This provider's $4.7M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
Medicare payments to this provider grew 198% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 107% 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 | $431.93 | $134.83 | 3.20x | $297.10 | $223.7K | 3.1K | 1.9K |
| 2015 | $456.24 | $146.48 | 3.11x | $309.76 | $283.2K | 3.8K | 2.3K |
| 2016 | $460.70 | $161.97 | 2.84x | $298.73 | $277.3K | 4.1K | 2.4K |
| 2017 | $455.22 | $140.34 | 3.24x | $314.88 | $316.8K | 5.0K | 2.9K |
| 2018 | $342.64 | $115.67 | 2.96x | $226.97 | $307.1K | 5.1K | 2.9K |
| 2019 | $501.67 | $165.04 | 3.04x | $336.63 | $332.8K | 4.2K | 2.6K |
| 2020 | $523.85 | $229.38 | 2.28x | $294.47 | $688.8K | 8.6K | 3.7K |
| 2021 | $562.71 | $218.69 | 2.57x | $344.02 | $838.3K | 12.3K | 4.8K |
| 2022 | $804.96 | $222.72 | 3.61x | $582.24 | $744.7K | 14.5K | 5.3K |
| 2023 | $585.53 | $129.65 | 4.52x | $455.88 | $666.7K | 13.9K | 5.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.6K | $731.7K | $85.45 | 2.37x |
| 33285 | Insertion of heart rhythm monitor under skin | 375 | $507.4K | $1.4K | 4.78x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 435 | $377.2K | $867.15 | 2.30x |
| 33340 | Repair of left upper heart | 519 | $323.6K | $623.45 | 2.61x |
| 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 | 11.4K | $296.4K | $26.10 | 1.71x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 2.0K | $240.0K | $120.05 | 3.12x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 11.0K | $215.7K | $19.61 | 3.14x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 931 | $118.2K | $126.97 | 2.49x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 421 | $112.2K | $266.39 | 4.07x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 285 | $105.1K | $368.71 | 1.59x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 9.0K | $104.2K | $11.60 | 4.35x |
| 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 | 5.6K | $97.7K | $17.57 | 3.56x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 775 | $93.0K | $120.02 | 2.43x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 251 | $92.8K | $369.66 | 3.68x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 129 | $92.1K | $713.67 | 2.73x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 3.8K | $82.9K | $21.97 | 3.12x |
| 93297 | Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days | 4.1K | $79.3K | $19.33 | 3.02x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 103 | $68.5K | $664.75 | 2.19x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 1.8K | $66.8K | $36.81 | 3.04x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 1.2K | $65.4K | $53.09 | 2.70x |
This provider submits charges 2.98 times higher than what Medicare actually pays.
A markup ratio of 2.98x means for every $100 Medicare pays, this provider initially charges $298. 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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