This provider's $8.1M in total Medicare payments ranks in the 99th percentile of 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 | $169.23 | $116.87 | 1.45x | $52.36 | $846.9K | 9.3K | 1.7K |
| 2015 | $165.86 | $113.91 | 1.46x | $51.95 | $751.0K | 8.5K | 1.5K |
| 2016 | $156.82 | $105.37 | 1.49x | $51.45 | $878.6K | 10.1K | 1.6K |
| 2017 | $151.43 | $99.95 | 1.52x | $51.48 | $866.5K | 10.3K | 1.6K |
| 2018 | $133.41 | $92.65 | 1.44x | $40.76 | $892.5K | 10.1K | 1.4K |
| 2019 | $152.67 | $101.42 | 1.51x | $51.25 | $941.3K | 10.2K | 1.4K |
| 2020 | $152.46 | $98.55 | 1.55x | $53.91 | $777.9K | 8.6K | 1.1K |
| 2021 | $169.19 | $116.37 | 1.45x | $52.82 | $745.5K | 6.7K | 907 |
| 2022 | $169.88 | $115.03 | 1.48x | $54.85 | $665.2K | 6.2K | 868 |
| 2023 | $161.25 | $109.76 | 1.47x | $51.49 | $773.3K | 7.3K | 783 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 34.7K | $4.1M | $118.48 | 1.49x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 17.1K | $1.5M | $86.54 | 1.50x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 3.1K | $573.5K | $187.90 | 1.31x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 2.5K | $412.8K | $165.73 | 1.55x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.5K | $381.8K | $151.52 | 1.52x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 1.7K | $340.5K | $197.15 | 1.53x |
| 93930 | Ultrasound study of arteries and arterial grafts of both arms | 1.8K | $279.1K | $154.62 | 1.53x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 1.2K | $179.5K | $145.96 | 1.52x |
| 99292 | Critical care delivery critically ill or injured patient | 1.1K | $99.7K | $90.24 | 1.39x |
| 76700 | Ultrasound of abdomen | 908 | $89.5K | $98.53 | 1.49x |
| 85610 | Blood test, clotting time | 16.7K | $79.6K | $4.76 | 2.92x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 152 | $22.3K | $146.79 | 1.41x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 248 | $19.4K | $78.07 | 1.45x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 1.2K | $14.1K | $12.05 | 1.48x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 904 | $11.4K | $12.61 | 1.50x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 245 | $10.7K | $43.73 | 1.54x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 68 | $9.3K | $137.31 | 1.61x |
| 93040 | Tracing of electrical activity of heart using 1-3 leads with interpretation and report | 904 | $8.7K | $9.60 | 1.50x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 37 | $5.6K | $150.56 | 1.30x |
| 93291 | Evaluation of implantable heart recorder system including physician analysis, review, and report | 126 | $3.2K | $25.38 | 1.55x |
This provider submits charges 1.5 times higher than what Medicare actually pays.
A markup ratio of 1.5x means for every $100 Medicare pays, this provider initially charges $150. This is lower 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.
Other Cardiology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Leo Polosajian, M.D. | Reseda, CA | $52.5M | ✓ Clear |
| Athar Ansari, M.D. | El Centro, CA | $38.2M | ✓ Clear |
| Hanumandla Reddy, M.D | Hanford, CA | $38.1M | ✓ Clear |
| Mehran Khorsandi, M.D., | Los Angeles, CA | $36.4M | ✓ Clear |
| Shashi Sharma, D.M. | Visalia, CA | $35.4M | ✓ Clear |
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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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