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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. John Seger
⚕️
MDIndividual

John Seger, M.D.

NPI: 1104846450
Houston, TX
10 years of data
Clinical Cardiac Electrophysiology
$4.4M
Total Payments
36.8K
Beneficiaries
74.4K
Services
4.7x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$4.4M
Specialty median$207.8K

📋 Key Findings

1Billed $4.4M over 10 years
24.7x markup ratio (above median)
398th percentile in Clinical Cardiac Electrophysiology by payments
4Payments surged 72% in 2019
516 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $4.4M 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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 72% in 2019

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$711.36$167.934.24x$543.43$292.9K4.7K2.9K
2015$642.28$160.674.00x$481.61$356.2K5.6K3.5K
2016$699.94$171.734.08x$528.21$450.9K7.2K4.4K
2017$633.80$151.144.19x$482.66$351.7K7.6K4.1K
2018$584.90$143.814.07x$441.09$346.9K8.0K3.9K
2019$917.68$264.763.47x$652.92$595.9K8.2K3.6K
2020$1.2K$260.294.75x$976.09$486.3K8.3K3.7K
2021$1.3K$279.644.69x$1.0K$726.5K7.0K3.7K
2022$1.1K$180.376.35x$964.41$399.1K8.8K3.7K
2023$1.1K$150.327.16x$925.31$359.6K8.9K3.2K

Top Procedures (20)

33285Insertion of heart rhythm monitor under skin⚠ 7.3x markup
$782.5K
480 services$1.6K/svc7.29x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$369.5K
6.5K services$57.24/svc1.75x markup
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm⚠ 3.7x markup
$344.0K
392 services$877.48/svc3.74x markup
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days⚠ 6.1x markup
$276.5K
14.1K services$19.68/svc6.10x markup
G2066Interrogation 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⚠ 5.3x markup
$229.6K
8.1K services$28.24/svc5.31x markup
93295Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days⚠ 4.6x markup
$194.8K
5.3K services$36.97/svc4.60x markup
33249Insertion or replacement of single or dual chamber pacing defibrillator leads⚠ 4.5x markup
$170.5K
234 services$728.72/svc4.46x markup
93296Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days⚠ 5.0x markup
$163.9K
9.0K services$18.16/svc4.96x markup
93299Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days⚠ 3.9x markup
$159.9K
5.2K services$30.97/svc3.88x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 5.5x markup
$135.5K
825 services$164.22/svc5.48x markup
93653Evaluation and insertion of catheters for creation of complete heart block⚠ 3.7x markup
$134.2K
202 services$664.45/svc3.70x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day
$133.6K
2.4K services$55.94/svc1.88x markup
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes⚠ 5.7x markup
$124.2K
301 services$412.52/svc5.73x markup
99203New patient office or other outpatient visit, typically 30 minutes
$116.4K
1.4K services$83.52/svc2.10x markup
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles⚠ 3.5x markup
$112.7K
404 services$278.94/svc3.46x markup
93294Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days⚠ 4.2x markup
$86.9K
3.8K services$22.62/svc4.20x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$82.6K
534 services$154.70/svc1.78x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 6.1x markup
$70.5K
5.8K services$12.10/svc6.09x markup
93641Evaluation of single or dual chamber pacing cardioverter-defibrillator and generator at time of implantation or replacement⚠ 9.1x markup
$69.5K
487 services$142.61/svc9.12x markup
33282Implantation patient-activated heart monitoring device⚠ 4.7x markup
$65.2K
383 services$170.13/svc4.70x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
33285Insertion of heart rhythm monitor under skin480$782.5K$1.6K7.29x
99213Established patient office or other outpatient visit, typically 15 minutes6.5K$369.5K$57.241.75x
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm392$344.0K$877.483.74x
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days14.1K$276.5K$19.686.10x
G2066Interrogation 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 tec8.1K$229.6K$28.245.31x
93295Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days5.3K$194.8K$36.974.60x
33249Insertion or replacement of single or dual chamber pacing defibrillator leads234$170.5K$728.724.46x
93296Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days9.0K$163.9K$18.164.96x
93299Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days5.2K$159.9K$30.973.88x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function825$135.5K$164.225.48x
93653Evaluation and insertion of catheters for creation of complete heart block202$134.2K$664.453.70x
99232Subsequent hospital inpatient care, typically 25 minutes per day2.4K$133.6K$55.941.88x
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes301$124.2K$412.525.73x
99203New patient office or other outpatient visit, typically 30 minutes1.4K$116.4K$83.522.10x
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles404$112.7K$278.943.46x
93294Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days3.8K$86.9K$22.624.20x
99223Initial hospital inpatient care, typically 70 minutes per day534$82.6K$154.701.78x
93000Routine EKG using at least 12 leads including interpretation and report5.8K$70.5K$12.106.09x
93641Evaluation of single or dual chamber pacing cardioverter-defibrillator and generator at time of implantation or replacement487$69.5K$142.619.12x
33282Implantation patient-activated heart monitoring device383$65.2K$170.134.70x

Markup Analysis

Charge-to-Payment Ratio

4.7x

This provider submits charges 4.7 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.7x means for every $100 Medicare pays, this provider initially charges $470. This is higher than the national average.

Location

Houston, TX

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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