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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Specialties
  3. Adult Congenital Heart Disease

Adult Congenital Heart Disease

Medicare spending analysis for Adult Congenital Heart Disease providers

🔎 Data Analysis

Adult Congenital Heart Disease accounts for $4.5M in Medicare payments across 133 providers.

The specialty's average markup of 4.8x is above the overall Medicare average of 3.77x.

AI-generated analysis based on Medicare payment data.

Total Payments (10yr)
$4.5M
Top Providers
46
States with Providers
16

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesProvidersYoY Change
2020$100.26191—
2021$1.5M23.2K42+1481965.4%
2022$1.6M25.9K44+4.9%
2023$1.5M24.3K46-6.7%

Top Adult Congenital Heart Disease Providers

#ProviderStatePaymentsServicesAvg/Service
1Lana TsaoMA$152.5K1.7K$92.07
2Fareed Moses ColladoIL$120.2K894$134.41
3Robert SommerNY$89.2K341$261.50
4Ramesh BansalCA$84.1K2.1K$40.59
5Neeraj JollyIL$73.7K969$76.05
6Anthony MagalskiMO$69.9K1.7K$41.50
7Christopher LearnMA$66.1K1.9K$34.47
8Doreen YehMA$65.0K920$70.63
9Ada StefanescuMA$55.3K495$111.62
10Matthew CarazoCA$50.1K996$50.33
11Aarthi SabanayagamCA$46.8K933$50.12
12Eric KriegerWA$45.5K1.6K$28.68
13Clifford KavinskyIL$35.4K296$119.49
14Laith AlshawabkehCA$35.0K638$54.88
15Yonatan BuberWA$34.2K877$39.01
16Saurabh RajpalOH$31.6K540$58.43
17Anurag SahuVA$31.1K757$41.02
18John SaxonVA$30.5K306$99.76
19Prashanth VenkateshCA$30.3K679$44.63
20Amber KhannaCO$29.5K664$44.43
21Karen StoutWA$23.6K483$48.83
22Noa Zemer WassercugNY$23.5K255$92.31
23Richard KrasuskiOH$22.5K275$81.95
24Emily SlaterNY$18.4K187$98.44
25Curtis DanielsOH$17.4K254$68.64

Top Procedures

CodeDescriptionPaymentsServicesAvg/Service
99215Established patient office or other outpatient visit, 40-54 minutes$209.9K1.6K$132.85
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function$208.0K3.6K$57.27
99214Established patient office or other outpatient visit, 30-39 minutes$140.4K1.7K$80.86
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$133.1K1.3K$98.96
99291Critical care, first 30-74 minutes$82.6K455$181.57
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$79.0K1.2K$66.04
93303Ultrasound of heart for congenital defect$69.6K910$76.53
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$62.3K437$142.49
99205New patient office or other outpatient visit, 60-74 minutes$47.7K305$156.47
33340Repair of left upper heart chamber with implant with review by radiologist$40.2K54$744.67
33361Replacement of aortic valve through the skin and femoral artery$37.8K59$641.27
92928Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch$29.4K61$482.08
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only$24.1K3.8K$6.42
93312Ultrasound of heart with probe in esophagus, with report$22.1K264$83.83
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes$21.9K205$106.63
93454Insertion of tube in coronary artery for diagnosis with review by radiologist$20.1K124$162.15
93320Ultrasound of heart blood flow, valves and chambers$19.4K1.1K$17.28
93580Repair of congenital abnormality in wall between upper heart chambers with implant$17.8K19$934.93
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report$17.7K1.5K$11.78
99239Hospital discharge day management, more than 30 minutes$13.1K137$95.84

Geographic Distribution

MA
$338.8K
4 providers
CA
$258.4K
6 providers
IL
$229.5K
4 providers
NY
$169.1K
6 providers
WA
$121.7K
6 providers
OH
$71.7K
4 providers
MO
$69.9K
1 providers
VA
$61.6K
2 providers
CO
$43.6K
3 providers
PA
$33.5K
3 providers
FL
$17.1K
1 providers
AL
$12.9K
1 providers
MI
$11.6K
2 providers
GA
$10.1K
1 providers
CT
$3.0K
1 providers
ME
$1.6K
1 providers

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

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.