This provider's $5.3M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
Medicare payments to this provider grew 360% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 64% in 2020
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 | $633.41 | $159.11 | 3.98x | $474.30 | $236.3K | 3.6K | 2.8K |
| 2015 | $579.64 | $150.85 | 3.84x | $428.79 | $293.6K | 4.7K | 3.5K |
| 2016 | $452.17 | $119.90 | 3.77x | $332.27 | $318.4K | 4.5K | 3.2K |
| 2017 | $557.96 | $146.16 | 3.82x | $411.80 | $299.1K | 4.9K | 3.3K |
| 2018 | $526.10 | $132.82 | 3.96x | $393.28 | $281.1K | 4.6K | 3.1K |
| 2019 | $964.09 | $315.66 | 3.05x | $648.43 | $355.5K | 3.3K | 2.6K |
| 2020 | $962.98 | $293.31 | 3.28x | $669.67 | $582.8K | 4.7K | 3.5K |
| 2021 | $837.21 | $285.32 | 2.93x | $551.89 | $755.4K | 5.9K | 4.0K |
| 2022 | $671.18 | $218.99 | 3.06x | $452.19 | $1.1M | 10.3K | 6.0K |
| 2023 | $716.90 | $216.17 | 3.32x | $500.73 | $1.1M | 9.5K | 5.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 1.8K | $1.4M | $753.96 | 1.59x |
| 33285 | Insertion of heart rhythm monitor under skin | 176 | $816.0K | $4.6K | 2.65x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.6K | $711.4K | $93.32 | 2.68x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 273 | $193.7K | $709.39 | 3.52x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.3K | $169.5K | $130.57 | 2.68x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 2.0K | $137.9K | $69.53 | 6.47x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 769 | $130.2K | $169.34 | 3.54x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 978 | $128.7K | $131.55 | 3.23x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.2K | $105.4K | $90.48 | 3.59x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 7.5K | $102.1K | $13.58 | 5.89x |
| 99493 | Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes | 755 | $96.5K | $127.83 | 4.00x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 4.3K | $94.8K | $22.02 | 4.54x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 2.1K | $88.2K | $41.83 | 5.38x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.4K | $83.7K | $58.22 | 3.01x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 1.6K | $80.7K | $49.10 | 4.54x |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 1.7K | $76.0K | $43.98 | 3.87x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 249 | $74.8K | $300.24 | 4.33x |
| 33340 | Repair of left upper heart | 155 | $64.8K | $417.93 | 3.85x |
| 33274 | Insertion or replacement of permanent leadless pacemaker into lower right chamber of heart via catheter using imaging guidance | 146 | $57.1K | $391.12 | 4.10x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 2.1K | $53.9K | $25.67 | 4.87x |
This provider submits charges 3.1 times higher than what Medicare actually pays.
A markup ratio of 3.1x means for every $100 Medicare pays, this provider initially charges $310. 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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