This provider's $3.6M in total Medicare payments ranks in the 97th percentile of Interventional Cardiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 62% in 2017
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 | $674.94 | $122.25 | 5.52x | $552.69 | $335.3K | 6.3K | 3.9K |
| 2015 | $863.69 | $158.27 | 5.46x | $705.42 | $322.5K | 5.5K | 3.4K |
| 2016 | $709.85 | $126.79 | 5.60x | $583.06 | $318.0K | 5.7K | 3.4K |
| 2017 | $697.79 | $164.73 | 4.24x | $533.06 | $514.3K | 6.0K | 3.9K |
| 2018 | $776.99 | $139.23 | 5.58x | $637.76 | $353.4K | 4.8K | 3.3K |
| 2019 | $726.89 | $120.37 | 6.04x | $606.52 | $339.5K | 5.4K | 3.8K |
| 2020 | $780.26 | $118.11 | 6.61x | $662.15 | $278.0K | 4.2K | 3.3K |
| 2021 | $782.16 | $121.81 | 6.42x | $660.35 | $334.5K | 4.5K | 3.6K |
| 2022 | $749.88 | $112.71 | 6.65x | $637.17 | $330.4K | 5.0K | 3.9K |
| 2023 | $852.22 | $137.06 | 6.22x | $715.16 | $425.9K | 6.4K | 4.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 11.3K | $1.0M | $90.10 | 1.82x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.4K | $283.2K | $63.97 | 2.44x |
| 74174 | CT scan of abdominal and pelvic blood vessels with contrast | 682 | $233.2K | $341.96 | 6.65x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 2.1K | $231.5K | $112.47 | 4.98x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.3K | $224.1K | $177.40 | 2.40x |
| 75574 | CT scan of heart blood vessels and grafts with contrast dye | 732 | $196.5K | $268.43 | 8.56x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 586 | $155.5K | $265.38 | 5.09x |
| 75635 | CT scan of abdominal aorta and both leg arteries with contrast | 487 | $150.5K | $309.03 | 9.58x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 251 | $146.4K | $583.29 | 6.00x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.3K | $124.1K | $92.88 | 2.41x |
| 71275 | CT scan of blood vessels in chest with contrast | 552 | $89.8K | $162.65 | 14.05x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.3K | $82.8K | $36.19 | 2.07x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 428 | $74.7K | $174.49 | 1.97x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 4.0K | $66.3K | $16.60 | 2.59x |
| 70498 | CT scan of neck blood vessels with contrast | 186 | $46.8K | $251.60 | 8.25x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 5.8K | $42.4K | $7.29 | 5.44x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 38 | $42.0K | $1.1K | 4.97x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 317 | $37.0K | $116.69 | 2.03x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 225 | $35.2K | $156.41 | 6.39x |
| 85610 | Blood test, clotting time | 6.4K | $31.7K | $4.91 | 3.66x |
This provider submits charges 4.25 times higher than what Medicare actually pays.
A markup ratio of 4.25x means for every $100 Medicare pays, this provider initially charges $425. 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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