This provider's $21.8M 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.
Notable: Payments increased 66% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $4.1K | $1.5K | 2.80x | $2.6K | $2.7M | 1.6K | 1.1K |
| 2016 | $3.2K | $1.1K | 2.88x | $2.1K | $4.4M | 3.3K | 2.1K |
| 2017 | $3.1K | $979.17 | 3.16x | $2.1K | $3.2M | 3.3K | 2.2K |
| 2018 | $3.6K | $1.6K | 2.17x | $1.9K | $3.2M | 3.3K | 2.2K |
| 2019 | $2.1K | $818.29 | 2.59x | $1.3K | $1.5M | 2.9K | 2.1K |
| 2020 | $3.0K | $971.46 | 3.06x | $2.0K | $1.5M | 2.4K | 1.7K |
| 2021 | $2.1K | $788.49 | 2.63x | $1.3K | $2.0M | 3.4K | 2.3K |
| 2022 | $2.4K | $830.74 | 2.95x | $1.6K | $1.4M | 3.1K | 2.0K |
| 2023 | $2.6K | $791.07 | 3.32x | $1.8K | $1.8M | 3.2K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 1.3K | $9.8M | $7.7K | 2.40x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 972 | $8.2M | $8.5K | 2.23x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.1K | $550.7K | $180.20 | 2.75x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.5K | $463.6K | $71.20 | 2.57x |
| 36247 | Insertion of catheter into abdominal pelvic or leg artery | 498 | $420.6K | $844.59 | 4.74x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.6K | $384.4K | $238.01 | 2.26x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 21 | $292.3K | $13.9K | 1.35x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.3K | $232.9K | $181.55 | 2.27x |
| 93922 | Ultrasound study of arteries of both arms and legs | 2.0K | $143.3K | $72.56 | 4.13x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 253 | $142.0K | $561.20 | 4.03x |
| 37233 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 100 | $136.6K | $1.4K | 4.39x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 650 | $118.4K | $182.18 | 2.30x |
| 75710 | Radiological supervision and interpretation of imaging of artery of one arm or leg | 685 | $102.5K | $149.62 | 13.37x |
| 36140 | Insertion of needle or catheter into an artery of arm or leg | 487 | $101.9K | $209.17 | 4.78x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 430 | $94.8K | $220.38 | 10.03x |
| 37238 | Insertion of stent in vein with review by radiologist, initial vein | 22 | $72.0K | $3.3K | 3.67x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 56 | $68.6K | $1.2K | 3.26x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 633 | $62.7K | $99.13 | 2.49x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment, initial vessel | 60 | $58.2K | $970.79 | 2.58x |
| 76937 | Ultrasound guidance for accessing into blood vessel | 1.3K | $39.9K | $30.22 | 33.09x |
This provider submits charges 2.64 times higher than what Medicare actually pays.
A markup ratio of 2.64x means for every $100 Medicare pays, this provider initially charges $264. 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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