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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. Ihab Girgis
⚕️
MDIndividual

Ihab Girgis, M.D.

NPI: 1134109895
Neptune, NJ
10 years of data
Clinical Cardiac Electrophysiology
$8.8M
Total Payments
59.9K
Beneficiaries
133.9K
Services
2.81x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$8.8M
Specialty median$207.8K

📋 Key Findings

1Billed $8.8M over 10 years
22.81x markup ratio (above median)
399th percentile in Clinical Cardiac Electrophysiology by payments
454 services/day — unusually high
57 procedures with >3x markup

This provider averages 54 services per working day

Based on 133.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $8.8M in total Medicare payments ranks in the 99th percentile of Clinical Cardiac Electrophysiology providers nationally.

Averaging 54 services per working day raises questions about billing patterns.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

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$493.36$152.183.24x$341.18$690.5K11.4K6.1K
2015$449.22$136.893.28x$312.33$705.8K11.6K6.4K
2016$480.61$152.783.15x$327.83$692.8K12.8K6.9K
2017$508.06$162.943.12x$345.12$885.0K13.5K7.1K
2018$447.84$158.392.83x$289.45$935.9K14.8K7.0K
2019$428.69$156.332.74x$272.36$909.7K15.1K6.1K
2020$605.70$276.962.19x$328.74$895.0K14.0K5.1K
2021$577.64$267.532.16x$310.11$1.0M14.0K5.3K
2022$630.69$286.522.20x$344.17$1.0M13.1K5.1K
2023$569.90$238.452.39x$331.45$1.0M13.6K5.1K

Top Procedures (20)

78492Nuclear medicine study heart muscle at rest and/or stress multiple studies
$1.1M
825 services$1.4K/svc2.12x markup
99215Established patient office or other outpatient, visit typically 40 minutes
$954.9K
7.8K services$123.07/svc2.05x markup
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days
$798.0K
1.2K services$650.36/svc2.83x markup
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
$499.9K
826 services$605.21/svc2.63x markup
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days
$453.2K
20.8K services$21.80/svc2.98x markup
33285Insertion of heart rhythm monitor under skin
$449.7K
343 services$1.3K/svc1.93x markup
93299Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days
$389.4K
10.4K services$37.46/svc2.94x 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⚠ 3.4x markup
$385.0K
11.8K services$32.75/svc3.36x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 3.0x markup
$288.3K
1.6K services$180.20/svc3.05x 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⚠ 3.6x markup
$285.3K
13.0K services$21.97/svc3.64x markup
93295Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days⚠ 3.5x markup
$222.1K
5.2K services$42.45/svc3.53x markup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies
$206.0K
486 services$423.92/svc2.36x markup
93294Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days⚠ 4.9x markup
$193.3K
7.6K services$25.38/svc4.93x markup
93297Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days
$176.5K
8.2K services$21.48/svc2.79x markup
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report⚠ 3.2x markup
$163.4K
3.5K services$46.96/svc3.19x markup
93925Ultrasound study of arteries and arterial grafts of both legs
$144.3K
691 services$208.81/svc2.63x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck
$141.5K
827 services$171.16/svc2.57x markup
99205New patient office or other outpatient visit, typically 60 minutes
$128.0K
763 services$167.72/svc2.27x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 4.3x markup
$124.9K
9.3K services$13.50/svc4.25x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$114.1K
1.3K services$89.92/svc2.02x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78492Nuclear medicine study heart muscle at rest and/or stress multiple studies825$1.1M$1.4K2.12x
99215Established patient office or other outpatient, visit typically 40 minutes7.8K$954.9K$123.072.05x
93229Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days1.2K$798.0K$650.362.83x
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries826$499.9K$605.212.63x
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days20.8K$453.2K$21.802.98x
33285Insertion of heart rhythm monitor under skin343$449.7K$1.3K1.93x
93299Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days10.4K$389.4K$37.462.94x
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 tec11.8K$385.0K$32.753.36x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function1.6K$288.3K$180.203.05x
93296Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days13.0K$285.3K$21.973.64x
93295Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days5.2K$222.1K$42.453.53x
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies486$206.0K$423.922.36x
93294Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days7.6K$193.3K$25.384.93x
93297Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days8.2K$176.5K$21.482.79x
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report3.5K$163.4K$46.963.19x
93925Ultrasound study of arteries and arterial grafts of both legs691$144.3K$208.812.63x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck827$141.5K$171.162.57x
99205New patient office or other outpatient visit, typically 60 minutes763$128.0K$167.722.27x
93000Routine EKG using at least 12 leads including interpretation and report9.3K$124.9K$13.504.25x
99214Established patient office or other outpatient, visit typically 25 minutes1.3K$114.1K$89.922.02x

Markup Analysis

Charge-to-Payment Ratio

2.81x

This provider submits charges 2.81 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.81x means for every $100 Medicare pays, this provider initially charges $281. This is higher than the national average.

Location

Neptune, NJ

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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