This provider's $22.7M 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 | $1.3K | $611.14 | 2.18x | $718.31 | $2.5M | 16.6K | 8.9K |
| 2015 | $1.2K | $549.01 | 2.18x | $649.37 | $2.7M | 14.6K | 8.0K |
| 2016 | $1.3K | $581.12 | 2.26x | $734.49 | $2.9M | 15.3K | 8.2K |
| 2017 | $1.5K | $650.58 | 2.25x | $810.45 | $2.4M | 12.7K | 6.8K |
| 2018 | $1.4K | $576.75 | 2.38x | $795.02 | $2.1M | 11.5K | 6.9K |
| 2019 | $2.2K | $711.89 | 3.03x | $1.4K | $2.5M | 9.8K | 5.9K |
| 2020 | $2.1K | $719.16 | 2.88x | $1.4K | $2.3M | 8.8K | 5.4K |
| 2021 | $1.6K | $571.65 | 2.76x | $1.0K | $2.0M | 9.0K | 6.0K |
| 2022 | $2.8K | $720.00 | 3.90x | $2.1K | $1.7M | 5.7K | 4.0K |
| 2023 | $2.9K | $584.86 | 4.88x | $2.3K | $1.5M | 5.8K | 4.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 715 | $7.7M | $10.8K | 2.43x |
| 37231 | Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure | 362 | $3.4M | $9.4K | 2.69x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 1.1K | $1.1M | $1.0K | 2.02x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 154 | $1.0M | $6.8K | 2.70x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.3K | $1.0M | $78.27 | 2.35x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 665 | $621.5K | $934.65 | 2.42x |
| 78431 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress, with concurrently acquired ct transmission scan | 321 | $573.6K | $1.8K | 2.82x |
| 37226 | Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 90 | $556.1K | $6.2K | 2.36x |
| 37230 | Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure | 99 | $524.4K | $5.3K | 3.43x |
| 37221 | Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure | 206 | $487.7K | $2.4K | 3.28x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.4K | $435.5K | $314.89 | 2.44x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 960 | $412.5K | $429.69 | 2.89x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 53 | $346.2K | $6.5K | 3.28x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 285 | $344.1K | $1.2K | 2.25x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 594 | $338.3K | $569.46 | 2.85x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.0K | $317.0K | $104.08 | 3.76x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 732 | $209.9K | $286.70 | 2.66x |
| 36245 | Insertion of catheter into abdominal pelvic or leg artery | 304 | $184.3K | $606.39 | 4.25x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.5K | $177.1K | $116.33 | 2.42x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.3K | $161.8K | $127.80 | 3.26x |
This provider submits charges 2.64 times higher than what Medicare actually pays.
A markup ratio of 2.64x means for every $100 Medicare pays, this provider initially charges $264. 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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