This provider's $6.6M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 101% 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 | $357.58 | $128.35 | 2.79x | $229.23 | $444.8K | 4.3K | 3.5K |
| 2015 | $384.66 | $137.57 | 2.80x | $247.09 | $493.4K | 4.8K | 4.0K |
| 2016 | $379.00 | $132.17 | 2.87x | $246.83 | $560.7K | 5.5K | 4.5K |
| 2017 | $366.55 | $128.66 | 2.85x | $237.89 | $602.4K | 5.9K | 4.9K |
| 2018 | $352.30 | $133.63 | 2.64x | $218.67 | $688.2K | 6.3K | 5.4K |
| 2019 | $369.86 | $129.46 | 2.86x | $240.40 | $649.3K | 6.0K | 5.2K |
| 2020 | $353.23 | $131.56 | 2.68x | $221.67 | $657.5K | 5.9K | 5.1K |
| 2021 | $337.21 | $115.02 | 2.93x | $222.19 | $800.0K | 6.9K | 6.0K |
| 2022 | $376.48 | $132.32 | 2.85x | $244.16 | $841.5K | 7.2K | 6.4K |
| 2023 | $313.97 | $112.20 | 2.80x | $201.77 | $894.4K | 8.1K | 7.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.8K | $1.3M | $101.32 | 2.63x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 6.3K | $1.1M | $174.20 | 2.78x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 3.7K | $799.6K | $213.81 | 2.85x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.4K | $612.3K | $445.93 | 2.59x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.3K | $391.6K | $171.32 | 2.74x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.9K | $344.7K | $184.33 | 2.61x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 1.1K | $175.6K | $161.40 | 2.66x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 734 | $162.5K | $221.39 | 3.14x |
| 0297T | Analysis and report of external EKG recording for more than 48 hours up to 21 days | 578 | $159.4K | $275.80 | 2.55x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 10.8K | $145.1K | $13.47 | 6.30x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.2K | $144.8K | $65.28 | 2.65x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 271 | $137.9K | $509.00 | 2.63x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.4K | $134.8K | $98.14 | 3.53x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 868 | $126.9K | $146.16 | 2.58x |
| 93303 | Ultrasound examination of congenital heart defect | 600 | $123.7K | $206.12 | 2.72x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.4K | $84.0K | $58.61 | 3.03x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 697 | $64.5K | $92.60 | 2.61x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 342 | $59.7K | $174.62 | 2.56x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 440 | $56.8K | $129.20 | 2.80x |
| 93241 | Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days | 183 | $44.1K | $241.01 | 3.11x |
This provider submits charges 2.82 times higher than what Medicare actually pays.
A markup ratio of 2.82x means for every $100 Medicare pays, this provider initially charges $282. 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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