This provider's $6.5M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
Medicare payments to this provider grew 353% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 118% in 2020
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 | $309.65 | $125.07 | 2.48x | $184.58 | $309.3K | 6.4K | 4.6K |
| 2015 | $314.48 | $129.14 | 2.44x | $185.34 | $386.0K | 8.8K | 6.3K |
| 2016 | $280.49 | $112.08 | 2.50x | $168.41 | $410.4K | 9.7K | 6.4K |
| 2017 | $283.06 | $111.07 | 2.55x | $171.99 | $448.2K | 10.9K | 6.6K |
| 2018 | $337.95 | $117.56 | 2.87x | $220.39 | $308.8K | 6.5K | 4.9K |
| 2019 | $467.11 | $175.71 | 2.66x | $291.40 | $245.9K | 4.6K | 3.4K |
| 2020 | $820.64 | $323.71 | 2.54x | $496.93 | $536.3K | 4.0K | 3.0K |
| 2021 | $819.20 | $328.01 | 2.50x | $491.19 | $1.1M | 4.1K | 2.8K |
| 2022 | $864.85 | $330.71 | 2.62x | $534.14 | $1.3M | 4.2K | 2.7K |
| 2023 | $619.42 | $217.41 | 2.85x | $402.01 | $1.4M | 8.4K | 4.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33285 | Insertion of heart rhythm monitor under skin | 756 | $3.3M | $4.3K | 2.55x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 6.4K | $801.9K | $124.87 | 2.47x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.5K | $291.5K | $83.41 | 2.53x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.1K | $127.6K | $60.31 | 2.06x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 2.8K | $121.6K | $44.10 | 3.00x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 154 | $121.2K | $786.91 | 2.18x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 9.6K | $121.0K | $12.61 | 3.55x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 16.7K | $116.9K | $7.01 | 3.56x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 158 | $113.6K | $719.29 | 3.34x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 844 | $95.6K | $113.22 | 2.40x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 557 | $94.8K | $170.15 | 2.45x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 2.6K | $92.4K | $34.91 | 7.45x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 197 | $84.9K | $431.01 | 2.30x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 1.2K | $76.3K | $65.99 | 3.08x |
| 99219 | Hospital observation care typically 50 minutes | 603 | $67.5K | $111.99 | 2.32x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 1.2K | $62.1K | $50.45 | 2.38x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 3.0K | $61.2K | $20.71 | 2.87x |
| G0166 | External counterpulsation, per treatment session | 548 | $60.7K | $110.85 | 2.89x |
| 93283 | Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report | 1.0K | $60.6K | $59.56 | 2.84x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 128 | $50.4K | $394.13 | 2.15x |
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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