This provider's $6.9M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
Their average markup ratio of 6.84x is significantly above the specialty median of 4.2x.
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 | $1.0K | $214.54 | 4.88x | $831.41 | $661.1K | 5.1K | 3.8K |
| 2015 | $1.3K | $253.89 | 4.94x | $999.49 | $652.8K | 4.8K | 3.6K |
| 2016 | $1.2K | $227.81 | 5.05x | $922.50 | $878.1K | 7.2K | 4.8K |
| 2017 | $1.7K | $248.52 | 6.71x | $1.4K | $707.6K | 4.7K | 3.9K |
| 2018 | $1.7K | $224.91 | 7.64x | $1.5K | $583.4K | 6.1K | 4.8K |
| 2019 | $3.0K | $234.05 | 12.82x | $2.8K | $622.2K | 6.6K | 4.7K |
| 2020 | $3.1K | $230.49 | 13.43x | $2.9K | $633.3K | 6.4K | 4.9K |
| 2021 | $5.0K | $298.86 | 16.79x | $4.7K | $827.5K | 6.5K | 4.7K |
| 2022 | $3.0K | $289.70 | 10.35x | $2.7K | $689.3K | 5.9K | 4.3K |
| 2023 | $6.0K | $258.53 | 23.08x | $5.7K | $615.6K | 6.0K | 4.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 1.5K | $1.6M | $1.1K | 6.36x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.6K | $872.5K | $69.23 | 4.52x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 1.6K | $554.4K | $343.05 | 5.07x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.7K | $529.4K | $143.73 | 5.01x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 531 | $431.0K | $811.59 | 6.36x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 845 | $318.6K | $376.99 | 8.37x |
| 33340 | Repair of left upper heart | 404 | $286.4K | $708.94 | 11.01x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 1.2K | $256.4K | $209.47 | 3.94x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 628 | $250.9K | $399.49 | 6.43x |
| 93654 | Evaluation and insertion of catheters for recording, pacing, and attempted induction of abnormal heart rhythm | 205 | $220.8K | $1.1K | 6.31x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 13.8K | $198.3K | $14.34 | 8.13x |
| 93623 | Programmed heart rhythm stimulation after drug infusion into a vein | 1.3K | $177.0K | $138.57 | 7.12x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.5K | $132.3K | $37.27 | 4.12x |
| 93228 | Heart rhythm tracing, computer analysis, and interpretation of patient-triggered events greater than 24-hour EKG up to 30 days | 5.4K | $124.4K | $23.22 | 14.09x |
| 93662 | Ultrasound evaluation of heart blood vessel | 957 | $113.5K | $118.55 | 6.27x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 900 | $99.6K | $110.69 | 4.66x |
| 92960 | External shock to heart to regulate heart beat | 835 | $84.2K | $100.84 | 13.59x |
| 93462 | Insertion of catheter into left heart for diagnosis | 374 | $76.2K | $203.63 | 5.05x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 1.4K | $68.0K | $46.97 | 5.69x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 59 | $51.3K | $869.90 | 6.39x |
This provider submits charges 6.84 times higher than what Medicare actually pays.
A markup ratio of 6.84x means for every $100 Medicare pays, this provider initially charges $684. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Clinical Cardiac Electrophysiology providers in NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| David Hoch, M.D. | Roslyn, NY | $46.2M | ✓ Clear |
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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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