.41 | $124.82 | 6.67x | $707.59 | $1.4M | 14.7K | 11.3K |
| 2023 | $866.29 | $189.33 | 4.58x | $676.96 | $1.3M | 13.6K | 9.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 6.7K | $2.6M | $384.59 | 3.17x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 26.0K | $2.2M | $85.58 | 3.76x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 13.0K | $1.6M | $121.43 | 4.68x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 6.1K | $691.3K | $113.27 | 2.89x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 10.7K | $644.3K | $60.39 | 3.62x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 1.2K | $638.1K | $519.21 | 6.33x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 4.9K | $453.8K | $91.93 | 3.58x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.9K | $438.9K | $231.58 | 9.82x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 6.8K | $352.9K | $52.27 | 8.28x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.7K | $328.0K | $122.71 | 3.48x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.9K | $283.7K | $150.35 | 4.03x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 307 | $222.4K | $724.58 | 4.86x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.7K | $204.7K | $122.90 | 3.65x |
| 71275 | CT scan of blood vessels in chest with contrast | 1.1K | $195.7K | $178.20 | 7.17x |
| A9505 | Thallium tl-201 thallous chloride, diagnostic, per millicurie | 5.8K | $188.7K | $32.28 | 4.65x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.1K | $160.9K | $51.68 | 3.91x |
| 75574 | CT scan of heart blood vessels and grafts with contrast dye | 578 | $152.7K | $264.21 | 4.30x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 2.5K | $151.0K | $59.98 | 6.26x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.8K | $150.2K | $83.35 | 3.00x |
| 74174 | CT scan of abdominal and pelvic blood vessels with contrast | 442 | $141.7K | $320.57 | 5.96x |
This provider submits charges 4.55 times higher than what Medicare actually pays.
A markup ratio of 4.55x means for every $100 Medicare pays, this provider initially charges $455. 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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