This provider averages 85 services per working day
Based on 213.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $11.8M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.
Averaging 85 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 | $228.73 | $74.39 | 3.07x | $154.34 | $1.2M | 23.4K | 14.5K |
| 2015 | $201.94 | $70.42 | 2.87x | $131.52 | $1.3M | 24.5K | 15.9K |
| 2016 | $354.88 | $122.77 | 2.89x | $232.11 | $906.6K | 14.5K | 10.9K |
| 2017 | $230.87 | $70.75 | 3.26x | $160.12 | $1.2M | 21.4K | 15.2K |
| 2018 | $209.20 | $61.48 | 3.40x | $147.72 | $1.1M | 22.9K | 13.7K |
| 2019 | $219.74 | $68.42 | 3.21x | $151.32 | $1.3M | 26.2K | 13.7K |
| 2020 | $227.55 | $74.33 | 3.06x | $153.22 | $1.0M | 20.7K | 11.0K |
| 2021 | $216.30 | $74.21 | 2.91x | $142.09 | $1.2M | 20.3K | 11.8K |
| 2022 | $255.64 | $78.62 | 3.25x | $177.02 | $1.2M | 19.3K | 10.3K |
| 2023 | $269.55 | $84.12 | 3.20x | $185.43 | $1.2M | 20.3K | 10.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 16.8K | $2.1M | $121.91 | 3.12x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 24.6K | $1.9M | $75.62 | 2.61x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 5.9K | $1.8M | $310.58 | 2.59x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 31.7K | $1.2M | $37.88 | 2.31x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.6K | $680.1K | $46.73 | 2.03x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 5.6K | $456.8K | $82.01 | 2.79x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.2K | $414.5K | $128.77 | 2.51x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 38.6K | $412.7K | $10.70 | 4.80x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 7.2K | $386.0K | $53.48 | 2.24x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.0K | $288.8K | $280.97 | 3.35x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 5.6K | $257.6K | $45.90 | 3.77x |
| A9505 | Thallium tl-201 thallous chloride, diagnostic, per millicurie | 4.5K | $243.5K | $53.66 | 3.57x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.2K | $180.3K | $144.67 | 2.11x |
| J2785 | Injection, regadenoson, 0.1 mg | 4.0K | $173.8K | $43.99 | 2.23x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.9K | $134.8K | $70.37 | 2.46x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $130.5K | $114.43 | 2.51x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 413 | $113.8K | $275.50 | 3.44x |
| 93793 | Anti-clotting management for patient taking warfarin | 9.6K | $79.2K | $8.22 | 3.05x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 1.8K | $75.8K | $40.98 | 2.18x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 184 | $74.1K | $402.49 | 3.32x |
This provider submits charges 2.78 times higher than what Medicare actually pays.
A markup ratio of 2.78x means for every $100 Medicare pays, this provider initially charges $278. 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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