This provider averages 96 services per working day
Based on 240.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $17.4M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
Averaging 96 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 106% 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 | $373.49 | $88.83 | 4.20x | $284.66 | $1.2M | 18.7K | 12.2K |
| 2015 | $345.99 | $87.53 | 3.95x | $258.46 | $1.4M | 20.8K | 14.3K |
| 2016 | $707.74 | $78.12 | 9.06x | $629.62 | $1.2M | 18.9K | 13.7K |
| 2017 | $744.83 | $80.94 | 9.20x | $663.89 | $1.5M | 23.5K | 17.1K |
| 2018 | $724.00 | $91.28 | 7.93x | $632.72 | $1.6M | 24.0K | 17.5K |
| 2019 | $469.12 | $118.61 | 3.96x | $350.51 | $1.9M | 26.5K | 18.8K |
| 2020 | $1.8K | $220.03 | 8.30x | $1.6K | $1.8M | 23.6K | 16.2K |
| 2021 | $478.79 | $92.68 | 5.17x | $386.11 | $2.2M | 26.1K | 18.6K |
| 2022 | $524.30 | $86.18 | 6.08x | $438.12 | $2.1M | 27.2K | 18.8K |
| 2023 | $469.53 | $121.60 | 3.86x | $347.93 | $2.5M | 30.7K | 22.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 53.5K | $3.0M | $55.25 | 2.17x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 23.9K | $2.5M | $103.99 | 6.79x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 5.8K | $2.0M | $334.39 | 4.09x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 2.4K | $1.8M | $755.51 | 1.98x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 2.4K | $778.5K | $324.39 | 3.06x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 5.5K | $630.1K | $113.75 | 2.19x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 2.8K | $593.1K | $209.35 | 12.94x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 5.7K | $489.4K | $86.11 | 2.27x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 8.6K | $463.7K | $53.73 | 2.23x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 984 | $404.5K | $411.10 | 6.02x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 8.3K | $402.5K | $48.48 | 6.29x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.0K | $351.2K | $87.76 | 1.73x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 27.7K | $287.0K | $10.37 | 6.74x |
| J2785 | Injection, regadenoson, 0.1 mg | 6.1K | $270.7K | $44.31 | 5.42x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 1.5K | $259.8K | $174.74 | 3.45x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 122 | $250.6K | $2.1K | 1.70x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.9K | $189.2K | $97.70 | 2.50x |
| 78434 | Nuclear medicine study of heart muscle blood flow by pet | 1.1K | $184.9K | $167.46 | 3.14x |
| 93268 | Heart rhythm symptom-related tracing and interpretation of 24-hour EKG monitoring up to 30 days | 1.3K | $172.8K | $137.24 | 3.28x |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 2.2K | $153.1K | $69.83 | 4.08x |
This provider submits charges 4.21 times higher than what Medicare actually pays.
A markup ratio of 4.21x means for every $100 Medicare pays, this provider initially charges $421. 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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