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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. Jay Schapira
❤️
MDIndividual

Jay Schapira, MD

NPI: 1932218666
Los Angeles, CA
10 years of data
Cardiology
$13.6M
Total Payments
94.5K
Beneficiaries
164.5K
Services
5.2x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$13.6M
Specialty median$193.1K

📋 Key Findings

1Billed $13.6M over 10 years
25.2x markup ratio (above median)
399th percentile in Cardiology by payments
466 services/day — unusually high
5Payments surged 148% in 2021
617 procedures with >3x markup

This provider averages 66 services per working day

Based on 164.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $13.6M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.

Their average markup ratio of 5.2x is significantly above the specialty median of 3.6x.

Averaging 66 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

📈

Notable: Payments increased 148% in 2021

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

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$569.92$106.515.35x$463.41$1.3M18.9K10.3K
2015$480.41$102.794.67x$377.62$1.1M17.8K9.9K
2016$455.40$93.494.87x$361.91$1.2M18.3K10.4K
2017$567.78$104.965.41x$462.82$1.4M19.5K11.3K
2018$618.63$110.255.61x$508.38$1.4M20.0K11.8K
2019$520.90$101.705.12x$419.20$1.3M14.8K9.4K
2020$749.83$163.314.59x$586.52$659.8K5.7K3.6K
2021$677.48$140.464.82x$537.02$1.6M14.3K8.2K
2022$892.11$144.556.17x$747.56$1.7M15.2K8.3K
2023$606.68$93.566.48x$513.12$1.9M20.0K11.4K

Top Procedures (20)

99215Established patient office or other outpatient, visit typically 40 minutes⚠ 3.5x markup
$2.8M
21.5K services$132.07/svc3.55x markup
78492Nuclear medicine study heart muscle at rest and/or stress multiple studies⚠ 5.1x markup
$2.1M
1.6K services$1.2K/svc5.14x markup
93978Ultrasound scan of vena cava or groin graft or vessel blood flow⚠ 5.8x markup
$857.8K
5.3K services$163.11/svc5.83x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 8.2x markup
$726.7K
4.2K services$174.07/svc8.17x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 3.3x markup
$683.7K
10.0K services$68.36/svc3.28x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 3.4x markup
$563.7K
6.1K services$92.24/svc3.35x markup
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries⚠ 7.3x markup
$546.9K
1.7K services$328.68/svc7.32x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck⚠ 5.4x markup
$516.3K
2.9K services$179.38/svc5.44x markup
99487Complex chronic care management services 60 minutes clinical staff time
$488.7K
4.4K services$110.70/svc2.18x markup
93925Ultrasound study of arteries and arterial grafts of both legs⚠ 3.0x markup
$435.6K
2.0K services$222.38/svc3.01x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers⚠ 4.6x markup
$309.5K
2.2K services$143.81/svc4.59x markup
93351Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report⚠ 6.2x markup
$278.2K
1.2K services$230.47/svc6.17x markup
93886Ultrasound scanning of head and neck vessel blood flow (inside the brain)⚠ 3.5x markup
$258.3K
1.1K services$237.00/svc3.49x markup
93923Ultrasound study of arteries of both arms and legs⚠ 5.1x markup
$241.0K
2.0K services$119.58/svc5.07x markup
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days⚠ 5.3x markup
$213.7K
313 services$682.73/svc5.35x markup
99496Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge
$165.7K
763 services$217.20/svc1.75x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 16.0x markup
$165.0K
11.8K services$13.95/svc15.98x markup
99490Chronic care management services at least 20 minutes per calendar month
$145.2K
4.0K services$36.54/svc2.56x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day⚠ 5.1x markup
$122.0K
1.9K services$62.67/svc5.14x markup
99205New patient office or other outpatient visit, typically 60 minutes⚠ 4.1x markup
$120.5K
684 services$176.21/svc4.09x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99215Established patient office or other outpatient, visit typically 40 minutes21.5K$2.8M$132.073.55x
78492Nuclear medicine study heart muscle at rest and/or stress multiple studies1.6K$2.1M$1.2K5.14x
93978Ultrasound scan of vena cava or groin graft or vessel blood flow5.3K$857.8K$163.115.83x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function4.2K$726.7K$174.078.17x
99213Established patient office or other outpatient visit, typically 15 minutes10.0K$683.7K$68.363.28x
99214Established patient office or other outpatient, visit typically 25 minutes6.1K$563.7K$92.243.35x
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries1.7K$546.9K$328.687.32x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck2.9K$516.3K$179.385.44x
99487Complex chronic care management services 60 minutes clinical staff time4.4K$488.7K$110.702.18x
93925Ultrasound study of arteries and arterial grafts of both legs2.0K$435.6K$222.383.01x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers2.2K$309.5K$143.814.59x
93351Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report1.2K$278.2K$230.476.17x
93886Ultrasound scanning of head and neck vessel blood flow (inside the brain)1.1K$258.3K$237.003.49x
93923Ultrasound study of arteries of both arms and legs2.0K$241.0K$119.585.07x
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days313$213.7K$682.735.35x
99496Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge763$165.7K$217.201.75x
93000Routine EKG using at least 12 leads including interpretation and report11.8K$165.0K$13.9515.98x
99490Chronic care management services at least 20 minutes per calendar month4.0K$145.2K$36.542.56x
99232Subsequent hospital inpatient care, typically 25 minutes per day1.9K$122.0K$62.675.14x
99205New patient office or other outpatient visit, typically 60 minutes684$120.5K$176.214.09x

Markup Analysis

Charge-to-Payment Ratio

5.2x

This provider submits charges 5.2 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5.2x means for every $100 Medicare pays, this provider initially charges $520. This is higher than the national average.

Location

Los Angeles, CA

Provider Verification

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

Similar Providers

Other Cardiology providers in CA for peer comparison.

Jay Schapira (you)
$13.6M
Leo Polosajian, M.D.
$52.5M
Athar Ansari, M.D.
$38.2M
Hanumandla Reddy, M.D
$38.1M
Mehran Khorsandi, M.D.,
$36.4M
Shashi Sharma, D.M.
$35.4M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Leo Polosajian, M.D.Reseda, CA$52.5M✓ Clear
Athar Ansari, M.D.El Centro, CA$38.2M✓ Clear
Hanumandla Reddy, M.DHanford, 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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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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