This provider's $11.8M 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.
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 | $194.10 | $88.90 | 2.18x | $105.20 | $1.1M | 12.2K | 9.7K |
| 2015 | $200.35 | $89.78 | 2.23x | $110.57 | $1.2M | 12.1K | 9.6K |
| 2016 | $194.90 | $86.08 | 2.26x | $108.82 | $1.3M | 13.6K | 11.0K |
| 2017 | $196.86 | $89.74 | 2.19x | $107.12 | $1.2M | 12.8K | 10.2K |
| 2018 | $202.48 | $87.49 | 2.31x | $114.99 | $1.2M | 11.7K | 9.2K |
| 2019 | $257.63 | $89.47 | 2.88x | $168.16 | $1.2M | 12.2K | 9.6K |
| 2020 | $334.74 | $89.05 | 3.76x | $245.69 | $1.1M | 11.8K | 9.1K |
| 2021 | $331.85 | $92.31 | 3.59x | $239.54 | $1.2M | 12.0K | 8.9K |
| 2022 | $332.31 | $87.27 | 3.81x | $245.04 | $1.1M | 11.7K | 8.4K |
| 2023 | $336.43 | $94.49 | 3.56x | $241.94 | $1.2M | 12.5K | 9.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 14.3K | $2.4M | $171.17 | 3.04x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 5.0K | $2.2M | $444.73 | 2.41x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 11.6K | $2.0M | $173.61 | 3.50x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 11.5K | $1.1M | $95.93 | 2.65x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.6K | $1.0M | $69.45 | 3.24x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 5.0K | $637.1K | $126.27 | 1.86x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 26.7K | $378.2K | $14.16 | 3.90x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 5.1K | $300.2K | $58.46 | 3.75x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 3.2K | $289.2K | $91.05 | 1.81x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.0K | $275.0K | $139.03 | 2.62x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 2.8K | $194.7K | $70.62 | 4.30x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 656 | $149.2K | $227.41 | 2.72x |
| 93923 | Ultrasound study of arteries of both arms and legs | 1.1K | $124.3K | $113.65 | 3.06x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.8K | $114.9K | $63.30 | 2.25x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 609 | $84.3K | $138.41 | 2.70x |
| 99284 | Emergency department visit, problem of high severity | 524 | $53.8K | $102.67 | 1.77x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.2K | $51.7K | $43.75 | 2.66x |
| 93320 | Doppler ultrasound study of heart blood flow, valves, and chambers | 655 | $32.3K | $49.27 | 4.00x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 145 | $27.3K | $188.49 | 1.48x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 210 | $26.4K | $125.63 | 3.29x |
This provider submits charges 2.93 times higher than what Medicare actually pays.
A markup ratio of 2.93x means for every $100 Medicare pays, this provider initially charges $293. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data