This provider's $4.0M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Medicare payments to this provider grew 182% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1359% in 2023
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 | $575.25 | $128.94 | 4.46x | $446.31 | $654.1K | 6.8K | 5.2K |
| 2015 | $618.98 | $127.48 | 4.86x | $491.50 | $478.7K | 5.2K | 3.7K |
| 2016 | $585.53 | $122.87 | 4.77x | $462.66 | $487.1K | 6.3K | 4.0K |
| 2017 | $564.45 | $126.42 | 4.46x | $438.03 | $415.1K | 5.1K | 3.4K |
| 2018 | $608.89 | $137.87 | 4.42x | $471.02 | $126.3K | 1.3K | 1.1K |
| 2023 | $1.7K | $408.71 | 4.13x | $1.3K | $1.8M | 4.8K | 4.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 942 | $1.1M | $1.1K | 4.67x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 386 | $558.6K | $1.4K | 4.49x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.1K | $465.7K | $76.31 | 2.88x |
| A9526 | Nitrogen n-13 ammonia, diagnostic, per study dose, up to 40 millicuries | 724 | $271.8K | $375.47 | 3.00x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 600 | $242.4K | $404.03 | 1.98x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.7K | $224.4K | $134.88 | 6.33x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 466 | $176.1K | $377.93 | 3.39x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.8K | $99.5K | $54.71 | 5.48x |
| 78434 | Nuclear medicine study of heart muscle blood flow by pet | 775 | $81.6K | $105.29 | 4.04x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.6K | $78.0K | $49.74 | 3.82x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.5K | $61.8K | $41.73 | 2.16x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 516 | $60.9K | $117.99 | 2.88x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 452 | $51.7K | $114.38 | 2.19x |
| 75574 | CT scan of heart blood vessels and grafts with contrast dye | 194 | $49.6K | $255.77 | 6.14x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 336 | $45.0K | $133.89 | 3.38x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 3.6K | $43.7K | $12.24 | 6.54x |
| 75635 | CT scan of abdominal aorta and both leg arteries with contrast | 125 | $37.4K | $299.35 | 4.81x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 177 | $37.1K | $209.41 | 5.69x |
| 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 76 | $36.7K | $482.43 | 4.70x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 474 | $30.6K | $64.56 | 6.66x |
This provider submits charges 4.12 times higher than what Medicare actually pays.
A markup ratio of 4.12x means for every $100 Medicare pays, this provider initially charges $412. 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data