This provider's $4.9M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
Medicare payments to this provider grew 166% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 53% in 2016
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 | $455.08 | $123.76 | 3.68x | $331.32 | $224.0K | 2.7K | 2.0K |
| 2015 | $587.21 | $155.47 | 3.78x | $431.74 | $288.1K | 2.0K | 1.7K |
| 2016 | $619.30 | $163.44 | 3.79x | $455.86 | $439.5K | 3.7K | 2.7K |
| 2017 | $563.72 | $144.19 | 3.91x | $419.53 | $483.2K | 5.2K | 3.3K |
| 2018 | $533.18 | $139.12 | 3.83x | $394.06 | $524.0K | 6.7K | 4.2K |
| 2019 | $470.88 | $129.40 | 3.64x | $341.48 | $550.6K | 7.6K | 4.8K |
| 2020 | $503.91 | $138.50 | 3.64x | $365.41 | $571.9K | 8.0K | 5.0K |
| 2021 | $460.36 | $124.90 | 3.69x | $335.46 | $642.1K | 9.1K | 5.6K |
| 2022 | $487.16 | $128.11 | 3.80x | $359.05 | $588.6K | 8.9K | 5.5K |
| 2023 | $485.86 | $127.02 | 3.83x | $358.84 | $594.8K | 9.7K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.9K | $586.5K | $65.87 | 2.36x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 544 | $454.3K | $835.14 | 3.54x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 537 | $342.9K | $638.56 | 3.43x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 365 | $255.4K | $699.80 | 3.59x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 900 | $238.2K | $264.70 | 4.03x |
| 33340 | Repair of left upper heart | 400 | $236.7K | $591.71 | 4.04x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 514 | $192.3K | $374.13 | 3.85x |
| 93650 | Insertion of catheters for creation of complete heart block | 427 | $190.1K | $445.27 | 3.54x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 8.5K | $160.7K | $18.88 | 4.29x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 511 | $155.2K | $303.79 | 3.65x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 461 | $138.6K | $300.61 | 3.69x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 4.1K | $124.8K | $30.31 | 4.10x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 5.6K | $122.8K | $21.84 | 4.58x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $122.6K | $99.73 | 2.35x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 3.1K | $96.7K | $30.94 | 5.85x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.0K | $94.7K | $91.06 | 2.24x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 260 | $94.4K | $363.24 | 3.61x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.2K | $91.3K | $42.34 | 2.36x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 664 | $86.3K | $129.92 | 2.23x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 775 | $79.0K | $101.91 | 2.02x |
This provider submits charges 3.61 times higher than what Medicare actually pays.
A markup ratio of 3.61x means for every $100 Medicare pays, this provider initially charges $361. 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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