This provider's $7.6M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 97% 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 | $414.36 | $97.86 | 4.23x | $316.50 | $520.8K | 5.9K | 3.7K |
| 2015 | $421.32 | $98.12 | 4.29x | $323.20 | $587.6K | 6.1K | 4.1K |
| 2016 | $459.35 | $116.10 | 3.96x | $343.25 | $637.4K | 6.5K | 4.4K |
| 2017 | $454.70 | $111.02 | 4.10x | $343.68 | $658.0K | 6.5K | 4.6K |
| 2018 | $458.33 | $112.46 | 4.08x | $345.87 | $776.3K | 7.9K | 5.2K |
| 2019 | $485.35 | $108.80 | 4.46x | $376.55 | $826.8K | 8.1K | 5.1K |
| 2020 | $415.56 | $96.63 | 4.30x | $318.93 | $733.0K | 7.0K | 4.3K |
| 2021 | $445.75 | $117.42 | 3.80x | $328.33 | $889.1K | 8.5K | 4.9K |
| 2022 | $473.09 | $128.05 | 3.69x | $345.04 | $954.9K | 9.2K | 5.2K |
| 2023 | $469.89 | $147.40 | 3.19x | $322.49 | $1.0M | 8.2K | 4.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.7K | $1.7M | $454.35 | 5.06x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 6.8K | $1.2M | $176.39 | 5.67x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.4K | $1.1M | $103.06 | 1.50x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 6.0K | $1.1M | $176.13 | 2.84x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 2.6K | $533.8K | $208.76 | 4.79x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.2K | $285.3K | $235.75 | 2.12x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.7K | $217.6K | $59.17 | 6.76x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 12.2K | $182.0K | $14.89 | 6.71x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.1K | $135.9K | $129.30 | 7.73x |
| 93923 | Ultrasound study of arteries of both arms and legs | 1.3K | $122.5K | $95.91 | 5.05x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 814 | $119.2K | $146.40 | 1.46x |
| 96374 | Injection of drug or substance into a vein for therapy, diagnosis, or prevention | 2.4K | $113.9K | $47.38 | 6.33x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 123 | $92.1K | $748.68 | 1.34x |
| 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 | 522 | $91.7K | $175.65 | 5.69x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.8K | $74.9K | $40.69 | 1.97x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.6K | $73.1K | $46.54 | 5.37x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.1K | $71.2K | $63.53 | 1.57x |
| 93356 | Heart muscle strain imaging | 1.6K | $60.6K | $37.57 | 13.31x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 821 | $59.0K | $71.92 | 4.86x |
| 76706 | Ultrasound evaluation of abdominal aorta to detect bulging (aneurysm) | 475 | $59.0K | $124.23 | 2.41x |
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