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Methodology•Download Data
  1. Home
  2. Providers
  3. Seth Mcclennen
⚕️
MDIndividual

Seth Mcclennen, MD

NPI: 1265419410
South Weymouth, MA
10 years of data
Clinical Cardiac Electrophysiology
$4.7M
Total Payments
63.1K
Beneficiaries
110.9K
Services
4.89x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$4.7M
Specialty median$207.8K

📋 Key Findings

1Billed $4.7M over 10 years
24.89x markup ratio (above median)
398th percentile in Clinical Cardiac Electrophysiology by payments
420 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $4.7M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.

This provider's billing patterns fall within normal ranges for their specialty.

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$495.93$154.513.21x$341.42$452.3K9.3K5.7K
2015$344.93$117.982.92x$226.95$430.3K9.6K6.1K
2016$531.48$133.803.97x$397.68$480.8K10.4K6.2K
2017$467.58$108.714.30x$358.87$444.3K10.3K5.9K
2018$715.46$148.104.83x$567.36$464.9K10.8K6.3K
2019$700.75$126.265.55x$574.49$450.8K10.8K6.2K
2020$810.36$150.565.38x$659.80$444.5K10.6K6.2K
2021$698.98$131.335.32x$567.65$477.1K11.7K6.6K
2022$642.48$116.635.51x$525.85$494.6K13.3K6.8K
2023$704.51$127.185.54x$577.33$547.1K14.1K7.1K

Top Procedures (20)

99214Established patient office or other outpatient, visit typically 25 minutes⚠ 4.5x markup
$867.8K
9.8K services$88.88/svc4.47x 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⚠ 7.6x markup
$302.3K
14.6K services$20.65/svc7.63x markup
93294Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days⚠ 5.1x markup
$236.7K
10.3K services$22.99/svc5.09x markup
99215Established patient office or other outpatient, visit typically 40 minutes⚠ 4.0x markup
$215.8K
1.8K services$119.42/svc4.04x markup
99223Initial hospital inpatient care, typically 70 minutes per day⚠ 3.9x markup
$213.7K
1.3K services$166.54/svc3.89x markup
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes⚠ 4.9x markup
$197.4K
465 services$424.60/svc4.89x markup
93653Evaluation and insertion of catheters for creation of complete heart block⚠ 3.6x markup
$185.9K
264 services$703.99/svc3.65x markup
93295Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days⚠ 6.7x markup
$172.2K
4.8K services$35.61/svc6.69x markup
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report⚠ 4.3x markup
$151.1K
2.7K services$56.63/svc4.33x markup
99205New patient office or other outpatient visit, typically 60 minutes⚠ 4.1x markup
$146.1K
853 services$171.27/svc4.13x markup
99211Established patient office or other outpatient visit, typically 5 minutes⚠ 4.1x markup
$142.8K
8.6K services$16.59/svc4.06x markup
33249Insertion or replacement of single or dual chamber pacing defibrillator leads⚠ 3.9x markup
$128.8K
167 services$771.53/svc3.93x 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⚠ 6.8x markup
$108.6K
3.0K services$36.15/svc6.77x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day⚠ 3.6x markup
$101.8K
1.7K services$59.88/svc3.59x markup
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm⚠ 4.8x markup
$97.4K
106 services$918.63/svc4.81x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 5.3x markup
$96.2K
1.6K services$59.48/svc5.26x markup
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles⚠ 3.9x markup
$95.6K
322 services$296.97/svc3.94x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day⚠ 4.1x markup
$88.8K
998 services$88.93/svc4.06x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 7.1x markup
$85.2K
6.6K services$12.91/svc7.10x markup
93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report⚠ 6.4x markup
$73.5K
11.2K services$6.58/svc6.43x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99214Established patient office or other outpatient, visit typically 25 minutes9.8K$867.8K$88.884.47x
93296Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days14.6K$302.3K$20.657.63x
93294Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days10.3K$236.7K$22.995.09x
99215Established patient office or other outpatient, visit typically 40 minutes1.8K$215.8K$119.424.04x
99223Initial hospital inpatient care, typically 70 minutes per day1.3K$213.7K$166.543.89x
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes465$197.4K$424.604.89x
93653Evaluation and insertion of catheters for creation of complete heart block264$185.9K$703.993.65x
93295Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days4.8K$172.2K$35.616.69x
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report2.7K$151.1K$56.634.33x
99205New patient office or other outpatient visit, typically 60 minutes853$146.1K$171.274.13x
99211Established patient office or other outpatient visit, typically 5 minutes8.6K$142.8K$16.594.06x
33249Insertion or replacement of single or dual chamber pacing defibrillator leads167$128.8K$771.533.93x
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 tec3.0K$108.6K$36.156.77x
99232Subsequent hospital inpatient care, typically 25 minutes per day1.7K$101.8K$59.883.59x
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm106$97.4K$918.634.81x
99213Established patient office or other outpatient visit, typically 15 minutes1.6K$96.2K$59.485.26x
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles322$95.6K$296.973.94x
99233Subsequent hospital inpatient care, typically 35 minutes per day998$88.8K$88.934.06x
93000Routine EKG using at least 12 leads including interpretation and report6.6K$85.2K$12.917.10x
93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report11.2K$73.5K$6.586.43x

Markup Analysis

Charge-to-Payment Ratio

4.89x

This provider submits charges 4.89 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.89x means for every $100 Medicare pays, this provider initially charges $489. This is higher than the national average.

Location

South Weymouth, MA

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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