This provider averages 63 services per working day
Based on 158.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $18.4M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 63 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 63% in 2019
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 | $262.69 | $81.08 | 3.24x | $181.61 | $1.5M | 18.1K | 13.5K |
| 2015 | $285.72 | $84.28 | 3.39x | $201.44 | $976.0K | 14.8K | 10.1K |
| 2016 | $292.06 | $84.41 | 3.46x | $207.65 | $1.1M | 15.9K | 11.1K |
| 2017 | $288.50 | $86.45 | 3.34x | $202.05 | $1.5M | 17.3K | 12.9K |
| 2018 | $289.76 | $84.64 | 3.42x | $205.12 | $1.4M | 17.0K | 12.0K |
| 2019 | $367.91 | $125.10 | 2.94x | $242.81 | $2.3M | 15.8K | 11.5K |
| 2020 | $376.80 | $127.47 | 2.96x | $249.33 | $2.4M | 14.6K | 11.3K |
| 2021 | $373.27 | $118.43 | 3.15x | $254.84 | $3.0M | 19.5K | 14.6K |
| 2022 | $492.40 | $145.82 | 3.38x | $346.58 | $2.5M | 15.8K | 11.2K |
| 2023 | $665.62 | $150.33 | 4.43x | $515.29 | $1.8M | 9.7K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 2.3K | $3.3M | $1.4K | 2.10x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 5.1K | $2.3M | $453.52 | 2.74x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 1.2K | $1.9M | $1.6K | 4.42x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 3.5K | $1.8M | $515.43 | 1.29x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 6.9K | $1.2M | $177.58 | 4.05x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 6.1K | $1.1M | $176.05 | 3.85x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 4.9K | $804.5K | $163.91 | 3.84x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 1.1K | $770.2K | $706.62 | 2.61x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.6K | $634.9K | $66.36 | 2.79x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 8.3K | $518.3K | $62.25 | 7.37x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.9K | $397.4K | $101.17 | 2.72x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 5.1K | $243.6K | $48.10 | 1.37x |
| 93890 | Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain) | 913 | $207.9K | $227.66 | 3.97x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 790 | $199.7K | $252.78 | 3.55x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 915 | $197.0K | $215.30 | 4.16x |
| J2785 | Injection, regadenoson, 0.1 mg | 4.0K | $181.6K | $45.46 | 1.84x |
| 93923 | Ultrasound study of arteries of both arms and legs | 1.6K | $181.3K | $112.98 | 4.80x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 4.1K | $175.9K | $42.75 | 1.71x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 11.2K | $160.1K | $14.23 | 6.28x |
| 82306 | Vitamin D-3 level | 4.1K | $154.9K | $37.96 | 1.69x |
This provider submits charges 3.12 times higher than what Medicare actually pays.
A markup ratio of 3.12x means for every $100 Medicare pays, this provider initially charges $312. 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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