This provider's $6.6M in total Medicare payments ranks in the 99th percentile of Advanced Heart Failure and Transplant Cardiology providers nationally.
Medicare payments to this provider grew 839% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 284% in 2015
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 | $432.39 | $101.68 | 4.25x | $330.71 | $80.9K | 1.8K | 1.6K |
| 2015 | $500.85 | $113.13 | 4.43x | $387.72 | $311.0K | 5.0K | 4.4K |
| 2016 | $588.72 | $121.03 | 4.86x | $467.69 | $517.4K | 6.4K | 5.4K |
| 2017 | $531.71 | $110.55 | 4.81x | $421.16 | $585.7K | 6.8K | 5.8K |
| 2018 | $421.26 | $91.56 | 4.60x | $329.70 | $1.0M | 10.8K | 8.7K |
| 2019 | $356.79 | $91.75 | 3.89x | $265.04 | $964.9K | 10.7K | 7.9K |
| 2020 | $370.89 | $99.83 | 3.72x | $271.06 | $725.2K | 8.9K | 6.2K |
| 2021 | $478.00 | $107.56 | 4.44x | $370.44 | $834.5K | 9.5K | 6.4K |
| 2022 | $439.58 | $102.82 | 4.28x | $336.76 | $833.0K | 9.9K | 6.5K |
| 2023 | $324.70 | $95.88 | 3.39x | $228.82 | $759.2K | 9.5K | 6.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 1.8K | $1.9M | $1.0K | 3.81x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.8K | $901.1K | $508.23 | 1.32x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 11.0K | $873.6K | $79.51 | 2.21x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.7K | $546.9K | $117.62 | 7.78x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.8K | $254.3K | $52.56 | 2.27x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.3K | $171.2K | $135.44 | 3.71x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 845 | $130.8K | $154.77 | 2.13x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 560 | $99.7K | $178.11 | 3.41x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 747 | $98.5K | $131.85 | 3.83x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.2K | $98.2K | $44.55 | 2.81x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 298 | $96.0K | $322.17 | 6.06x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour ekg up to 30 days | 163 | $90.4K | $554.87 | 2.70x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 757 | $86.4K | $114.14 | 2.02x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 7.3K | $79.1K | $10.81 | 5.75x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 181 | $76.7K | $423.49 | 7.89x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.4K | $69.0K | $50.89 | 5.30x |
| 93296 | Remote evaluations of defibrillator transmissions, technician review, support and distribution of results up to 90 days | 4.2K | $64.7K | $15.47 | 4.90x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 3.1K | $63.8K | $20.73 | 4.73x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 572 | $60.6K | $106.00 | 2.22x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 1.5K | $60.5K | $39.21 | 1.85x |
This provider submits charges 3.61 times higher than what Medicare actually pays.
A markup ratio of 3.61x means for every $100 Medicare pays, this provider initially charges $361. 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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