This provider's $9.4M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 132% 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 | $325.09 | $95.02 | 3.42x | $230.07 | $680.0K | 8.4K | 5.5K |
| 2015 | $420.06 | $121.26 | 3.46x | $298.80 | $778.8K | 8.6K | 5.4K |
| 2016 | $423.44 | $125.08 | 3.39x | $298.36 | $750.6K | 8.0K | 5.3K |
| 2017 | $464.76 | $137.71 | 3.37x | $327.05 | $808.1K | 8.2K | 4.8K |
| 2018 | $323.88 | $96.67 | 3.35x | $227.21 | $662.4K | 7.2K | 4.9K |
| 2019 | $573.95 | $124.79 | 4.60x | $449.16 | $942.9K | 9.3K | 5.7K |
| 2020 | $564.85 | $121.25 | 4.66x | $443.60 | $973.3K | 10.5K | 6.1K |
| 2021 | $274.09 | $100.60 | 2.72x | $173.49 | $1.1M | 11.1K | 6.4K |
| 2022 | $320.60 | $110.27 | 2.91x | $210.33 | $1.2M | 12.7K | 7.8K |
| 2023 | $423.54 | $159.31 | 2.66x | $264.23 | $1.6M | 14.8K | 9.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 17.2K | $1.5M | $87.04 | 2.76x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 16.9K | $1.5M | $87.58 | 2.63x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.6K | $1.4M | $381.66 | 2.88x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 9.3K | $895.5K | $95.91 | 3.20x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 10.2K | $618.1K | $60.31 | 2.87x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 3.4K | $549.0K | $162.24 | 2.77x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 3.6K | $497.1K | $138.31 | 1.73x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.4K | $329.3K | $241.27 | 3.37x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.6K | $315.5K | $122.15 | 3.04x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.9K | $314.9K | $53.72 | 3.37x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 219 | $243.1K | $1.1K | 3.25x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.6K | $185.7K | $52.10 | 3.48x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 277 | $141.9K | $512.13 | 2.96x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 1.1K | $94.8K | $84.02 | 3.22x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 543 | $79.5K | $146.50 | 3.15x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 6.0K | $71.4K | $11.85 | 3.19x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.6K | $70.7K | $43.27 | 2.87x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 468 | $69.7K | $149.03 | 3.06x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 535 | $60.2K | $112.49 | 3.04x |
| 93312 | Insertion of probe in esophagus for heart ultrasound examination including interpretation and report | 512 | $45.1K | $88.12 | 2.89x |
This provider submits charges 2.88 times higher than what Medicare actually pays.
A markup ratio of 2.88x means for every $100 Medicare pays, this provider initially charges $288. 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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