This provider's $5.2M in total Medicare payments ranks in the 98th percentile of Interventional Cardiology providers nationally.
Medicare payments to this provider grew 1371% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 226% in 2022
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $420.23 | $133.87 | 3.14x | $286.36 | $103.7K | 1.3K | 952 |
| 2015 | $346.87 | $102.30 | 3.39x | $244.57 | $132.4K | 2.0K | 1.4K |
| 2016 | $424.07 | $109.94 | 3.86x | $314.13 | $186.2K | 3.2K | 2.3K |
| 2017 | $500.34 | $110.44 | 4.53x | $389.90 | $210.9K | 2.7K | 2.2K |
| 2018 | $579.39 | $131.82 | 4.40x | $447.57 | $273.8K | 3.8K | 3.0K |
| 2019 | $322.15 | $91.49 | 3.52x | $230.66 | $313.9K | 6.6K | 5.1K |
| 2020 | $211.52 | $90.53 | 2.34x | $120.99 | $497.8K | 9.5K | 6.9K |
| 2021 | $340.60 | $162.72 | 2.09x | $177.88 | $453.2K | 8.9K | 6.0K |
| 2022 | $1.8K | $402.45 | 4.48x | $1.4K | $1.5M | 10.6K | 7.7K |
| 2023 | $2.1K | $387.98 | 5.41x | $1.7K | $1.5M | 8.8K | 6.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 173 | $760.4K | $4.4K | 6.00x |
| 37229 | Removal of plaque in artery of leg, initial vessel | 102 | $636.6K | $6.2K | 4.86x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 6.0K | $489.0K | $82.03 | 5.57x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.1K | $382.6K | $75.74 | 2.57x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 752 | $289.8K | $385.40 | 2.46x |
| 36482 | Chemical destruction of first incompetent vein of arm or leg using imaging guidance | 167 | $200.4K | $1.2K | 4.78x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 942 | $168.2K | $178.52 | 3.96x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.2K | $157.6K | $49.32 | 2.21x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 934 | $147.2K | $157.62 | 2.70x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 157 | $143.8K | $915.95 | 4.99x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 801 | $100.4K | $125.39 | 3.08x |
| 33285 | Insertion of heart rhythm monitor under skin | 28 | $93.7K | $3.3K | 2.65x |
| 37228 | Balloon dilation of artery of leg, initial vessel | 32 | $87.4K | $2.7K | 5.46x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 669 | $74.5K | $111.31 | 2.21x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 160 | $60.6K | $378.62 | 4.60x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 409 | $59.8K | $146.23 | 2.11x |
| 37252 | Ultrasound evaluation of blood vessel with review by radiologist, initial vessel | 87 | $59.5K | $683.59 | 4.63x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 578 | $56.5K | $97.77 | 2.49x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 348 | $56.3K | $161.89 | 2.13x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 351 | $48.6K | $138.52 | 2.20x |
This provider submits charges 4.32 times higher than what Medicare actually pays.
A markup ratio of 4.32x means for every $100 Medicare pays, this provider initially charges $432. 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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