This provider averages 55 services per working day
Based on 137.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.0M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 55 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
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 | $447.62 | $113.45 | 3.95x | $334.17 | $1.4M | 13.2K | 10.3K |
| 2015 | $430.10 | $111.49 | 3.86x | $318.61 | $1.3M | 13.0K | 10.2K |
| 2016 | $445.51 | $114.13 | 3.90x | $331.38 | $1.2M | 13.3K | 10.6K |
| 2017 | $411.45 | $107.82 | 3.82x | $303.63 | $1.3M | 14.0K | 11.0K |
| 2018 | $468.20 | $122.02 | 3.84x | $346.18 | $1.4M | 14.9K | 11.5K |
| 2019 | $464.29 | $113.38 | 4.09x | $350.91 | $1.3M | 15.0K | 11.5K |
| 2020 | $488.59 | $119.20 | 4.10x | $369.39 | $1.3M | 14.0K | 11.0K |
| 2021 | $476.92 | $113.80 | 4.19x | $363.12 | $1.2M | 12.8K | 10.1K |
| 2022 | $461.19 | $111.08 | 4.15x | $350.11 | $1.3M | 13.7K | 10.7K |
| 2023 | $526.30 | $124.30 | 4.23x | $402.00 | $1.3M | 13.3K | 10.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 3.0K | $3.1M | $1.0K | 4.33x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 32.5K | $2.5M | $76.50 | 4.16x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 3.0K | $1.3M | $441.10 | 2.28x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 9.1K | $1.2M | $128.87 | 4.63x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 8.6K | $954.8K | $111.54 | 5.88x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.1K | $364.6K | $331.76 | 4.04x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.6K | $270.8K | $48.63 | 4.48x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 24.0K | $261.0K | $10.89 | 6.33x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 4.8K | $247.9K | $51.74 | 6.28x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.2K | $247.2K | $208.40 | 4.46x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 482 | $225.0K | $466.74 | 3.68x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.9K | $219.8K | $56.41 | 3.71x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.7K | $189.4K | $109.18 | 3.93x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 982 | $177.6K | $180.89 | 3.33x |
| J2785 | Injection, regadenoson, 0.1 mg | 3.8K | $168.2K | $43.74 | 2.82x |
| 0297T | Analysis and report of external EKG recording for more than 48 hours up to 21 days | 742 | $161.3K | $217.33 | 1.73x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.1K | $96.5K | $88.41 | 7.92x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 215 | $90.7K | $421.65 | 3.22x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 4.1K | $89.6K | $21.62 | 3.95x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.3K | $88.5K | $69.07 | 4.40x |
This provider submits charges 4.22 times higher than what Medicare actually pays.
A markup ratio of 4.22x means for every $100 Medicare pays, this provider initially charges $422. 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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