This provider's $6.1M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
Medicare payments to this provider grew 652% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 167% in 2016
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $535.62 | $135.44 | 3.95x | $400.18 | $132.0K | 1.5K | 1.2K |
| 2016 | $511.68 | $143.16 | 3.57x | $368.52 | $351.8K | 4.4K | 3.3K |
| 2017 | $445.15 | $126.37 | 3.52x | $318.78 | $343.3K | 4.1K | 3.0K |
| 2018 | $563.98 | $175.93 | 3.21x | $388.05 | $500.5K | 5.3K | 3.7K |
| 2019 | $676.29 | $179.32 | 3.77x | $496.97 | $511.4K | 6.5K | 4.4K |
| 2020 | $899.88 | $195.22 | 4.61x | $704.66 | $756.5K | 7.4K | 5.3K |
| 2021 | $980.12 | $262.14 | 3.74x | $717.98 | $1.4M | 9.8K | 6.7K |
| 2022 | $706.26 | $167.48 | 4.22x | $538.78 | $1.0M | 10.2K | 7.4K |
| 2023 | $642.24 | $153.64 | 4.18x | $488.60 | $992.3K | 10.3K | 7.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 1.1K | $1.4M | $1.3K | 3.06x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.2K | $754.3K | $92.55 | 3.00x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.8K | $553.4K | $146.30 | 3.73x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.1K | $405.6K | $368.03 | 3.30x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.7K | $365.4K | $63.85 | 3.54x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.9K | $240.8K | $128.89 | 2.90x |
| 33285 | Insertion of heart rhythm monitor under skin | 153 | $188.1K | $1.2K | 5.75x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 12.3K | $152.0K | $12.38 | 5.65x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 222 | $150.7K | $678.67 | 4.62x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 892 | $146.0K | $163.64 | 2.39x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 157 | $136.7K | $870.59 | 3.74x |
| 93288 | Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection | 3.9K | $130.1K | $32.95 | 4.35x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 782 | $102.3K | $130.86 | 3.27x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 257 | $101.4K | $394.59 | 4.26x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 241 | $98.1K | $407.22 | 2.89x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 1.5K | $89.6K | $59.23 | 5.14x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 959 | $82.4K | $85.91 | 2.02x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 468 | $81.5K | $174.06 | 3.27x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 3.7K | $79.6K | $21.24 | 3.38x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 282 | $75.4K | $267.36 | 4.27x |
This provider submits charges 3.58 times higher than what Medicare actually pays.
A markup ratio of 3.58x means for every $100 Medicare pays, this provider initially charges $358. 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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