This provider's $10.9M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
Medicare payments to this provider grew 1594% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 333% 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 | $453.90 | $86.50 | 5.25x | $367.40 | $90.5K | 1.9K | 1.5K |
| 2015 | $500.50 | $113.41 | 4.41x | $387.09 | $177.6K | 2.1K | 1.2K |
| 2016 | $376.05 | $83.59 | 4.50x | $292.46 | $260.8K | 2.7K | 2.0K |
| 2017 | $673.43 | $178.32 | 3.78x | $495.11 | $1.1M | 4.6K | 4.1K |
| 2018 | $531.87 | $139.58 | 3.81x | $392.29 | $986.7K | 4.1K | 3.5K |
| 2019 | $570.44 | $141.03 | 4.04x | $429.41 | $1.2M | 4.6K | 4.0K |
| 2020 | $640.28 | $187.00 | 3.42x | $453.28 | $2.3M | 5.6K | 5.2K |
| 2021 | $555.19 | $187.75 | 2.96x | $367.44 | $1.9M | 4.5K | 4.1K |
| 2022 | $601.31 | $183.78 | 3.27x | $417.53 | $1.4M | 3.7K | 3.4K |
| 2023 | $532.77 | $175.72 | 3.03x | $357.05 | $1.5M | 3.9K | 3.6K |
| 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 | 2.4K | $4.5M | $1.9K | 3.19x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 4.0K | $2.4M | $603.84 | 1.31x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 1.6K | $1.7M | $1.0K | 3.86x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.2K | $431.8K | $351.35 | 4.63x |
| 78434 | Nuclear medicine absolute quantification of blood flow in heart muscle | 2.3K | $344.7K | $146.91 | 3.05x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.8K | $310.2K | $82.14 | 3.14x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 5.2K | $283.5K | $54.54 | 4.54x |
| J2785 | Injection, regadenoson, 0.1 mg | 4.6K | $207.2K | $45.49 | 4.72x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.1K | $176.6K | $57.29 | 2.88x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.9K | $153.8K | $82.48 | 2.83x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.1K | $86.9K | $79.48 | 5.18x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 571 | $60.7K | $106.26 | 3.10x |
| 96374 | Injection of drug or substance into a vein for therapy, diagnosis, or prevention | 1.3K | $54.2K | $41.37 | 3.93x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 203 | $39.0K | $192.19 | 7.14x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 176 | $27.1K | $153.94 | 2.87x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 55 | $25.5K | $464.07 | 4.66x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 459 | $24.1K | $52.58 | 3.07x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 249 | $18.0K | $72.13 | 3.82x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 641 | $7.5K | $11.67 | 5.56x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 44 | $7.2K | $164.17 | 7.84x |
This provider submits charges 3.03 times higher than what Medicare actually pays.
A markup ratio of 3.03x means for every $100 Medicare pays, this provider initially charges $303. 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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