This provider's $4.0M in total Medicare payments ranks in the 98th 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.
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 | $336.84 | $112.68 | 2.99x | $224.16 | $364.4K | 3.1K | 2.6K |
| 2015 | $352.67 | $119.29 | 2.96x | $233.38 | $357.0K | 2.9K | 2.6K |
| 2016 | $290.48 | $125.52 | 2.31x | $164.96 | $431.8K | 3.5K | 3.2K |
| 2017 | $298.67 | $131.20 | 2.28x | $167.47 | $440.6K | 3.7K | 3.3K |
| 2018 | $275.13 | $125.11 | 2.20x | $150.02 | $407.5K | 3.6K | 3.2K |
| 2019 | $305.64 | $142.13 | 2.15x | $163.51 | $418.3K | 3.5K | 3.1K |
| 2020 | $305.19 | $141.91 | 2.15x | $163.28 | $356.5K | 2.9K | 2.7K |
| 2021 | $324.44 | $140.48 | 2.31x | $183.96 | $412.6K | 3.0K | 2.8K |
| 2022 | $363.75 | $150.44 | 2.42x | $213.31 | $403.3K | 3.3K | 3.2K |
| 2023 | $344.50 | $147.61 | 2.33x | $196.89 | $397.1K | 3.4K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.7K | $975.7K | $366.26 | 1.89x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.7K | $549.6K | $148.53 | 2.93x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 2.8K | $422.2K | $150.96 | 1.76x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.5K | $379.8K | $152.59 | 2.33x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 591 | $338.7K | $573.09 | 2.09x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.9K | $311.2K | $80.57 | 2.05x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.4K | $302.0K | $56.20 | 1.67x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.6K | $140.8K | $85.34 | 3.15x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 837 | $140.0K | $167.30 | 3.59x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 2.8K | $136.9K | $49.40 | 4.21x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.0K | $94.2K | $93.42 | 2.61x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.6K | $69.9K | $44.72 | 1.90x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 355 | $39.6K | $111.53 | 1.62x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 271 | $32.9K | $121.52 | 2.05x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 1.7K | $19.4K | $11.33 | 3.99x |
| 93228 | Heart rhythm tracing, computer analysis, and interpretation of patient-triggered events greater than 24-hour EKG up to 30 days | 595 | $12.2K | $20.48 | 5.86x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 42 | $8.4K | $199.33 | 3.78x |
| 93922 | Ultrasound study of arteries of both arms and legs | 113 | $6.1K | $53.97 | 4.41x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 26 | $3.2K | $123.49 | 2.23x |
| 93288 | Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection | 119 | $3.0K | $25.28 | 4.15x |
This provider submits charges 2.31 times higher than what Medicare actually pays.
A markup ratio of 2.31x means for every $100 Medicare pays, this provider initially charges $231. 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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