This provider's $4.1M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 1597% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 501% 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 |
|---|---|---|---|---|---|---|---|
| 2020 | $828.76 | $495.91 | 1.67x | $332.85 | $127.0K | 888 | 728 |
| 2021 | $724.12 | $418.53 | 1.73x | $305.59 | $264.7K | 1.2K | 1.1K |
| 2022 | $728.99 | $397.48 | 1.83x | $331.51 | $1.6M | 4.0K | 3.9K |
| 2023 | $868.82 | $451.09 | 1.93x | $417.73 | $2.2M | 5.1K | 4.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress | 1.6K | $2.0M | $1.2K | 1.66x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.6K | $1.1M | $651.99 | 1.36x |
| 33285 | Insertion of heart rhythm monitor under skin | 145 | $574.1K | $4.0K | 1.64x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.9K | $261.2K | $138.77 | 4.38x |
| 93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 1.6K | $87.9K | $53.96 | 4.26x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.6K | $72.7K | $44.71 | 1.51x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 426 | $36.7K | $86.27 | 1.74x |
| 93880 | Ultrasound of both sides of head and neck blood flow | 195 | $28.9K | $148.07 | 2.36x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 106 | $16.5K | $155.82 | 2.00x |
| 93925 | Ultrasound of leg arteries or artery grafts | 68 | $13.4K | $197.49 | 2.03x |
| 93010 | Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report | 1.4K | $9.5K | $6.75 | 2.96x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 160 | $9.3K | $58.00 | 1.72x |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 24 | $3.6K | $149.32 | 2.60x |
| 93312 | Insertion of probe in esophagus for heart ultrasound examination including interpretation and report | 35 | $3.1K | $88.46 | 2.77x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 32 | $2.4K | $73.72 | 1.98x |
| 93978 | Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts | 14 | $1.9K | $136.80 | 2.19x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 20 | $1.9K | $92.59 | 2.27x |
| 93356 | Heart muscle strain imaging | 57 | $1.7K | $29.65 | 2.87x |
| 92960 | External shock to heart to regulate heart beat | 12 | $1.1K | $89.79 | 3.01x |
| 93320 | Doppler ultrasound study of heart blood flow, valves, and chambers | 35 | $516.55 | $14.76 | 12.20x |
This provider submits charges 1.82 times higher than what Medicare actually pays.
A markup ratio of 1.82x means for every $100 Medicare pays, this provider initially charges $182. This is lower 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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