This provider's $9.6M in total Medicare payments ranks in the 99th 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.
Notable: Payments increased 57% in 2019
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $275.44 | $136.30 | 2.02x | $139.14 | $835.0K | 8.7K | 6.1K |
| 2015 | $319.24 | $153.38 | 2.08x | $165.86 | $803.9K | 8.5K | 5.6K |
| 2016 | $443.64 | $130.10 | 3.41x | $313.54 | $664.1K | 7.7K | 5.2K |
| 2017 | $627.73 | $153.81 | 4.08x | $473.92 | $693.4K | 8.3K | 5.3K |
| 2018 | $578.19 | $142.23 | 4.07x | $435.96 | $748.2K | 9.1K | 5.9K |
| 2019 | $741.77 | $198.16 | 3.74x | $543.61 | $1.2M | 10.2K | 6.1K |
| 2020 | $780.06 | $204.77 | 3.81x | $575.29 | $1.1M | 11.5K | 5.9K |
| 2021 | $762.16 | $200.85 | 3.79x | $561.31 | $1.2M | 12.6K | 6.5K |
| 2022 | $722.28 | $181.91 | 3.97x | $540.37 | $1.2M | 14.1K | 7.3K |
| 2023 | $870.57 | $200.57 | 4.34x | $670.00 | $1.2M | 14.8K | 7.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 19.4K | $1.7M | $85.34 | 3.74x |
| 33285 | Insertion of heart rhythm monitor under skin | 371 | $1.4M | $3.7K | 3.85x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 5.7K | $726.7K | $128.57 | 3.92x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 744 | $699.4K | $940.03 | 2.95x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 1.1K | $626.9K | $559.72 | 3.46x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 719 | $248.5K | $345.66 | 2.91x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.5K | $211.6K | $83.02 | 3.22x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 689 | $208.8K | $303.00 | 2.39x |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 7.6K | $207.4K | $27.15 | 3.86x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 267 | $202.0K | $756.58 | 3.44x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.2K | $186.5K | $157.08 | 3.40x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 533 | $184.0K | $345.16 | 2.83x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.1K | $171.1K | $160.82 | 3.52x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.5K | $150.8K | $61.35 | 3.88x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 7.0K | $143.3K | $20.53 | 4.12x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $143.1K | $121.59 | 3.69x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 907 | $132.9K | $146.56 | 3.72x |
| 99220 | Hospital observation care typically 70 minutes per day | 863 | $123.7K | $143.32 | 2.10x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 2.5K | $118.7K | $48.38 | 3.52x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 9.6K | $115.7K | $12.08 | 4.40x |
This provider submits charges 3.57 times higher than what Medicare actually pays.
A markup ratio of 3.57x means for every $100 Medicare pays, this provider initially charges $357. 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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