This provider's $5.1M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $438.19 | $126.55 | 3.46x | $311.64 | $484.6K | 7.8K | 4.9K |
| 2015 | $424.61 | $120.75 | 3.52x | $303.86 | $583.7K | 9.6K | 5.9K |
| 2016 | $400.39 | $100.57 | 3.98x | $299.82 | $493.5K | 9.3K | 6.0K |
| 2017 | $402.93 | $109.06 | 3.69x | $293.87 | $520.9K | 9.4K | 5.9K |
| 2018 | $455.17 | $116.43 | 3.91x | $338.74 | $463.7K | 7.7K | 4.6K |
| 2019 | $470.03 | $123.78 | 3.80x | $346.25 | $535.0K | 10.0K | 5.5K |
| 2020 | $469.65 | $121.89 | 3.85x | $347.76 | $500.5K | 8.7K | 5.7K |
| 2021 | $489.76 | $127.19 | 3.85x | $362.57 | $557.2K | 9.3K | 6.2K |
| 2022 | $454.39 | $116.81 | 3.89x | $337.58 | $501.8K | 7.6K | 5.0K |
| 2023 | $496.87 | $125.07 | 3.97x | $371.80 | $448.2K | 7.6K | 4.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.3K | $468.8K | $74.15 | 3.21x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.9K | $413.5K | $105.40 | 4.05x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 707 | $260.8K | $368.81 | 5.18x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.7K | $252.3K | $152.70 | 2.86x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.0K | $230.7K | $115.36 | 3.39x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 322 | $207.9K | $645.59 | 3.39x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 287 | $202.4K | $705.14 | 3.60x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.4K | $191.5K | $79.65 | 2.49x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 207 | $172.6K | $834.01 | 3.67x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 3.9K | $150.7K | $38.64 | 3.73x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 6.6K | $148.1K | $22.54 | 4.18x |
| 93650 | Insertion of catheters for creation of complete heart block | 339 | $144.5K | $426.35 | 3.61x |
| 93297 | Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days | 7.2K | $139.0K | $19.26 | 3.64x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 337 | $121.5K | $360.66 | 3.68x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 458 | $119.7K | $261.38 | 3.80x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 4.0K | $115.9K | $29.00 | 4.31x |
| 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 | 6.2K | $108.7K | $17.64 | 4.67x |
| 93312 | Insertion of probe in esophagus for heart ultrasound examination including interpretation and report | 1.3K | $106.8K | $84.13 | 4.10x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 2.3K | $83.7K | $35.78 | 4.79x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 6.5K | $74.3K | $11.37 | 4.67x |
This provider submits charges 3.81 times higher than what Medicare actually pays.
A markup ratio of 3.81x means for every $100 Medicare pays, this provider initially charges $381. 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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