This provider averages 83 services per working day
Based on 208.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $15.5M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 83 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 146% 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 | $323.40 | $121.81 | 2.65x | $201.59 | $1.0M | 14.1K | 9.3K |
| 2015 | $316.13 | $115.37 | 2.74x | $200.76 | $1.1M | 16.4K | 10.9K |
| 2016 | $322.48 | $115.47 | 2.79x | $207.01 | $1.2M | 18.4K | 12.6K |
| 2017 | $308.05 | $104.57 | 2.95x | $203.48 | $1.3M | 19.8K | 14.0K |
| 2018 | $278.25 | $107.25 | 2.59x | $171.00 | $1.3M | 19.9K | 13.9K |
| 2019 | $398.85 | $171.75 | 2.32x | $227.10 | $1.5M | 20.8K | 13.7K |
| 2020 | $450.97 | $201.36 | 2.24x | $249.61 | $1.9M | 23.5K | 14.9K |
| 2021 | $410.25 | $161.05 | 2.55x | $249.20 | $1.6M | 21.1K | 12.1K |
| 2022 | $441.24 | $156.48 | 2.82x | $284.76 | $1.8M | 24.2K | 14.5K |
| 2023 | $510.27 | $171.97 | 2.97x | $338.30 | $2.5M | 30.4K | 18.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 48.6K | $4.1M | $83.61 | 2.60x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 14.6K | $1.8M | $125.46 | 3.26x |
| 33285 | Insertion of heart rhythm monitor under skin | 287 | $1.1M | $3.8K | 2.33x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 5.4K | $645.0K | $119.51 | 2.65x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 1.1K | $632.0K | $598.52 | 1.99x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.3K | $605.9K | $266.67 | 3.00x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.9K | $575.1K | $52.95 | 2.71x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 3.5K | $537.8K | $154.24 | 2.50x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.3K | $478.5K | $145.75 | 2.58x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 316 | $422.5K | $1.3K | 2.73x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.5K | $297.4K | $204.11 | 2.84x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 7.6K | $282.7K | $37.21 | 1.70x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 20.7K | $245.3K | $11.87 | 3.03x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 3.2K | $221.0K | $69.65 | 1.84x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 2.0K | $211.9K | $106.00 | 2.47x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.4K | $195.3K | $80.95 | 2.46x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.6K | $185.0K | $114.42 | 2.53x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 357 | $159.9K | $447.85 | 2.10x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.5K | $148.3K | $98.91 | 2.79x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 904 | $130.9K | $144.84 | 2.62x |
This provider submits charges 2.66 times higher than what Medicare actually pays.
A markup ratio of 2.66x means for every $100 Medicare pays, this provider initially charges $266. 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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