This provider's $3.7M in total Medicare payments ranks in the 97th percentile of Interventional Cardiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $304.76 | $78.59 | 3.88x | $226.17 | $396.4K | 6.3K | 4.6K |
| 2015 | $313.66 | $76.60 | 4.09x | $237.06 | $463.2K | 7.9K | 5.0K |
| 2016 | $284.54 | $67.55 | 4.21x | $216.99 | $397.5K | 7.2K | 4.4K |
| 2017 | $284.31 | $66.86 | 4.25x | $217.45 | $417.9K | 7.8K | 4.8K |
| 2018 | $278.14 | $65.17 | 4.27x | $212.97 | $410.6K | 8.0K | 5.0K |
| 2019 | $294.07 | $72.16 | 4.08x | $221.91 | $406.5K | 7.5K | 5.0K |
| 2020 | $284.30 | $68.18 | 4.17x | $216.12 | $349.7K | 6.4K | 4.4K |
| 2021 | $291.07 | $67.36 | 4.32x | $223.71 | $304.7K | 5.3K | 3.7K |
| 2022 | $277.45 | $65.01 | 4.27x | $212.44 | $297.2K | 5.1K | 3.7K |
| 2023 | $302.99 | $67.70 | 4.48x | $235.29 | $295.1K | 5.1K | 3.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 7.2K | $656.9K | $91.63 | 4.91x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.0K | $542.8K | $272.50 | 3.34x |
| G0249 | Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the | 7.6K | $435.0K | $57.09 | 5.55x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.5K | $367.1K | $49.05 | 2.49x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.5K | $189.0K | $74.68 | 2.52x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 439 | $176.8K | $402.66 | 4.47x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 955 | $143.4K | $150.20 | 2.77x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.6K | $141.0K | $54.44 | 2.24x |
| 93454 | Insertion of catheter for imaging of heart blood vessels or grafts | 930 | $138.6K | $149.04 | 5.29x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.5K | $126.1K | $82.99 | 1.31x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.7K | $78.0K | $46.45 | 7.17x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 714 | $74.3K | $104.07 | 3.34x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 4.9K | $47.6K | $9.72 | 8.41x |
| G0250 | Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent | 7.5K | $47.2K | $6.26 | 4.15x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 255 | $45.8K | $179.53 | 5.31x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 441 | $45.0K | $102.04 | 2.97x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.1K | $43.8K | $41.41 | 1.30x |
| 92960 | External shock to heart to regulate heart beat | 515 | $43.4K | $84.31 | 4.89x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 749 | $42.5K | $56.73 | 8.38x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 1.4K | $42.5K | $29.29 | 3.07x |
This provider submits charges 4.05 times higher than what Medicare actually pays.
A markup ratio of 4.05x means for every $100 Medicare pays, this provider initially charges $405. 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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