This provider's $5.0M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
Their average markup ratio of 5.98x is significantly above the specialty median of 4.2x.
Medicare payments to this provider grew 418% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 155% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $346.25 | $226.77 | 1.53x | $119.48 | $163.0K | 2.1K | 906 |
| 2015 | $206.75 | $139.08 | 1.49x | $67.67 | $109.0K | 1.5K | 762 |
| 2016 | $255.97 | $126.73 | 2.02x | $129.24 | $278.3K | 3.5K | 1.7K |
| 2017 | $308.88 | $122.73 | 2.52x | $186.15 | $321.6K | 3.5K | 1.7K |
| 2018 | $275.71 | $128.70 | 2.14x | $147.01 | $332.1K | 4.0K | 1.7K |
| 2019 | $346.87 | $134.16 | 2.59x | $212.71 | $591.8K | 7.9K | 2.3K |
| 2020 | $374.66 | $130.07 | 2.88x | $244.59 | $664.1K | 8.6K | 3.6K |
| 2021 | $438.64 | $175.45 | 2.50x | $263.19 | $802.3K | 9.3K | 3.5K |
| 2022 | $403.52 | $140.49 | 2.87x | $263.03 | $855.3K | 10.5K | 3.4K |
| 2023 | $434.60 | $131.21 | 3.31x | $303.39 | $844.4K | 10.6K | 3.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 31.7K | $2.1M | $67.41 | 9.68x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 5.1K | $633.4K | $123.16 | 5.77x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.4K | $496.0K | $66.74 | 1.70x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 1.0K | $190.3K | $187.31 | 2.55x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 974 | $185.8K | $190.80 | 2.44x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 689 | $129.5K | $187.88 | 2.58x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 166 | $125.5K | $755.77 | 1.59x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.1K | $98.8K | $91.87 | 1.50x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 213 | $97.9K | $459.50 | 2.37x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 329 | $78.8K | $239.61 | 1.99x |
| 93351 | Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report | 327 | $73.7K | $225.46 | 3.73x |
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 56 | $73.1K | $1.3K | 1.95x |
| 94621 | Pulmonary exercise testing | 487 | $69.6K | $142.96 | 2.28x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 4.4K | $64.0K | $14.45 | 2.84x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 116 | $60.2K | $518.67 | 1.61x |
| 99238 | Hospital discharge day management, 30 minutes or less | 841 | $57.6K | $68.46 | 11.05x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 295 | $55.2K | $187.03 | 2.57x |
| 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 | 276 | $54.6K | $197.66 | 2.78x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 1.3K | $31.3K | $23.87 | 2.93x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 244 | $23.7K | $97.29 | 1.71x |
This provider submits charges 5.98 times higher than what Medicare actually pays.
A markup ratio of 5.98x means for every $100 Medicare pays, this provider initially charges $598. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Clinical Cardiac Electrophysiology providers in NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| David Hoch, M.D. | Roslyn, NY | $46.2M | ✓ Clear |
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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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