This provider's $4.3M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 124% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 92% in 2021
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 | $534.30 | $167.98 | 3.18x | $366.32 | $642.2K | 2.2K | 2.1K |
| 2021 | $735.25 | $210.99 | 3.48x | $524.26 | $1.2M | 4.6K | 4.0K |
| 2022 | $619.17 | $155.80 | 3.97x | $463.37 | $972.8K | 3.5K | 2.9K |
| 2023 | $605.24 | $160.01 | 3.78x | $445.23 | $1.4M | 5.4K | 4.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78431 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress, with concurrently acquired ct transmission scan | 979 | $1.7M | $1.7K | 3.95x |
| 78492 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress | 642 | $905.1K | $1.4K | 2.70x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.6K | $674.1K | $415.07 | 1.26x |
| 78434 | Nuclear medicine absolute quantification of blood flow in heart muscle | 1.6K | $204.6K | $126.44 | 3.95x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.4K | $182.2K | $127.17 | 4.98x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.2K | $126.8K | $102.39 | 2.44x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician supervision, interpretation, and report | 1.7K | $109.0K | $63.74 | 5.90x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.7K | $76.4K | $45.95 | 3.29x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 989 | $62.2K | $62.87 | 3.58x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 302 | $49.2K | $162.77 | 3.69x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 618 | $30.8K | $49.89 | 4.47x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 302 | $28.2K | $93.43 | 3.48x |
| 99457 | Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; first 20 minutes | 613 | $26.9K | $43.83 | 3.88x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 193 | $25.2K | $130.50 | 3.26x |
| 99493 | Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes | 184 | $23.3K | $126.54 | 4.04x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 100 | $20.3K | $202.83 | 4.93x |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 45 | $18.3K | $405.97 | 4.31x |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 242 | $8.5K | $35.07 | 3.85x |
| 93000 | Routine ekg using at least 12 leads including interpretation and report | 506 | $6.3K | $12.47 | 6.42x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 53 | $5.4K | $102.23 | 3.42x |
This provider submits charges 3.3 times higher than what Medicare actually pays.
A markup ratio of 3.3x means for every $100 Medicare pays, this provider initially charges $330. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Cardiology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Leo Polosajian, M.D. | Reseda, CA | $52.5M | ✓ Clear |
| Athar Ansari, M.D. | El Centro, CA | $38.2M | ✓ Clear |
| Hanumandla Reddy, M.D | Hanford, CA | $38.1M | ✓ Clear |
| Mehran Khorsandi, M.D., | Los Angeles, CA | $36.4M | ✓ Clear |
| Shashi Sharma, D.M. | Visalia, CA | $35.4M | ✓ Clear |
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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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