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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. Hossein Shenasa
❤️
MDIndividual

Hossein Shenasa, MD

NPI: 1942368444
San Jose, CA
10 years of data
Cardiology
$7.2M
Total Payments
34.8K
Beneficiaries
58.9K
Services
2.17x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$7.2M
Specialty median$193.1K

📋 Key Findings

1Billed $7.2M over 10 years
22.17x markup ratio (above median)
399th percentile in Cardiology by payments
4Payments surged 134% in 2018
54 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $7.2M in total Medicare payments ranks in the 99th percentile of Cardiology providers nationally.

Medicare payments to this provider grew 333% from 2014 to 2023.

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 134% in 2018

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$363.82$162.572.24x$201.25$260.4K3.9K1.9K
2015$531.54$237.762.24x$293.78$267.5K3.4K1.8K
2016$432.17$169.212.55x$262.96$231.1K3.2K1.8K
2017$319.76$123.982.58x$195.78$387.2K5.2K2.9K
2018$422.89$178.512.37x$244.38$907.9K7.1K4.3K
2019$431.15$180.842.38x$250.31$1.0M8.0K5.0K
2020$402.63$186.472.16x$216.16$807.5K6.4K3.6K
2021$356.69$169.782.10x$186.91$1.1M7.1K4.4K
2022$440.75$205.192.15x$235.56$1.1M7.5K4.6K
2023$416.66$181.312.30x$235.35$1.1M7.0K4.5K

Top Procedures (20)

78492Nuclear medicine study heart muscle at rest and/or stress multiple studies
$2.0M
1.3K services$1.6K/svc1.92x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$1.2M
12.0K services$100.35/svc2.38x markup
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days
$1.1M
1.3K services$857.57/svc1.57x markup
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
$526.1K
1.3K services$404.68/svc1.50x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function
$362.4K
1.9K services$188.97/svc2.82x markup
99215Established patient office or other outpatient, visit typically 40 minutes
$343.8K
2.5K services$138.87/svc2.23x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 4.0x markup
$214.1K
14.3K services$15.02/svc4.00x markup
93653Evaluation and insertion of catheters for creation of complete heart block
$169.4K
236 services$717.92/svc1.83x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$149.1K
842 services$177.05/svc1.94x markup
99204New patient office or other outpatient visit, typically 45 minutes
$144.2K
1.0K services$140.46/svc1.97x markup
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report⚠ 3.2x markup
$134.1K
1.9K services$69.38/svc3.20x markup
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days⚠ 3.3x markup
$88.0K
3.8K services$23.04/svc3.26x markup
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report
$83.6K
1.2K services$67.42/svc1.78x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day
$83.3K
898 services$92.71/svc1.94x markup
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles
$81.1K
262 services$309.37/svc2.46x markup
G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec
$70.5K
2.5K services$27.69/svc1.70x markup
93290Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including connection, recording, disconnection, and analysis
$57.7K
1.4K services$40.97/svc1.86x markup
96374Injection of drug or substance into a vein for therapy, diagnosis, or prevention⚠ 3.6x markup
$54.4K
1.3K services$41.98/svc3.57x markup
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm
$36.1K
40 services$901.57/svc1.87x markup
93724Electronic analysis of pacemaker to correct rapid heart rate
$34.2K
156 services$219.55/svc2.97x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78492Nuclear medicine study heart muscle at rest and/or stress multiple studies1.3K$2.0M$1.6K1.92x
99214Established patient office or other outpatient, visit typically 25 minutes12.0K$1.2M$100.352.38x
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days1.3K$1.1M$857.571.57x
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries1.3K$526.1K$404.681.50x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function1.9K$362.4K$188.972.82x
99215Established patient office or other outpatient, visit typically 40 minutes2.5K$343.8K$138.872.23x
93000Routine EKG using at least 12 leads including interpretation and report14.3K$214.1K$15.024.00x
93653Evaluation and insertion of catheters for creation of complete heart block236$169.4K$717.921.83x
99223Initial hospital inpatient care, typically 70 minutes per day842$149.1K$177.051.94x
99204New patient office or other outpatient visit, typically 45 minutes1.0K$144.2K$140.461.97x
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report1.9K$134.1K$69.383.20x
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days3.8K$88.0K$23.043.26x
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report1.2K$83.6K$67.421.78x
99233Subsequent hospital inpatient care, typically 35 minutes per day898$83.3K$92.711.94x
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles262$81.1K$309.372.46x
G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec2.5K$70.5K$27.691.70x
93290Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including connection, recording, disconnection, and analysis1.4K$57.7K$40.971.86x
96374Injection of drug or substance into a vein for therapy, diagnosis, or prevention1.3K$54.4K$41.983.57x
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm40$36.1K$901.571.87x
93724Electronic analysis of pacemaker to correct rapid heart rate156$34.2K$219.552.97x

Markup Analysis

Charge-to-Payment Ratio

2.17x

This provider submits charges 2.17 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.17x means for every $100 Medicare pays, this provider initially charges $217. This is higher than the national average.

Location

San Jose, 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.

Hossein Shenasa (you)
$7.2M
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.

Believe this data is inaccurate? Dispute this data