This provider averages 77 services per working day
Based on 193.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.1M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 77 services per working day raises questions about billing patterns.
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 | $267.97 | $70.74 | 3.79x | $197.23 | $768.6K | 18.8K | 11.6K |
| 2015 | $219.59 | $69.28 | 3.17x | $150.31 | $792.7K | 19.4K | 12.0K |
| 2016 | $215.71 | $65.96 | 3.27x | $149.75 | $744.8K | 22.7K | 15.4K |
| 2017 | $183.16 | $56.07 | 3.27x | $127.09 | $835.4K | 24.7K | 17.4K |
| 2018 | $195.66 | $59.16 | 3.31x | $136.50 | $965.6K | 20.6K | 15.0K |
| 2019 | $248.63 | $74.11 | 3.35x | $174.52 | $1.0M | 19.7K | 14.2K |
| 2020 | $220.69 | $64.91 | 3.40x | $155.78 | $952.3K | 17.3K | 12.8K |
| 2021 | $213.08 | $66.79 | 3.19x | $146.29 | $1.1M | 18.8K | 14.2K |
| 2022 | $222.54 | $70.59 | 3.15x | $151.95 | $971.9K | 15.4K | 11.8K |
| 2023 | $239.99 | $72.51 | 3.31x | $167.48 | $995.8K | 16.0K | 12.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 12.6K | $1.7M | $136.86 | 3.25x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 22.4K | $1.7M | $75.81 | 2.70x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 4.1K | $1.4M | $333.28 | 2.74x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.5K | $613.8K | $58.71 | 2.38x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 7.5K | $395.0K | $52.99 | 2.64x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.0K | $394.2K | $133.30 | 3.00x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.6K | $294.2K | $113.40 | 2.78x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 2.9K | $268.8K | $92.51 | 2.40x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 25.0K | $268.3K | $10.73 | 5.78x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.5K | $148.8K | $102.42 | 2.68x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.4K | $143.6K | $100.41 | 2.64x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 716 | $137.1K | $191.53 | 4.18x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 2.7K | $123.1K | $45.81 | 6.98x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.7K | $118.7K | $43.28 | 2.54x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 5.8K | $115.5K | $19.98 | 3.26x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 252 | $105.2K | $417.27 | 2.73x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.2K | $92.4K | $76.38 | 2.95x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 1.6K | $84.6K | $53.96 | 6.95x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 447 | $73.2K | $163.79 | 3.05x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 7.4K | $68.4K | $9.18 | 3.59x |
This provider submits charges 3.14 times higher than what Medicare actually pays.
A markup ratio of 3.14x means for every $100 Medicare pays, this provider initially charges $314. 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.
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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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