This provider's $4.7M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 2448% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 223% in 2015
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 | $347.64 | $116.19 | 2.99x | $231.45 | $44.3K | 456 | 383 |
| 2015 | $358.56 | $132.89 | 2.70x | $225.67 | $143.2K | 1.7K | 1.4K |
| 2016 | $438.04 | $96.65 | 4.53x | $341.39 | $173.7K | 2.1K | 1.8K |
| 2017 | $360.17 | $82.15 | 4.38x | $278.02 | $307.5K | 5.8K | 4.4K |
| 2018 | $439.37 | $102.16 | 4.30x | $337.21 | $531.1K | 9.7K | 7.4K |
| 2019 | $376.30 | $87.44 | 4.30x | $288.86 | $555.1K | 10.6K | 8.2K |
| 2020 | $368.37 | $87.24 | 4.22x | $281.13 | $499.1K | 9.3K | 7.3K |
| 2021 | $390.34 | $90.94 | 4.29x | $299.40 | $534.9K | 9.9K | 8.0K |
| 2022 | $163.49 | $75.43 | 2.17x | $88.06 | $805.3K | 11.0K | 9.5K |
| 2023 | $124.68 | $87.36 | 1.43x | $37.32 | $1.1M | 13.6K | 10.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 8.1K | $547.9K | $68.03 | 2.81x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.8K | $469.3K | $123.79 | 2.25x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 7.2K | $413.1K | $57.35 | 3.69x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.7K | $388.4K | $83.49 | 3.14x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.1K | $368.5K | $60.51 | 2.90x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.8K | $278.1K | $150.89 | 2.78x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 3.1K | $262.4K | $85.04 | 2.30x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.0K | $246.4K | $120.37 | 3.35x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.2K | $243.2K | $202.36 | 4.36x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 520 | $234.4K | $450.73 | 2.98x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.6K | $172.1K | $106.41 | 3.58x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.4K | $106.7K | $77.69 | 3.05x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.9K | $103.0K | $54.13 | 2.28x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 883 | $77.5K | $87.77 | 1.31x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 5.0K | $58.6K | $11.76 | 3.55x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 7.5K | $49.2K | $6.58 | 4.75x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 282 | $49.2K | $174.59 | 3.93x |
| 93016 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision | 2.6K | $45.8K | $17.28 | 3.74x |
| 93880 | Ultrasound of both sides of head and neck blood flow | 286 | $41.8K | $146.32 | 1.30x |
| 92941 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel during heart attack, accessed through the skin | 70 | $39.9K | $569.32 | 3.80x |
This provider submits charges 3.05 times higher than what Medicare actually pays.
A markup ratio of 3.05x means for every $100 Medicare pays, this provider initially charges $305. 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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