This provider's $4.7M in total Medicare payments ranks in the 98th percentile of Interventional Cardiology providers nationally.
Medicare payments to this provider grew 1395% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 113% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $1.2K | $193.97 | 6.29x | $1.0K | $103.1K | 895 | 556 |
| 2017 | $966.39 | $168.60 | 5.73x | $797.79 | $168.5K | 1.7K | 1.2K |
| 2018 | $866.83 | $169.01 | 5.13x | $697.82 | $359.0K | 3.2K | 2.3K |
| 2019 | $541.76 | $151.49 | 3.58x | $390.27 | $333.1K | 3.0K | 2.4K |
| 2020 | $321.79 | $117.26 | 2.74x | $204.53 | $379.3K | 4.0K | 3.1K |
| 2021 | $857.91 | $331.73 | 2.59x | $526.18 | $787.2K | 5.5K | 4.1K |
| 2022 | $736.86 | $270.34 | 2.73x | $466.52 | $1.0M | 7.8K | 5.9K |
| 2023 | $799.72 | $285.81 | 2.80x | $513.91 | $1.5M | 11.2K | 7.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 97 | $666.0K | $6.9K | 2.64x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.6K | $502.6K | $90.02 | 2.82x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 574 | $276.8K | $482.29 | 3.56x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 2.7K | $271.0K | $101.66 | 2.65x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.2K | $251.6K | $60.46 | 2.66x |
| 33285 | Insertion of heart rhythm monitor under skin | 64 | $226.4K | $3.5K | 2.56x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 647 | $224.3K | $346.72 | 2.60x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.4K | $216.9K | $159.83 | 2.23x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.0K | $205.6K | $201.92 | 3.77x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 97 | $202.8K | $2.1K | 2.56x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.8K | $201.5K | $112.52 | 2.24x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.6K | $151.0K | $92.58 | 2.48x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 852 | $130.8K | $153.51 | 3.13x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 611 | $118.3K | $193.62 | 2.85x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 882 | $105.9K | $120.05 | 2.75x |
| 92941 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel during heart attack, accessed through the skin | 145 | $93.5K | $644.51 | 6.41x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 489 | $82.1K | $167.82 | 5.98x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 647 | $58.4K | $90.33 | 2.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 908 | $54.7K | $60.21 | 2.63x |
| 37228 | Balloon dilation of artery of leg, initial vessel | 24 | $44.4K | $1.9K | 4.37x |
This provider submits charges 2.92 times higher than what Medicare actually pays.
A markup ratio of 2.92x means for every $100 Medicare pays, this provider initially charges $292. 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