This provider's $4.2M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Their average markup ratio of 5.48x is significantly above the specialty median of 3.6x.
AI-generated analysis based on Medicare payment data.
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 | $1.2K | $283.96 | 4.25x | $921.86 | $371.4K | 1.7K | 1.4K |
| 2015 | $1.2K | $287.43 | 4.09x | $887.53 | $374.7K | 1.9K | 1.6K |
| 2016 | $1.4K | $306.91 | 4.60x | $1.1K | $425.8K | 2.2K | 1.8K |
| 2017 | $1.9K | $295.60 | 6.28x | $1.6K | $452.1K | 2.9K | 2.5K |
| 2018 | $1.8K | $297.27 | 6.20x | $1.5K | $428.6K | 2.9K | 2.5K |
| 2019 | $1.7K | $279.34 | 6.08x | $1.4K | $505.2K | 3.2K | 2.8K |
| 2020 | $1.7K | $275.65 | 6.09x | $1.4K | $383.4K | 2.4K | 2.1K |
| 2021 | $1.7K | $296.60 | 5.88x | $1.4K | $424.3K | 2.6K | 2.3K |
| 2022 | $1.5K | $275.87 | 5.49x | $1.2K | $454.9K | 3.0K | 2.5K |
| 2023 | $1.6K | $260.11 | 5.99x | $1.3K | $414.5K | 3.0K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 1.4K | $741.6K | $533.11 | 4.60x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 2.8K | $592.7K | $212.12 | 5.78x |
| 33361 | Replacement of aortic valve with prosthetic valve, accessed through the skin | 620 | $475.8K | $767.41 | 7.07x |
| 92933 | Removal of plaque and insertion of stent in major coronary artery or branch, accessed through the skin | 662 | $405.2K | $612.14 | 4.55x |
| 92986 | Catheter based repair of left lower heart (aortic) valve, accessed through the skin | 241 | $293.7K | $1.2K | 4.51x |
| 93460 | Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart | 738 | $222.4K | $301.31 | 5.60x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.6K | $175.4K | $67.90 | 3.87x |
| 92943 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin | 226 | $142.4K | $630.24 | 4.38x |
| 33418 | Replacement of aortic valve with prosthetic valve accessed through the skin | 122 | $127.2K | $1.0K | 7.63x |
| 92920 | Balloon dilation of narrowed or blocked major coronary artery or branch (accessed through the skin) | 250 | $113.3K | $453.28 | 4.93x |
| 93459 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 478 | $102.3K | $214.04 | 7.28x |
| 92941 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel during heart attack, accessed through the skin | 155 | $95.5K | $615.81 | 4.04x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 2.4K | $87.7K | $36.48 | 4.73x |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.3K | $84.4K | $64.78 | 4.04x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 962 | $83.6K | $86.94 | 3.63x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 350 | $71.0K | $202.97 | 5.59x |
| 93571 | Ultrasound evaluation of heart blood vessel during diagnosis or treatment | 774 | $61.7K | $79.72 | 8.18x |
| 92937 | Insertion of stent, removal of plaque and/or balloon dilation of coronary vessel, accessed through the skin | 77 | $41.3K | $536.35 | 4.60x |
| 99152 | Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes | 3.6K | $41.0K | $11.55 | 18.19x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 2.6K | $35.6K | $13.52 | 6.80x |
This provider submits charges 5.48 times higher than what Medicare actually pays.
A markup ratio of 5.48x means for every $100 Medicare pays, this provider initially charges $548. 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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