This provider's $7.1M in total Medicare payments ranks in the 99th percentile of Interventional 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 | $1.1K | $236.80 | 4.55x | $841.21 | $696.3K | 6.3K | 4.2K |
| 2015 | $903.71 | $209.31 | 4.32x | $694.40 | $758.1K | 6.2K | 4.4K |
| 2016 | $1.1K | $229.81 | 4.63x | $834.61 | $769.5K | 5.7K | 4.4K |
| 2017 | $913.09 | $197.07 | 4.63x | $716.02 | $695.1K | 5.7K | 4.5K |
| 2018 | $932.63 | $205.07 | 4.55x | $727.56 | $634.4K | 5.2K | 4.0K |
| 2019 | $1.2K | $234.31 | 4.98x | $931.47 | $667.7K | 4.8K | 3.7K |
| 2020 | $1.1K | $239.66 | 4.77x | $903.42 | $651.3K | 4.6K | 3.6K |
| 2021 | $1.1K | $247.55 | 4.25x | $803.69 | $746.5K | 5.1K | 3.8K |
| 2022 | $1.2K | $280.40 | 4.40x | $952.09 | $744.6K | 4.8K | 3.5K |
| 2023 | $1.3K | $286.84 | 4.39x | $971.60 | $717.9K | 4.5K | 3.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 1.7K | $1.4M | $833.85 | 5.95x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 10.3K | $681.8K | $66.07 | 3.76x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.3K | $650.1K | $102.51 | 4.02x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 991 | $558.6K | $563.69 | 4.08x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.6K | $399.8K | $60.94 | 4.17x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.5K | $385.3K | $255.15 | 4.58x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.9K | $369.6K | $194.76 | 4.01x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 765 | $272.9K | $356.71 | 4.17x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.3K | $244.2K | $183.19 | 3.81x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.5K | $220.8K | $145.35 | 3.93x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.2K | $215.7K | $181.60 | 4.00x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.7K | $211.4K | $126.42 | 3.73x |
| 37215 | Insertion of stents and blood clot protection device in neck artery, accessed through the skin | 123 | $126.5K | $1.0K | 3.80x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 559 | $116.7K | $208.70 | 4.41x |
| 33418 | Replacement of aortic valve with prosthetic valve accessed through the skin | 87 | $112.5K | $1.3K | 5.37x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 7.7K | $112.4K | $14.64 | 4.12x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 362 | $100.2K | $276.72 | 4.82x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.2K | $95.2K | $79.50 | 4.01x |
| 33340 | Repair of left upper heart | 113 | $85.0K | $752.33 | 3.99x |
| 92978 | Ultrasound evaluation of heart blood vessel or graft | 796 | $76.2K | $95.77 | 6.22x |
This provider submits charges 4.51 times higher than what Medicare actually pays.
A markup ratio of 4.51x means for every $100 Medicare pays, this provider initially charges $451. 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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