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 →
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.
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 | $493.36 | $152.18 | 3.24x | $341.18 | $690.5K | 11.4K | 6.1K |
| 2015 | $449.22 | $136.89 | 3.28x | $312.33 | $705.8K | 11.6K | 6.4K |
| 2016 | $480.61 | $152.78 | 3.15x | $327.83 | $692.8K | 12.8K | 6.9K |
| 2017 | $508.06 | $162.94 | 3.12x | $345.12 | $885.0K | 13.5K | 7.1K |
| 2018 | $447.84 | $158.39 | 2.83x | $289.45 | $935.9K | 14.8K | 7.0K |
| 2019 | $428.69 | $156.33 | 2.74x | $272.36 | $909.7K | 15.1K | 6.1K |
| 2020 | $605.70 | $276.96 | 2.19x | $328.74 | $895.0K | 14.0K | 5.1K |
| 2021 | $577.64 | $267.53 | 2.16x | $310.11 | $1.0M | 14.0K | 5.3K |
| 2022 | $630.69 | $286.52 | 2.20x | $344.17 | $1.0M | 13.1K | 5.1K |
| 2023 | $569.90 | $238.45 | 2.39x | $331.45 | $1.0M | 13.6K | 5.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 825 | $1.1M | $1.4K | 2.12x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 7.8K | $954.9K | $123.07 | 2.05x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 1.2K | $798.0K | $650.36 | 2.83x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 826 | $499.9K | $605.21 | 2.63x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 20.8K | $453.2K | $21.80 | 2.98x |
| 33285 | Insertion of heart rhythm monitor under skin | 343 | $449.7K | $1.3K | 1.93x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 10.4K | $389.4K | $37.46 | 2.94x |
| 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 | 11.8K | $385.0K | $32.75 | 3.36x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.6K | $288.3K | $180.20 | 3.05x |
| 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 | 13.0K | $285.3K | $21.97 | 3.64x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 5.2K | $222.1K | $42.45 | 3.53x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 486 | $206.0K | $423.92 | 2.36x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 7.6K | $193.3K | $25.38 | 4.93x |
| 93297 | Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days | 8.2K | $176.5K | $21.48 | 2.79x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 3.5K | $163.4K | $46.96 | 3.19x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 691 | $144.3K | $208.81 | 2.63x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 827 | $141.5K | $171.16 | 2.57x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 763 | $128.0K | $167.72 | 2.27x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 9.3K | $124.9K | $13.50 | 4.25x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.3K | $114.1K | $89.92 | 2.02x |
This provider submits charges 2.81 times higher than what Medicare actually pays.
A markup ratio of 2.81x means for every $100 Medicare pays, this provider initially charges $281. 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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