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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. 93656
  4. Cost Analysis

How Much Does Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation Cost on Medicare?

Cost analysis for CPT 93656 — Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation

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Average Medicare Payment

$746.29

2023 data

Total Payments (2023)

$54.2M

Services (2023)

72.6K

Price Change (2014–2023)

-16.0%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$887.92$17.9M20.3K—
2015$905.17$22.6M25.1K+1.9%
2016$901.86$27.4M30.5K-0.4%
2017$904.71$31.6M35.1K+0.3%
2018$906.37$37.9M42.0K+0.2%
2019$923.19$44.7M48.7K+1.9%
2020$934.38$42.3M45.5K+1.2%
2021$917.12$52.2M57.1K-1.8%
2022$898.95$57.2M63.7K-2.0%
2023$746.29$54.2M72.6K-17.0%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $941.09 vs ID at $648.93.

StateAvg PaymentTotal PaymentsServicesProviders
AK$941.09$187.3K1994
NY$876.35$3.8M4.3K122
DC$830.39$174.4K2105
IL$808.92$2.4M3.0K96
NJ$798.87$1.4M1.8K50
MD$792.95$1.0M1.3K38
FL$792.59$5.8M7.3K169
CT$777.81$337.6K43422
MA$774.90$1.7M2.2K61
MI$762.06$1.2M1.6K63
DE$759.58$156.5K2068
RI$752.07$170.7K2278
NH$750.94$192.2K25610
NM$748.42$241.0K3227
PA$747.23$2.2M2.9K111
WA$747.01$1.1M1.5K42
NV$746.86$334.6K44815
CO$743.27$913.5K1.2K39
VA$740.02$2.2M3.0K68
LA$739.30$525.6K71124
OH$733.44$1.9M2.5K88
MT$731.88$242.3K3318
CA$730.68$5.3M7.3K160
WV$729.00$261.0K35813
GA$728.77$1.4M2.0K58
TX$726.70$4.3M5.9K153
MO$722.74$796.5K1.1K32
AZ$721.87$1.6M2.2K57
OR$711.42$342.9K48220
ME$708.18$136.0K19210
KY$707.81$406.3K57423
UT$707.04$457.5K64716
NC$704.31$1.5M2.2K63
SC$702.78$1.3M1.8K38
OK$699.92$625.7K89419
MN$699.42$554.6K79339
VT$696.30$89.8K1295
AL$694.84$917.9K1.3K32
KS$686.85$601.0K87525
WI$683.86$601.8K88035
IN$682.11$1.2M1.8K56
MS$680.10$272.0K40011
TN$672.20$1.5M2.3K57
AR$669.89$631.7K94314
IA$668.37$496.6K74324
NE$652.04$285.6K43814
ID$648.93$229.1K3539

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Dinesh SharmaClinical Cardiac ElectrophysiologyFL$177.2K214$827.90
Brett GidneyClinical Cardiac ElectrophysiologyCA$170.8K224$762.60
Mark BowersClinical Cardiac ElectrophysiologyCA$154.4K204$757.07
Arash AryanaClinical Cardiac ElectrophysiologyCA$141.6K188$753.37
Joseph LevineCardiologyNY$138.9K146$951.60
Larry ChinitzClinical Cardiac ElectrophysiologyNY$134.9K148$911.77
Saumil OzaClinical Cardiac ElectrophysiologyFL$131.6K167$787.93
Devi NairClinical Cardiac ElectrophysiologyAR$128.4K197$651.96
Michael LoguidiceClinical Cardiac ElectrophysiologyAR$125.8K187$672.86
Dilip MathewClinical Cardiac ElectrophysiologyFL$118.1K152$777.02
Brian BetenskyClinical Cardiac ElectrophysiologyFL$116.9K147$795.29
Peter Chang SingClinical Cardiac ElectrophysiologyCA$114.1K152$750.36
David HochClinical Cardiac ElectrophysiologyNY$103.2K109$947.03
Antonio MorettaClinical Cardiac ElectrophysiologyFL$101.0K130$777.13
Chad BrodtClinical Cardiac ElectrophysiologyCA$99.9K165$605.29
Sidney PeykarCardiologyFL$98.6K122$807.90
David LanClinical Cardiac ElectrophysiologyTN$95.6K139$687.57
Andrea NataleClinical Cardiac ElectrophysiologyTX$94.9K128$741.63
Moussa MansourClinical Cardiac ElectrophysiologyMA$94.7K121$782.84
Jason AppelbaumClinical Cardiac ElectrophysiologyFL$91.5K111$824.21

🤔 Is Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation Overpriced?

Based on the data, CPT 93656 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.

Costs have decreased 16% 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.