This provider's $5.9M in total Medicare payments ranks in the 98th percentile of Cardiology providers nationally.
Their average markup ratio of 5.08x is significantly above the specialty median of 3.6x.
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 | $1.3K | $155.40 | 8.55x | $1.2K | $624.7K | 8.9K | 6.5K |
| 2015 | $1.2K | $147.89 | 8.15x | $1.1K | $520.8K | 8.8K | 6.3K |
| 2016 | $1.4K | $162.40 | 8.52x | $1.2K | $624.9K | 10.6K | 6.5K |
| 2017 | $1.4K | $166.58 | 8.11x | $1.2K | $631.0K | 10.2K | 7.2K |
| 2018 | $1.4K | $156.83 | 8.69x | $1.2K | $648.0K | 12.0K | 7.0K |
| 2019 | $1.2K | $153.12 | 8.01x | $1.1K | $687.4K | 10.8K | 7.1K |
| 2020 | $1.2K | $150.69 | 8.10x | $1.1K | $478.8K | 9.0K | 5.8K |
| 2021 | $1.3K | $153.90 | 8.15x | $1.1K | $569.5K | 12.1K | 6.2K |
| 2022 | $789.92 | $135.09 | 5.85x | $654.83 | $494.1K | 12.2K | 5.7K |
| 2023 | $790.39 | $130.85 | 6.04x | $659.54 | $581.5K | 12.6K | 5.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.4K | $655.0K | $78.00 | 1.97x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 3.5K | $394.6K | $113.35 | 1.92x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 462 | $390.1K | $844.48 | 8.56x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 13.7K | $268.2K | $19.59 | 4.15x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.7K | $254.6K | $152.20 | 1.78x |
| 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 | 13.1K | $233.0K | $17.81 | 3.93x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 5.7K | $225.7K | $39.32 | 2.32x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.4K | $206.1K | $152.42 | 1.88x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 525 | $204.2K | $389.00 | 7.55x |
| 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 | 7.4K | $189.2K | $25.60 | 2.72x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 7.8K | $180.0K | $23.16 | 3.69x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 305 | $172.7K | $566.14 | 2.14x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 3.7K | $164.5K | $44.70 | 4.64x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 2.5K | $157.5K | $64.08 | 4.54x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 242 | $154.2K | $637.01 | 7.88x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 442 | $136.1K | $307.89 | 7.47x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 477 | $128.6K | $269.50 | 3.71x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 339 | $121.0K | $356.81 | 15.36x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 164 | $113.7K | $693.35 | 6.45x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 4.7K | $100.6K | $21.38 | 2.81x |
This provider submits charges 5.08 times higher than what Medicare actually pays.
A markup ratio of 5.08x means for every $100 Medicare pays, this provider initially charges $508. 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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