This provider averages 63 services per working day
Based on 157.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.0M in total Medicare payments ranks in the 99th percentile of Clinical Cardiac Electrophysiology providers nationally.
Averaging 63 services per working day raises questions about billing patterns.
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 | $401.50 | $144.08 | 2.79x | $257.42 | $897.2K | 18.9K | 9.1K |
| 2015 | $398.77 | $147.57 | 2.70x | $251.20 | $955.5K | 18.6K | 9.2K |
| 2016 | $433.99 | $160.74 | 2.70x | $273.25 | $895.3K | 17.6K | 8.8K |
| 2017 | $385.41 | $150.76 | 2.56x | $234.65 | $871.9K | 16.6K | 8.7K |
| 2018 | $426.39 | $156.31 | 2.73x | $270.08 | $766.0K | 15.4K | 8.2K |
| 2019 | $421.54 | $144.38 | 2.92x | $277.16 | $848.9K | 16.3K | 8.5K |
| 2020 | $403.35 | $151.12 | 2.67x | $252.23 | $730.9K | 14.0K | 7.3K |
| 2021 | $413.63 | $155.51 | 2.66x | $258.12 | $767.5K | 13.8K | 7.4K |
| 2022 | $437.51 | $160.53 | 2.73x | $276.98 | $671.0K | 12.5K | 7.1K |
| 2023 | $387.32 | $133.43 | 2.90x | $253.89 | $636.7K | 13.4K | 7.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 16.5K | $1.4M | $85.73 | 2.72x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 1.0K | $605.8K | $598.61 | 2.56x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 12.3K | $582.4K | $47.27 | 2.79x |
| 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 | 24.7K | $481.4K | $19.50 | 2.64x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 16.8K | $412.4K | $24.59 | 2.74x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 3.0K | $353.4K | $117.45 | 2.67x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 8.0K | $339.0K | $42.21 | 2.69x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.6K | $274.6K | $60.07 | 2.81x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.0K | $245.4K | $124.34 | 2.78x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 18.5K | $234.8K | $12.68 | 2.70x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 3.4K | $233.0K | $68.96 | 2.70x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 7.8K | $215.6K | $27.68 | 2.60x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 456 | $204.2K | $447.71 | 2.60x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 265 | $202.6K | $764.52 | 2.53x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 231 | $188.1K | $814.41 | 2.48x |
| 93283 | Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report | 2.9K | $183.8K | $63.41 | 2.74x |
| 93297 | Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days | 8.5K | $179.9K | $21.06 | 2.59x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 867 | $139.2K | $160.52 | 2.70x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 2.2K | $133.2K | $61.66 | 2.86x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 295 | $124.5K | $422.00 | 2.46x |
This provider submits charges 2.71 times higher than what Medicare actually pays.
A markup ratio of 2.71x means for every $100 Medicare pays, this provider initially charges $271. 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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