This provider's $3.8M in total Medicare payments ranks in the 97th percentile of Clinical Cardiac Electrophysiology providers nationally.
Medicare payments to this provider grew 52% from 2014 to 2023.
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 | $309.11 | $170.03 | 1.82x | $139.08 | $244.7K | 3.0K | 1.9K |
| 2015 | $260.30 | $140.53 | 1.85x | $119.77 | $260.2K | 3.8K | 2.5K |
| 2016 | $288.45 | $151.03 | 1.91x | $137.42 | $332.6K | 4.9K | 3.2K |
| 2017 | $298.04 | $154.59 | 1.93x | $143.45 | $380.2K | 5.9K | 3.7K |
| 2018 | $322.34 | $152.49 | 2.11x | $169.85 | $465.9K | 6.5K | 4.0K |
| 2019 | $307.59 | $141.55 | 2.17x | $166.04 | $444.5K | 6.6K | 4.1K |
| 2020 | $333.95 | $156.84 | 2.13x | $177.11 | $439.7K | 7.0K | 3.8K |
| 2021 | $340.52 | $155.15 | 2.19x | $185.37 | $411.7K | 7.2K | 3.9K |
| 2022 | $362.33 | $162.06 | 2.24x | $200.27 | $408.4K | 7.2K | 3.9K |
| 2023 | $373.26 | $151.96 | 2.46x | $221.30 | $372.8K | 7.3K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 556 | $486.0K | $874.12 | 1.82x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 832 | $334.1K | $401.60 | 1.82x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 381 | $276.9K | $726.65 | 1.72x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 11.4K | $244.6K | $21.54 | 10.16x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 7.0K | $195.8K | $28.10 | 3.80x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 592 | $160.5K | $271.12 | 1.92x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 489 | $159.2K | $325.46 | 1.84x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $147.8K | $121.43 | 1.88x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.7K | $143.8K | $52.55 | 1.81x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 213 | $141.0K | $662.12 | 1.80x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.6K | $138.5K | $84.87 | 1.83x |
| 93295 | Remote evaluations of defibrillator up to 90 days with analysis, review and report | 4.0K | $125.9K | $31.21 | 12.31x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 318 | $118.2K | $371.83 | 1.69x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.1K | $110.9K | $103.82 | 1.82x |
| 93650 | Insertion of catheters for creation of complete heart block | 237 | $104.0K | $438.97 | 1.85x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 5.0K | $94.6K | $19.11 | 9.05x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 6.7K | $80.1K | $11.87 | 3.68x |
| 93283 | Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report | 1.7K | $73.1K | $43.13 | 2.33x |
| 33207 | Insertion or replacement of permanent pacemaker and lower chamber electrodes | 222 | $69.2K | $311.80 | 2.15x |
| 93662 | Ultrasound evaluation of heart blood vessel | 587 | $62.4K | $106.33 | 1.84x |
This provider submits charges 3.21 times higher than what Medicare actually pays.
A markup ratio of 3.21x means for every $100 Medicare pays, this provider initially charges $321. 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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