This provider's $4.0M 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.
Notable: Payments increased 55% in 2016
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 | $328.97 | $97.88 | 3.36x | $231.09 | $328.0K | 3.6K | 2.4K |
| 2015 | $356.22 | $107.28 | 3.32x | $248.94 | $423.7K | 4.2K | 3.0K |
| 2016 | $294.47 | $87.47 | 3.37x | $207.00 | $658.5K | 7.4K | 4.7K |
| 2017 | $336.19 | $99.43 | 3.38x | $236.76 | $427.8K | 5.0K | 2.8K |
| 2018 | $337.57 | $100.60 | 3.36x | $236.97 | $441.6K | 5.0K | 2.9K |
| 2019 | $413.36 | $123.60 | 3.34x | $289.76 | $426.6K | 4.3K | 2.6K |
| 2020 | $376.46 | $111.42 | 3.38x | $265.04 | $322.7K | 3.2K | 2.1K |
| 2021 | $377.15 | $112.10 | 3.36x | $265.05 | $386.8K | 3.7K | 2.5K |
| 2022 | $392.38 | $117.63 | 3.34x | $274.75 | $368.0K | 3.5K | 2.4K |
| 2023 | $362.74 | $112.10 | 3.24x | $250.64 | $169.5K | 1.9K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.4K | $1.2M | $84.17 | 3.49x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.8K | $718.5K | $150.56 | 3.38x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.2K | $418.0K | $352.75 | 3.22x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 548 | $336.7K | $614.47 | 3.13x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.4K | $192.5K | $137.83 | 3.35x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 894 | $140.7K | $157.33 | 3.44x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.2K | $119.4K | $100.49 | 4.11x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.7K | $103.5K | $59.39 | 3.15x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 819 | $90.0K | $109.88 | 3.22x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 1.4K | $87.6K | $63.74 | 3.74x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.3K | $75.8K | $57.74 | 3.52x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 786 | $67.5K | $85.90 | 3.24x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.2K | $63.8K | $52.77 | 3.75x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 449 | $57.0K | $126.90 | 3.39x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 1.1K | $55.4K | $49.78 | 3.40x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.2K | $50.6K | $43.35 | 5.13x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 2.2K | $28.7K | $13.01 | 3.36x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 72 | $15.6K | $217.04 | 3.24x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 703 | $14.3K | $20.33 | 3.43x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 89 | $13.6K | $152.35 | 3.50x |
This provider submits charges 3.42 times higher than what Medicare actually pays.
A markup ratio of 3.42x means for every $100 Medicare pays, this provider initially charges $342. 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.
Other Cardiology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Leo Polosajian, M.D. | Reseda, CA | $52.5M | ✓ Clear |
| Athar Ansari, M.D. | El Centro, CA | $38.2M | ✓ Clear |
| Hanumandla Reddy, M.D | Hanford, 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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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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