This provider's $5.4M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $435.48 | $128.70 | 3.38x | $306.78 | $616.7K | 14.5K | 8.2K |
| 2015 | $485.33 | $139.20 | 3.49x | $346.13 | $595.2K | 12.9K | 7.3K |
| 2016 | $484.20 | $140.05 | 3.46x | $344.15 | $615.8K | 12.7K | 7.8K |
| 2017 | $561.49 | $143.24 | 3.92x | $418.25 | $535.3K | 11.5K | 7.4K |
| 2018 | $447.05 | $129.90 | 3.44x | $317.15 | $466.3K | 10.7K | 7.2K |
| 2019 | $419.60 | $124.13 | 3.38x | $295.47 | $533.2K | 11.2K | 7.6K |
| 2020 | $442.99 | $137.21 | 3.23x | $305.78 | $482.7K | 9.4K | 6.3K |
| 2021 | $459.55 | $141.68 | 3.24x | $317.87 | $508.3K | 9.7K | 6.3K |
| 2022 | $430.06 | $129.82 | 3.31x | $300.24 | $511.2K | 11.0K | 6.7K |
| 2023 | $458.23 | $128.92 | 3.55x | $329.31 | $558.0K | 10.9K | 6.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.3K | $751.1K | $61.25 | 3.34x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.8K | $309.2K | $52.97 | 2.94x |
| 33340 | Repair of left upper heart | 424 | $278.0K | $655.61 | 3.14x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.6K | $260.2K | $161.14 | 3.26x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 284 | $250.1K | $880.48 | 3.33x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 322 | $236.4K | $734.12 | 3.65x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 519 | $197.0K | $379.67 | 3.76x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 26.2K | $173.1K | $6.60 | 3.44x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.9K | $164.9K | $85.13 | 3.17x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.2K | $159.1K | $133.77 | 3.21x |
| 93650 | Insertion of catheters for creation of complete heart block | 335 | $154.2K | $460.40 | 3.42x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 3.6K | $142.0K | $39.51 | 4.00x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.5K | $139.4K | $89.99 | 3.20x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 196 | $133.0K | $678.40 | 3.14x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 2.3K | $110.1K | $48.84 | 2.95x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 260 | $99.7K | $383.29 | 3.15x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 983 | $99.5K | $101.25 | 3.38x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 347 | $98.6K | $284.09 | 3.27x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 3.3K | $96.4K | $29.21 | 2.82x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 12.4K | $87.5K | $7.08 | 3.96x |
This provider submits charges 3.37 times higher than what Medicare actually pays.
A markup ratio of 3.37x means for every $100 Medicare pays, this provider initially charges $337. 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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