This provider's $6.7M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
Medicare payments to this provider grew 550% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 241% in 2018
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 | $598.07 | $142.87 | 4.19x | $455.20 | $164.4K | 1.8K | 999 |
| 2015 | $608.06 | $137.80 | 4.41x | $470.26 | $176.3K | 1.8K | 995 |
| 2016 | $609.88 | $136.13 | 4.48x | $473.75 | $235.3K | 2.5K | 1.4K |
| 2017 | $518.19 | $155.92 | 3.32x | $362.27 | $228.2K | 2.4K | 1.2K |
| 2018 | $552.03 | $209.73 | 2.63x | $342.30 | $779.0K | 5.1K | 3.3K |
| 2019 | $893.71 | $312.98 | 2.86x | $580.73 | $1.0M | 6.1K | 3.7K |
| 2020 | $721.11 | $261.48 | 2.76x | $459.63 | $932.7K | 5.9K | 3.2K |
| 2021 | $793.97 | $298.90 | 2.66x | $495.07 | $1.0M | 7.7K | 3.5K |
| 2022 | $795.35 | $282.24 | 2.82x | $513.11 | $1.1M | 7.8K | 3.8K |
| 2023 | $874.68 | $278.36 | 3.14x | $596.32 | $1.1M | 7.4K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 815 | $1.3M | $1.6K | 2.18x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 1.0K | $846.4K | $843.03 | 1.87x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.6K | $770.1K | $101.80 | 3.29x |
| 33285 | Insertion of heart rhythm monitor under skin | 148 | $738.2K | $5.0K | 2.61x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 2.6K | $399.8K | $152.13 | 4.71x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 820 | $329.3K | $401.63 | 1.51x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 2.1K | $130.1K | $63.42 | 3.84x |
| 93620 | Insertion of catheters for recording, pacing, and attempted induction of abnormal rhythm in right upper and lower heart | 223 | $117.4K | $526.26 | 2.86x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.2K | $115.5K | $94.75 | 3.50x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 835 | $112.8K | $135.14 | 3.00x |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | 3.1K | $106.3K | $33.86 | 7.38x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 256 | $104.4K | $407.67 | 3.10x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 199 | $99.2K | $498.50 | 3.83x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 459 | $96.5K | $210.32 | 3.23x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 613 | $87.6K | $142.90 | 3.48x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 468 | $83.7K | $178.75 | 3.49x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 427 | $78.6K | $184.06 | 3.10x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 939 | $72.2K | $76.85 | 3.97x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.0K | $70.5K | $69.41 | 3.65x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 570 | $69.9K | $122.62 | 3.58x |
This provider submits charges 2.95 times higher than what Medicare actually pays.
A markup ratio of 2.95x means for every $100 Medicare pays, this provider initially charges $295. 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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