This provider's $5.1M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 147% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 59% in 2023
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 | $306.54 | $77.88 | 3.94x | $228.66 | $345.2K | 6.7K | 4.5K |
| 2015 | $381.07 | $95.82 | 3.98x | $285.25 | $355.8K | 6.8K | 4.7K |
| 2016 | $333.01 | $87.48 | 3.81x | $245.53 | $410.1K | 8.3K | 5.5K |
| 2017 | $405.70 | $102.01 | 3.98x | $303.69 | $452.9K | 8.1K | 5.6K |
| 2018 | $374.20 | $104.84 | 3.57x | $269.36 | $515.2K | 7.6K | 5.5K |
| 2019 | $406.33 | $102.72 | 3.96x | $303.61 | $534.0K | 7.8K | 5.7K |
| 2020 | $401.40 | $99.36 | 4.04x | $302.04 | $538.2K | 6.8K | 4.6K |
| 2021 | $385.50 | $92.44 | 4.17x | $293.06 | $530.3K | 6.7K | 4.6K |
| 2022 | $352.79 | $88.19 | 4.00x | $264.60 | $537.5K | 6.9K | 5.0K |
| 2023 | $366.47 | $81.76 | 4.48x | $284.71 | $852.2K | 15.9K | 6.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.1K | $1.2M | $83.26 | 3.57x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 8.9K | $808.1K | $90.51 | 4.22x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.3K | $457.6K | $137.04 | 3.86x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 3.9K | $389.7K | $100.25 | 3.94x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 6.2K | $338.1K | $54.90 | 3.81x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 545 | $315.2K | $578.41 | 2.19x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 968 | $170.8K | $176.49 | 3.91x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 1.1K | $135.5K | $119.70 | 5.16x |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 3.2K | $117.1K | $36.41 | 2.72x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 17.7K | $113.9K | $6.44 | 3.72x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 2.8K | $102.4K | $36.66 | 3.22x |
| 93924 | Ultrasound study of arteries of both legs at rest and exercise | 869 | $88.2K | $101.48 | 4.71x |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 3.0K | $88.2K | $29.89 | 2.71x |
| 75574 | CT scan of heart blood vessels and grafts with contrast dye | 927 | $81.2K | $87.64 | 4.06x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 967 | $72.1K | $74.61 | 3.99x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 360 | $72.1K | $200.27 | 5.13x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 291 | $38.6K | $132.50 | 3.92x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 299 | $36.4K | $121.81 | 2.68x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 202 | $34.4K | $170.18 | 4.09x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 91 | $33.6K | $369.53 | 2.82x |
This provider submits charges 3.78 times higher than what Medicare actually pays.
A markup ratio of 3.78x means for every $100 Medicare pays, this provider initially charges $378. 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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