This provider's $6.9M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
Medicare payments to this provider grew 6469% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 882% 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 | $330.61 | $86.04 | 3.84x | $244.57 | $23.6K | 306 | 227 |
| 2016 | $547.00 | $115.52 | 4.74x | $431.48 | $231.8K | 2.7K | 2.0K |
| 2017 | $447.26 | $86.84 | 5.15x | $360.42 | $316.8K | 4.1K | 3.0K |
| 2018 | $531.42 | $95.06 | 5.59x | $436.36 | $484.1K | 5.3K | 3.5K |
| 2019 | $981.09 | $221.08 | 4.44x | $760.01 | $670.6K | 6.4K | 4.3K |
| 2020 | $1.2K | $292.87 | 4.17x | $927.76 | $1.0M | 6.9K | 4.5K |
| 2021 | $1.2K | $295.45 | 3.99x | $883.59 | $1.4M | 7.2K | 4.8K |
| 2022 | $1.2K | $276.41 | 4.19x | $881.55 | $1.2M | 7.4K | 4.6K |
| 2023 | $1.2K | $257.00 | 4.51x | $903.04 | $1.6M | 8.4K | 5.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78431 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress, with concurrently acquired ct transmission scan | 932 | $1.8M | $2.0K | 4.09x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.6K | $950.4K | $89.37 | 3.38x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.0K | $639.0K | $127.09 | 7.72x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 933 | $606.5K | $650.09 | 1.36x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.3K | $506.9K | $384.60 | 6.58x |
| 33285 | Insertion of heart rhythm monitor under skin | 96 | $389.1K | $4.1K | 3.92x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 5.3K | $308.6K | $58.51 | 2.70x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.7K | $270.1K | $156.92 | 4.19x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.4K | $165.0K | $119.73 | 3.30x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.2K | $126.6K | $108.64 | 2.80x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 810 | $125.7K | $155.15 | 2.73x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 2.3K | $122.8K | $54.50 | 6.54x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour ekg up to 30 days | 175 | $120.8K | $690.02 | 3.19x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.0K | $86.1K | $83.97 | 2.46x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.3K | $83.3K | $63.75 | 1.89x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.6K | $72.4K | $45.71 | 2.38x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 354 | $70.0K | $197.66 | 12.73x |
| 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 | 2.1K | $59.3K | $28.47 | 5.09x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 2.5K | $52.3K | $20.63 | 6.05x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 109 | $51.2K | $469.37 | 6.62x |
This provider submits charges 4.25 times higher than what Medicare actually pays.
A markup ratio of 4.25x means for every $100 Medicare pays, this provider initially charges $425. 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