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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. Procedures
  3. 93296
  4. Cost Analysis

How Much Does Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days Cost on Medicare?

Cost analysis for CPT 93296 — Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days

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Average Medicare Payment

$16.07

2023 data

Total Payments (2023)

$30.6M

Services (2023)

1.8M

Price Change (2014–2023)

-11.3%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$18.11$13.0M730.9K—
2015$18.35$14.3M787.9K+1.3%
2016$18.32$16.6M920.3K-0.2%
2017$18.49$18.9M1.0M+0.9%
2018$18.84$21.8M1.2M+1.9%
2019$18.42$24.4M1.3M-2.2%
2020$18.56$28.8M1.5M+0.8%
2021$18.46$30.1M1.6M-0.5%
2022$16.64$29.2M1.7M-9.9%
2023$16.07$30.6M1.8M-3.4%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.5x more than the cheapest for this procedure. NY averages $19.75 vs AR at $13.51.

StateAvg PaymentTotal PaymentsServicesProviders
NY$19.75$7.5M381.2K326
CA$19.47$1.5M78.8K401
NJ$19.01$914.9K48.1K182
CO$18.46$636.3K34.5K57
AK$18.07$130.4K7.2K5
CT$18.05$275.2K15.2K89
HI$18.01$10.4K5767
MA$17.93$677.6K37.8K135
MD$17.82$485.2K27.2K81
NH$17.59$18.0K1.0K4
DC$17.30$39.0K2.3K9
WA$16.95$598.8K35.3K105
VA$16.86$463.1K27.5K76
RI$16.82$38.2K2.3K10
SD$16.56$12.1K7284
DE$16.49$133.8K8.1K29
OR$16.32$139.1K8.5K43
NV$16.28$61.9K3.8K34
TX$16.24$2.2M137.2K374
FL$16.01$2.1M131.3K570
VT$15.92$21.0K1.3K2
MN$15.91$606.2K38.1K55
PA$15.89$1.4M88.7K281
IL$15.62$927.0K59.3K179
AZ$15.60$611.5K39.2K132
SC$15.17$560.2K36.9K160
GA$15.17$667.6K44.0K102
MI$15.17$369.9K24.4K129
MT$15.04$66.2K4.4K10
NC$14.86$917.3K61.7K137
KS$14.69$449.6K30.6K78
UT$14.58$156.7K10.8K32
NM$14.54$19.3K1.3K10
ND$14.44$3.4K2343
OH$14.37$1.1M73.9K147
WI$14.32$163.7K11.4K52
MO$14.31$670.7K46.9K144
WV$14.27$118.7K8.3K23
IA$14.22$259.4K18.2K41
IN$14.21$669.2K47.1K102
TN$14.19$664.5K46.8K115
WY$14.19$11.7K8217
NE$14.14$324.6K22.9K31
OK$14.14$234.2K16.6K49
AL$14.06$412.0K29.3K112
KY$13.96$389.9K27.9K98
LA$13.94$316.3K22.7K108
MS$13.71$243.2K17.7K49
ID$13.55$53.4K3.9K21
AR$13.51$190.1K14.1K45

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Cardionet, LlcIndependent Diagnostic Testing Facility (IDTF)NY$1.7M87.1K$19.43
Vector Remote Care, LlcIndependent Diagnostic Testing Facility (IDTF)NY$1.1M58.3K$19.54
Rhythm Management Group CorpIndependent Diagnostic Testing Facility (IDTF)NY$1.1M54.5K$20.64
Cardiac Rms LlcIndependent Diagnostic Testing Facility (IDTF)NY$1.0M51.7K$20.09
Beyond Reps, Inc.Independent Diagnostic Testing Facility (IDTF)NY$553.3K27.3K$20.25
Octagos Health Inc.Independent Diagnostic Testing Facility (IDTF)TX$413.0K24.1K$17.13
Evoke Medical Care LlcIndependent Diagnostic Testing Facility (IDTF)CO$314.0K14.9K$21.03
Isis Medical, IncorporatedIndependent Diagnostic Testing Facility (IDTF)OH$221.6K16.1K$13.76
Vali Medical, LlcIndependent Diagnostic Testing Facility (IDTF)NY$218.3K10.2K$21.51
Rhythmscience Inc.Independent Diagnostic Testing Facility (IDTF)NY$196.9K10.2K$19.30
Equimed CorporationIndependent Diagnostic Testing Facility (IDTF)MN$178.5K10.2K$17.42
Joseph LevineCardiologyNY$114.3K5.3K$21.70
Denise ValentineNurse PractitionerAK$82.8K4.5K$18.50
David HochClinical Cardiac ElectrophysiologyNY$68.5K3.5K$19.36
Charles LoveClinical Cardiac ElectrophysiologyMD$59.8K3.4K$17.47
Walid KutayliClinical Cardiac ElectrophysiologyNE$57.8K4.0K$14.32
Jason GoebelClinical Cardiac ElectrophysiologySC$51.7K3.3K$15.80
Jason MeyersClinical Cardiac ElectrophysiologyIA$46.1K3.2K$14.63
Robert CanbyClinical Cardiac ElectrophysiologyTX$43.7K2.6K$16.60
William ShinClinical Cardiac ElectrophysiologyNY$43.6K2.1K$21.16

🤔 Is Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days Overpriced?

Based on the data, CPT 93296 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.

Costs have decreased 11.3% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.