This provider averages 174 services per working day
Based on 435.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $21.4M in total Medicare payments ranks in the 99th percentile of Interventional Cardiology providers nationally.
Averaging 174 services per working day raises questions about billing patterns.
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 | $284.61 | $82.60 | 3.45x | $202.01 | $2.0M | 43.1K | 24.7K |
| 2015 | $312.49 | $88.13 | 3.55x | $224.36 | $2.1M | 45.8K | 25.7K |
| 2016 | $267.00 | $76.00 | 3.51x | $191.00 | $2.0M | 44.0K | 24.8K |
| 2017 | $289.67 | $81.84 | 3.54x | $207.83 | $2.1M | 42.8K | 23.9K |
| 2018 | $325.79 | $96.71 | 3.37x | $229.08 | $2.0M | 40.2K | 22.4K |
| 2019 | $435.65 | $143.02 | 3.05x | $292.63 | $2.5M | 58.9K | 32.7K |
| 2020 | $747.36 | $268.18 | 2.79x | $479.18 | $2.5M | 52.3K | 25.1K |
| 2021 | $618.13 | $223.28 | 2.77x | $394.85 | $2.1M | 40.1K | 18.8K |
| 2022 | $634.56 | $213.79 | 2.97x | $420.77 | $2.2M | 35.0K | 16.7K |
| 2023 | $780.17 | $247.50 | 3.15x | $532.67 | $1.9M | 33.6K | 15.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 4.3K | $2.8M | $667.33 | 3.12x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 13.1K | $1.7M | $131.55 | 3.73x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.9K | $1.1M | $80.84 | 1.79x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 5.5K | $1.0M | $189.53 | 3.95x |
| 78431 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress, with concurrently acquired ct transmission scan | 1.3K | $1.0M | $818.89 | 2.70x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 5.9K | $767.5K | $129.87 | 2.46x |
| 37227 | Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure | 74 | $673.5K | $9.1K | 2.42x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 11.6K | $638.9K | $55.21 | 1.99x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.6K | $485.2K | $50.62 | 1.96x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 347 | $482.1K | $1.4K | 3.06x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 1.2K | $412.4K | $338.34 | 3.38x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.4K | $369.4K | $151.28 | 1.82x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 580 | $337.0K | $581.02 | 1.55x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.9K | $320.2K | $164.23 | 3.03x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 335 | $286.6K | $855.52 | 5.15x |
| 37238 | Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation | 153 | $283.2K | $1.9K | 3.37x |
| 37241 | Occlusion of venous malformations (other than hemorrhage) with radiological supervision and interpretation, roadmapping, and imaging guidance | 93 | $259.1K | $2.8K | 1.95x |
| 75574 | CT scan of heart blood vessels and grafts with contrast dye | 1.5K | $257.1K | $175.24 | 4.41x |
| 37225 | Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure | 50 | $243.3K | $4.9K | 3.19x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 5.7K | $238.8K | $41.56 | 2.29x |
This provider submits charges 3.09 times higher than what Medicare actually pays.
A markup ratio of 3.09x means for every $100 Medicare pays, this provider initially charges $309. 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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