This provider averages 53 services per working day
Based on 133.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.3M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 53 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 | $236.36 | $103.21 | 2.29x | $133.15 | $658.8K | 9.0K | 6.0K |
| 2015 | $269.89 | $124.03 | 2.18x | $145.86 | $815.2K | 10.7K | 6.4K |
| 2016 | $211.59 | $94.34 | 2.24x | $117.25 | $1.1M | 15.9K | 10.3K |
| 2017 | $204.13 | $83.05 | 2.46x | $121.08 | $940.5K | 16.5K | 11.2K |
| 2018 | $230.88 | $89.91 | 2.57x | $140.97 | $760.6K | 14.9K | 9.4K |
| 2019 | $280.49 | $105.71 | 2.65x | $174.78 | $809.5K | 12.6K | 8.0K |
| 2020 | $244.87 | $95.44 | 2.57x | $149.43 | $686.1K | 11.4K | 8.2K |
| 2021 | $303.87 | $111.33 | 2.73x | $192.54 | $869.1K | 13.7K | 10.5K |
| 2022 | $316.52 | $111.46 | 2.84x | $205.06 | $878.6K | 14.4K | 11.2K |
| 2023 | $282.20 | $101.31 | 2.79x | $180.89 | $844.3K | 14.6K | 11.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 15.5K | $1.7M | $112.47 | 2.12x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 21.2K | $1.7M | $77.81 | 2.34x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 12.4K | $696.3K | $56.26 | 3.50x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 3.9K | $407.1K | $105.33 | 2.39x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 4.9K | $399.0K | $81.87 | 2.84x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 898 | $395.8K | $440.80 | 2.05x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.8K | $356.6K | $128.86 | 1.35x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.8K | $347.9K | $192.00 | 2.85x |
| 33340 | Repair of left upper heart | 478 | $302.3K | $632.52 | 2.37x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.7K | $227.2K | $61.10 | 2.64x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.4K | $220.0K | $154.37 | 1.97x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.6K | $187.6K | $51.85 | 6.36x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 21.8K | $131.3K | $6.03 | 6.94x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $128.1K | $115.92 | 2.44x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 9.9K | $114.6K | $11.62 | 5.34x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 334 | $89.1K | $266.77 | 2.77x |
| 92941 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel during heart attack, accessed through the skin | 172 | $88.8K | $516.16 | 1.75x |
| 93793 | Anti-clotting management for patient taking warfarin | 9.5K | $78.7K | $8.28 | 5.92x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 334 | $70.0K | $209.48 | 2.90x |
| 99239 | Hospital discharge day management, more than 30 minutes | 631 | $51.9K | $82.22 | 2.44x |
This provider submits charges 2.68 times higher than what Medicare actually pays.
A markup ratio of 2.68x means for every $100 Medicare pays, this provider initially charges $268. 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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