This provider's $5.0M in total Medicare payments ranks in the 98th percentile of 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 | $248.97 | $68.33 | 3.64x | $180.64 | $603.6K | 10.7K | 6.7K |
| 2015 | $250.62 | $72.88 | 3.44x | $177.74 | $643.7K | 10.7K | 6.7K |
| 2016 | $235.87 | $50.32 | 4.69x | $185.55 | $373.9K | 9.4K | 5.5K |
| 2017 | $306.77 | $51.01 | 6.01x | $255.76 | $389.1K | 9.8K | 5.6K |
| 2018 | $359.08 | $65.89 | 5.45x | $293.19 | $493.3K | 9.7K | 5.3K |
| 2019 | $192.64 | $57.43 | 3.35x | $135.21 | $519.6K | 10.8K | 5.8K |
| 2020 | $189.20 | $54.56 | 3.47x | $134.64 | $408.3K | 9.4K | 5.3K |
| 2021 | $181.65 | $54.85 | 3.31x | $126.80 | $556.3K | 13.2K | 6.7K |
| 2022 | $135.63 | $40.72 | 3.33x | $94.91 | $504.1K | 12.7K | 6.3K |
| 2023 | $167.89 | $46.49 | 3.61x | $121.40 | $515.5K | 12.4K | 6.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 24.0K | $2.1M | $85.68 | 3.43x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.6K | $647.2K | $51.49 | 3.71x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 39.5K | $481.3K | $12.18 | 3.89x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 3.9K | $464.2K | $119.73 | 3.25x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.7K | $462.7K | $80.81 | 5.06x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.6K | $400.6K | $151.44 | 5.57x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $132.0K | $125.24 | 3.41x |
| 93793 | Anti-clotting management for patient taking warfarin | 9.9K | $86.0K | $8.71 | 3.50x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 703 | $67.2K | $95.60 | 1.95x |
| 93018 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report | 3.0K | $34.2K | $11.47 | 3.24x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 323 | $26.5K | $82.08 | 3.37x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 414 | $22.9K | $55.32 | 5.23x |
| 93016 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring and physician supervision | 1.2K | $19.5K | $16.72 | 3.51x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 121 | $18.9K | $156.06 | 3.55x |
| J2785 | Injection, regadenoson, 0.1 mg | 335 | $13.8K | $41.22 | 1.50x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 1.6K | $11.0K | $6.72 | 3.40x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 255 | $10.9K | $42.64 | 3.71x |
| 93228 | Heart rhythm tracing, computer analysis, and interpretation of patient-triggered events greater than 24-hour EKG up to 30 days | 451 | $9.6K | $21.33 | 3.14x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 111 | $7.5K | $67.23 | 5.20x |
| 93283 | Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report | 93 | $5.5K | $59.56 | 3.08x |
This provider submits charges 3.81 times higher than what Medicare actually pays.
A markup ratio of 3.81x means for every $100 Medicare pays, this provider initially charges $381. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
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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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