This provider's $11.3M in total Medicare payments ranks in the 99th 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.
Notable: Payments increased 148% in 2019
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 | $275.24 | $127.60 | 2.16x | $147.64 | $1.0M | 10.3K | 7.7K |
| 2015 | $268.87 | $104.84 | 2.56x | $164.03 | $777.3K | 8.1K | 6.4K |
| 2016 | $420.13 | $118.00 | 3.56x | $302.13 | $900.5K | 8.9K | 7.0K |
| 2017 | $402.24 | $115.18 | 3.49x | $287.06 | $839.9K | 8.5K | 6.3K |
| 2018 | $360.50 | $102.17 | 3.53x | $258.33 | $746.4K | 8.1K | 5.8K |
| 2019 | $2.1K | $502.16 | 4.24x | $1.6K | $1.8M | 8.8K | 6.5K |
| 2020 | $1.8K | $436.84 | 4.16x | $1.4K | $1.4M | 7.5K | 5.6K |
| 2021 | $1.6K | $413.64 | 3.97x | $1.2K | $1.3M | 7.5K | 5.9K |
| 2022 | $870.89 | $219.11 | 3.97x | $651.78 | $999.4K | 7.1K | 5.6K |
| 2023 | $1.4K | $346.17 | 3.99x | $1.0K | $1.4M | 10.7K | 6.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 615 | $2.3M | $3.7K | 4.44x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.6K | $1.3M | $357.76 | 3.05x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 8.1K | $1.3M | $154.45 | 3.28x |
| 37229 | Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure | 186 | $1.0M | $5.5K | 3.83x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.9K | $839.1K | $56.20 | 3.41x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 3.4K | $520.2K | $152.32 | 1.31x |
| 37252 | Ultrasound evaluation of blood vessel during diagnosis or treatment | 368 | $329.5K | $895.27 | 3.81x |
| 93923 | Ultrasound study of arteries of both arms and legs | 3.5K | $317.9K | $91.39 | 3.49x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.7K | $311.1K | $184.53 | 3.26x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.2K | $259.4K | $80.31 | 2.59x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.4K | $198.6K | $139.86 | 3.41x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.4K | $192.1K | $139.83 | 3.35x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.1K | $179.0K | $83.63 | 3.12x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.1K | $172.3K | $162.53 | 2.94x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 784 | $140.1K | $178.67 | 2.52x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 649 | $139.7K | $215.22 | 3.53x |
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 163 | $107.6K | $660.25 | 3.20x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 847 | $106.8K | $126.13 | 3.15x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 212 | $104.4K | $492.34 | 3.04x |
| G0166 | External counterpulsation, per treatment session | 850 | $90.1K | $106.03 | 2.51x |
This provider submits charges 3.47 times higher than what Medicare actually pays.
A markup ratio of 3.47x means for every $100 Medicare pays, this provider initially charges $347. 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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