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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Scott Ratner
❤️
MDIndividual

Scott Ratner, M.D.

NPI: 1932143997
Franklin Square, NY
10 years of data
Cardiology
$9.1M
Total Payments
140.6K
Beneficiaries
209.8K
Services
2.63x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$9.1M
Specialty median$193.1K

📋 Key Findings

1Billed $9.1M over 10 years
22.63x markup ratio (above median)
399th percentile in Cardiology by payments
484 services/day — unusually high
57 procedures with >3x markup

This provider averages 84 services per working day

Based on 209.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $9.1M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.

Averaging 84 services per working day raises questions about billing patterns.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$118.80$49.492.40x$69.31$909.5K25.1K16.7K
2015$119.73$48.382.47x$71.35$914.1K25.0K16.6K
2016$145.02$55.852.60x$89.17$993.3K27.3K18.1K
2017$173.70$65.102.67x$108.60$939.9K24.1K15.4K
2018$184.64$73.052.53x$111.59$1.0M24.9K16.5K
2019$180.54$69.852.58x$110.69$1.0M22.4K15.4K
2020$179.28$70.902.53x$108.38$869.7K20.4K14.7K
2021$195.00$79.672.45x$115.33$939.6K18.8K13.7K
2022$244.64$100.542.43x$144.10$770.8K10.4K6.7K
2023$249.44$103.622.41x$145.82$778.4K11.5K6.9K

Top Procedures (20)

99214Established patient office or other outpatient, visit typically 25 minutes
$1.2M
13.3K services$93.62/svc1.87x markup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies⚠ 3.0x markup
$1.2M
2.6K services$459.40/svc3.05x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 4.0x markup
$1.1M
6.2K services$180.69/svc3.96x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck
$798.2K
4.4K services$180.99/svc2.49x markup
93701Measurement of heart blood flow and respiration⚠ 4.4x markup
$304.5K
13.3K services$22.89/svc4.37x markup
A9500Technetium tc-99m sestamibi, diagnostic, per study dose
$293.9K
2.6K services$113.85/svc2.08x markup
83880Natriuretic peptide (heart and blood vessel protein) level
$265.3K
6.3K services$41.88/svc1.18x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$254.0K
3.8K services$67.46/svc1.48x markup
99212Established patient office or other outpatient visit, typically 10 minutes
$217.8K
5.6K services$39.13/svc1.92x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 5.3x markup
$205.5K
14.4K services$14.24/svc5.27x markup
99204New patient office or other outpatient visit, typically 45 minutes
$191.9K
1.4K services$141.45/svc1.77x markup
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report⚠ 4.6x markup
$172.9K
2.7K services$65.11/svc4.61x markup
93922Ultrasound study of arteries of both arms and legs
$164.9K
2.0K services$82.76/svc1.33x markup
93978Ultrasound scan of vena cava or groin graft or vessel blood flow⚠ 3.1x markup
$146.3K
904 services$161.87/svc3.09x markup
93890Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain)
$133.9K
639 services$209.48/svc2.39x markup
82652Dihydroxyvitamin D, 1, 25 level
$132.3K
2.8K services$46.86/svc1.20x markup
93886Ultrasound scanning of head and neck vessel blood flow (inside the brain)
$122.4K
641 services$191.02/svc2.62x markup
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days
$107.5K
148 services$726.26/svc1.31x markup
84443Blood test, thyroid stimulating hormone (TSH)
$104.0K
5.0K services$20.59/svc1.19x markup
93892Ultrasound scanning for blood clot detection in head and neck vessel blood flow (inside the brain)⚠ 3.8x markup
$102.0K
639 services$159.69/svc3.76x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99214Established patient office or other outpatient, visit typically 25 minutes13.3K$1.2M$93.621.87x
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies2.6K$1.2M$459.403.05x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function6.2K$1.1M$180.693.96x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck4.4K$798.2K$180.992.49x
93701Measurement of heart blood flow and respiration13.3K$304.5K$22.894.37x
A9500Technetium tc-99m sestamibi, diagnostic, per study dose2.6K$293.9K$113.852.08x
83880Natriuretic peptide (heart and blood vessel protein) level6.3K$265.3K$41.881.18x
99213Established patient office or other outpatient visit, typically 15 minutes3.8K$254.0K$67.461.48x
99212Established patient office or other outpatient visit, typically 10 minutes5.6K$217.8K$39.131.92x
93000Routine EKG using at least 12 leads including interpretation and report14.4K$205.5K$14.245.27x
99204New patient office or other outpatient visit, typically 45 minutes1.4K$191.9K$141.451.77x
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report2.7K$172.9K$65.114.61x
93922Ultrasound study of arteries of both arms and legs2.0K$164.9K$82.761.33x
93978Ultrasound scan of vena cava or groin graft or vessel blood flow904$146.3K$161.873.09x
93890Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain)639$133.9K$209.482.39x
82652Dihydroxyvitamin D, 1, 25 level2.8K$132.3K$46.861.20x
93886Ultrasound scanning of head and neck vessel blood flow (inside the brain)641$122.4K$191.022.62x
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days148$107.5K$726.261.31x
84443Blood test, thyroid stimulating hormone (TSH)5.0K$104.0K$20.591.19x
93892Ultrasound scanning for blood clot detection in head and neck vessel blood flow (inside the brain)639$102.0K$159.693.76x

Markup Analysis

Charge-to-Payment Ratio

2.63x

This provider submits charges 2.63 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.63x means for every $100 Medicare pays, this provider initially charges $263. This is higher than the national average.

Location

Franklin Square, NY

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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