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.
Notable: Payments increased 72% in 2019
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 | $711.36 | $167.93 | 4.24x | $543.43 | $292.9K | 4.7K | 2.9K |
| 2015 | $642.28 | $160.67 | 4.00x | $481.61 | $356.2K | 5.6K | 3.5K |
| 2016 | $699.94 | $171.73 | 4.08x | $528.21 | $450.9K | 7.2K | 4.4K |
| 2017 | $633.80 | $151.14 | 4.19x | $482.66 | $351.7K | 7.6K | 4.1K |
| 2018 | $584.90 | $143.81 | 4.07x | $441.09 | $346.9K | 8.0K | 3.9K |
| 2019 | $917.68 | $264.76 | 3.47x | $652.92 | $595.9K | 8.2K | 3.6K |
| 2020 | $1.2K | $260.29 | 4.75x | $976.09 | $486.3K | 8.3K | 3.7K |
| 2021 | $1.3K | $279.64 | 4.69x | $1.0K | $726.5K | 7.0K | 3.7K |
| 2022 | $1.1K | $180.37 | 6.35x | $964.41 | $399.1K | 8.8K | 3.7K |
| 2023 | $1.1K | $150.32 | 7.16x | $925.31 | $359.6K | 8.9K | 3.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33285 | Insertion of heart rhythm monitor under skin | 480 | $782.5K | $1.6K | 7.29x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.5K | $369.5K | $57.24 | 1.75x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 392 | $344.0K | $877.48 | 3.74x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 14.1K | $276.5K | $19.68 | 6.10x |
| 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 | 8.1K | $229.6K | $28.24 | 5.31x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 5.3K | $194.8K | $36.97 | 4.60x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 234 | $170.5K | $728.72 | 4.46x |
| 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 | 9.0K | $163.9K | $18.16 | 4.96x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 5.2K | $159.9K | $30.97 | 3.88x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 825 | $135.5K | $164.22 | 5.48x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 202 | $134.2K | $664.45 | 3.70x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.4K | $133.6K | $55.94 | 1.88x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 301 | $124.2K | $412.52 | 5.73x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.4K | $116.4K | $83.52 | 2.10x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 404 | $112.7K | $278.94 | 3.46x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 3.8K | $86.9K | $22.62 | 4.20x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 534 | $82.6K | $154.70 | 1.78x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 5.8K | $70.5K | $12.10 | 6.09x |
| 93641 | Evaluation of single or dual chamber pacing cardioverter-defibrillator and generator at time of implantation or replacement | 487 | $69.5K | $142.61 | 9.12x |
| 33282 | Implantation patient-activated heart monitoring device | 383 | $65.2K | $170.13 | 4.70x |
This provider submits charges 4.7 times higher than what Medicare actually pays.
A markup ratio of 4.7x means for every $100 Medicare pays, this provider initially charges $470. 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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