This provider's $5.4M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 163% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 64% 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 | $158.73 | $76.76 | 2.07x | $81.97 | $387.8K | 4.7K | 3.4K |
| 2015 | $145.33 | $74.00 | 1.96x | $71.33 | $417.3K | 5.1K | 3.4K |
| 2016 | $148.75 | $74.27 | 2.00x | $74.48 | $472.2K | 5.6K | 3.8K |
| 2017 | $252.70 | $126.81 | 1.99x | $125.89 | $508.5K | 5.5K | 4.0K |
| 2018 | $167.72 | $83.65 | 2.01x | $84.07 | $448.1K | 5.3K | 3.5K |
| 2019 | $251.88 | $132.08 | 1.91x | $119.80 | $468.7K | 5.3K | 3.3K |
| 2020 | $258.41 | $140.87 | 1.83x | $117.54 | $466.0K | 5.0K | 3.1K |
| 2021 | $162.89 | $87.20 | 1.87x | $75.69 | $551.5K | 6.1K | 3.7K |
| 2022 | $168.62 | $97.37 | 1.73x | $71.25 | $620.2K | 6.3K | 4.1K |
| 2023 | $169.48 | $93.45 | 1.81x | $76.03 | $1.0M | 13.6K | 7.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 15.8K | $1.3M | $83.83 | 1.76x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.3K | $812.4K | $354.60 | 1.79x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.8K | $741.1K | $128.15 | 2.50x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 6.2K | $436.5K | $70.77 | 1.73x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 2.7K | $277.9K | $102.39 | 1.75x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 455 | $277.0K | $608.69 | 1.57x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 2.0K | $186.3K | $92.56 | 1.35x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $157.4K | $120.58 | 1.89x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.1K | $125.0K | $117.41 | 1.70x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 2.4K | $119.0K | $50.53 | 2.46x |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 2.6K | $98.3K | $38.34 | 1.75x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 261 | $93.4K | $357.75 | 1.75x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 54 | $60.1K | $1.1K | 2.10x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 1.6K | $59.3K | $37.80 | 1.75x |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 1.6K | $49.3K | $31.45 | 1.74x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 4.2K | $49.0K | $11.78 | 2.29x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 335 | $43.5K | $130.00 | 2.28x |
| 94621 | Pulmonary exercise testing | 339 | $41.9K | $123.47 | 1.81x |
| 99336 | Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes | 370 | $39.5K | $106.71 | 1.29x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 707 | $34.8K | $49.16 | 1.89x |
This provider submits charges 1.89 times higher than what Medicare actually pays.
A markup ratio of 1.89x means for every $100 Medicare pays, this provider initially charges $189. 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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