This provider's $7.6M 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 | $200.03 | $86.46 | 2.31x | $113.57 | $832.1K | 9.6K | 6.0K |
| 2015 | $219.54 | $91.71 | 2.39x | $127.83 | $793.0K | 9.1K | 5.6K |
| 2016 | $228.02 | $89.49 | 2.55x | $138.53 | $732.9K | 8.3K | 4.9K |
| 2017 | $277.11 | $119.15 | 2.33x | $157.96 | $706.0K | 7.9K | 4.6K |
| 2018 | $257.36 | $112.65 | 2.28x | $144.71 | $489.2K | 6.9K | 3.8K |
| 2019 | $239.04 | $104.99 | 2.28x | $134.05 | $581.5K | 7.2K | 4.1K |
| 2020 | $234.65 | $105.80 | 2.22x | $128.85 | $668.5K | 8.2K | 5.0K |
| 2021 | $245.62 | $117.20 | 2.10x | $128.42 | $881.9K | 9.6K | 5.6K |
| 2022 | $266.50 | $125.33 | 2.13x | $141.17 | $975.8K | 10.5K | 6.2K |
| 2023 | $278.84 | $124.91 | 2.23x | $153.93 | $929.6K | 10.4K | 5.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 37.6K | $2.6M | $68.31 | 1.73x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 9.3K | $1.7M | $185.68 | 2.56x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 8.1K | $1.4M | $173.43 | 2.25x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 9.2K | $392.9K | $42.73 | 1.77x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 436 | $323.6K | $742.30 | 1.37x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 1.4K | $257.7K | $178.19 | 2.24x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.1K | $206.4K | $181.18 | 2.21x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 1.4K | $101.3K | $70.32 | 4.30x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 733 | $71.5K | $97.51 | 3.11x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 603 | $63.0K | $104.41 | 1.93x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 284 | $62.3K | $219.42 | 1.61x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 2.2K | $44.8K | $20.18 | 1.89x |
| G0008 | Administration of influenza virus vaccine | 1.6K | $44.3K | $27.07 | 1.54x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 765 | $42.5K | $55.62 | 4.94x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 186 | $37.4K | $200.96 | 2.49x |
| 36415 | Insertion of needle into vein for collection of blood sample | 8.4K | $34.6K | $4.12 | 8.63x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 298 | $31.9K | $106.97 | 2.82x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 97 | $25.6K | $263.65 | 1.35x |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 1.0K | $16.7K | $15.96 | 2.31x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 262 | $16.5K | $62.87 | 2.42x |
This provider submits charges 2.16 times higher than what Medicare actually pays.
A markup ratio of 2.16x means for every $100 Medicare pays, this provider initially charges $216. 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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