This provider's $3.8M in total Medicare payments ranks in the 97th percentile of Clinical Cardiac Electrophysiology providers nationally.
Their average markup ratio of 6.54x is significantly above the specialty median of 4.2x.
Medicare payments to this provider grew 1138% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 375% in 2015
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 | $420.87 | $102.51 | 4.11x | $318.36 | $47.3K | 938 | 848 |
| 2015 | $1.1K | $172.75 | 6.10x | $881.25 | $224.3K | 1.9K | 1.6K |
| 2016 | $1.2K | $166.66 | 7.05x | $1.0K | $328.2K | 2.8K | 2.3K |
| 2017 | $1.1K | $152.46 | 7.50x | $990.32 | $376.3K | 3.7K | 2.9K |
| 2018 | $1.0K | $144.25 | 7.17x | $890.05 | $376.5K | 3.8K | 3.1K |
| 2019 | $1.2K | $169.04 | 6.94x | $1.0K | $447.5K | 4.2K | 3.3K |
| 2020 | $1.3K | $186.08 | 6.80x | $1.1K | $482.2K | 4.0K | 3.1K |
| 2021 | $1.1K | $168.44 | 6.72x | $963.50 | $483.0K | 4.0K | 3.2K |
| 2022 | $1.2K | $177.62 | 6.84x | $1.0K | $493.5K | 4.2K | 3.1K |
| 2023 | $1.3K | $176.17 | 7.14x | $1.1K | $585.2K | 4.3K | 3.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 892 | $779.1K | $873.48 | 6.48x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 912 | $280.5K | $307.61 | 6.77x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 745 | $225.2K | $302.30 | 6.90x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 775 | $211.0K | $272.31 | 6.90x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 306 | $204.3K | $667.65 | 6.38x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.3K | $200.5K | $87.82 | 4.05x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 380 | $150.7K | $396.53 | 7.37x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 200 | $143.2K | $716.18 | 7.44x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 699 | $113.1K | $161.78 | 4.92x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 865 | $112.3K | $129.79 | 4.26x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 1.9K | $92.1K | $48.50 | 4.26x |
| 93662 | Ultrasound evaluation of heart blood vessel | 797 | $88.5K | $111.04 | 3.71x |
| 93654 | Evaluation and insertion of catheters for recording, pacing, and attempted induction of abnormal heart rhythm | 99 | $87.9K | $887.88 | 6.27x |
| 93609 | Insertion of tube in upper and/or lower heart chambers to record and identify origin of abnormal heart rhythm | 386 | $85.1K | $220.49 | 11.39x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 3.3K | $77.4K | $23.42 | 5.73x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.3K | $71.2K | $56.89 | 4.28x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 186 | $70.6K | $379.69 | 5.79x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 519 | $63.9K | $123.12 | 3.94x |
| 93623 | Programmed heart rhythm stimulation after drug infusion into a vein | 535 | $63.8K | $119.19 | 7.68x |
| 93296 | Remote evaluations of defibrillator transmissions, technician review, support and distribution of results up to 90 days | 2.8K | $56.4K | $20.35 | 6.37x |
This provider submits charges 6.54 times higher than what Medicare actually pays.
A markup ratio of 6.54x means for every $100 Medicare pays, this provider initially charges $654. 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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