This provider's $6.6M 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.
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 | $601.45 | $229.12 | 2.63x | $372.33 | $638.2K | 3.3K | 2.9K |
| 2015 | $602.47 | $227.92 | 2.64x | $374.55 | $632.4K | 3.4K | 3.0K |
| 2016 | $607.30 | $220.02 | 2.76x | $387.28 | $612.8K | 3.6K | 3.0K |
| 2017 | $642.32 | $235.53 | 2.73x | $406.79 | $595.0K | 3.5K | 3.0K |
| 2018 | $644.19 | $227.15 | 2.84x | $417.04 | $667.6K | 4.1K | 3.4K |
| 2019 | $657.19 | $244.97 | 2.68x | $412.22 | $590.4K | 3.5K | 2.9K |
| 2020 | $841.00 | $289.88 | 2.90x | $551.12 | $759.2K | 4.2K | 3.5K |
| 2021 | $889.47 | $276.43 | 3.22x | $613.04 | $931.4K | 6.5K | 5.1K |
| 2022 | $782.14 | $276.55 | 2.83x | $505.59 | $662.5K | 5.3K | 4.5K |
| 2023 | $1.1K | $306.97 | 3.59x | $795.72 | $527.6K | 4.4K | 3.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 1.5K | $1.3M | $921.37 | 2.53x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 1.3K | $442.0K | $334.32 | 2.62x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 1.5K | $427.8K | $284.25 | 2.86x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 566 | $422.5K | $746.55 | 2.56x |
| 33285 | Insertion of heart rhythm monitor under skin | 214 | $352.9K | $1.6K | 3.70x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.2K | $335.2K | $80.65 | 2.41x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 715 | $260.0K | $363.67 | 3.05x |
| 33340 | Repair of left upper heart | 386 | $252.7K | $654.55 | 2.53x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 746 | $241.4K | $323.53 | 2.69x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 617 | $238.6K | $386.64 | 2.51x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 337 | $232.5K | $689.84 | 2.54x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.3K | $208.9K | $162.53 | 2.42x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.5K | $182.7K | $119.72 | 2.51x |
| 93654 | Evaluation and insertion of catheters for recording, pacing, and attempted induction of abnormal heart rhythm | 160 | $146.2K | $913.48 | 2.55x |
| 93620 | Insertion of catheters for recording, pacing, and attempted induction of abnormal rhythm in right upper and lower heart | 293 | $139.3K | $475.42 | 2.83x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 870 | $133.9K | $153.91 | 2.52x |
| 93650 | Insertion of catheters for creation of complete heart block | 281 | $126.4K | $449.92 | 2.77x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.0K | $120.6K | $119.99 | 2.32x |
| 93662 | Ultrasound evaluation of heart blood vessel | 1.0K | $104.5K | $102.45 | 2.76x |
| 93318 | Insertion of probe in esophagus for continuous heart ultrasound monitoring and assessment of functional changes | 1.1K | $95.1K | $83.77 | 2.72x |
This provider submits charges 2.73 times higher than what Medicare actually pays.
A markup ratio of 2.73x means for every $100 Medicare pays, this provider initially charges $273. 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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