This provider's $4.8M 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 | $489.45 | $101.78 | 4.81x | $387.67 | $309.5K | 5.4K | 4.1K |
| 2015 | $684.48 | $135.23 | 5.06x | $549.25 | $375.2K | 6.1K | 4.5K |
| 2016 | $730.34 | $136.87 | 5.34x | $593.47 | $391.2K | 6.8K | 4.8K |
| 2017 | $778.70 | $145.98 | 5.33x | $632.72 | $455.0K | 8.4K | 5.4K |
| 2018 | $611.60 | $114.44 | 5.34x | $497.16 | $498.9K | 10.4K | 6.5K |
| 2019 | $721.65 | $136.70 | 5.28x | $584.95 | $652.6K | 14.5K | 8.7K |
| 2020 | $710.87 | $142.96 | 4.97x | $567.91 | $653.6K | 15.6K | 8.7K |
| 2021 | $770.04 | $154.00 | 5.00x | $616.04 | $548.7K | 12.5K | 6.2K |
| 2022 | $698.68 | $143.25 | 4.88x | $555.43 | $485.6K | 10.7K | 5.8K |
| 2023 | $661.24 | $126.07 | 5.25x | $535.17 | $450.9K | 9.3K | 5.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 11.0K | $834.3K | $76.16 | 2.06x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 14.3K | $307.7K | $21.47 | 4.28x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 9.4K | $278.8K | $29.62 | 5.60x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 371 | $253.8K | $683.98 | 5.79x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.3K | $236.4K | $55.14 | 2.60x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.5K | $219.7K | $149.76 | 2.57x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 260 | $213.1K | $819.48 | 5.80x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 482 | $185.4K | $384.60 | 6.09x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 3.8K | $177.3K | $47.13 | 3.37x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 9.1K | $174.9K | $19.20 | 3.85x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 13.8K | $155.3K | $11.28 | 8.24x |
| 93296 | Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days | 8.3K | $134.3K | $16.10 | 5.34x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 2.7K | $130.2K | $48.67 | 18.45x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 173 | $108.4K | $626.54 | 5.68x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.4K | $106.5K | $78.74 | 2.58x |
| 93283 | Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report | 1.3K | $81.0K | $60.16 | 3.49x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 535 | $80.9K | $151.18 | 2.53x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 799 | $80.8K | $101.18 | 2.13x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 310 | $79.8K | $257.40 | 4.68x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 1.2K | $78.4K | $66.52 | 3.65x |
This provider submits charges 4.51 times higher than what Medicare actually pays.
A markup ratio of 4.51x means for every $100 Medicare pays, this provider initially charges $451. 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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