This provider's $4.1M in total Medicare payments ranks in the 97th percentile of Clinical Cardiac Electrophysiology providers nationally.
Medicare payments to this provider grew 5828% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1057% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $164.73 | $49.07 | 3.36x | $115.66 | $16.0K | 432 | 387 |
| 2017 | $422.25 | $132.81 | 3.18x | $289.44 | $184.6K | 2.8K | 2.1K |
| 2018 | $498.50 | $149.21 | 3.34x | $349.29 | $224.3K | 3.3K | 1.7K |
| 2019 | $521.74 | $143.27 | 3.64x | $378.47 | $444.7K | 4.4K | 3.8K |
| 2020 | $870.84 | $258.15 | 3.37x | $612.69 | $673.4K | 6.3K | 5.2K |
| 2021 | $728.29 | $219.22 | 3.32x | $509.07 | $673.6K | 8.1K | 6.7K |
| 2022 | $739.72 | $206.74 | 3.58x | $532.98 | $912.2K | 12.0K | 9.1K |
| 2023 | $776.38 | $216.98 | 3.58x | $559.40 | $945.8K | 11.6K | 8.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.3K | $598.5K | $94.30 | 2.88x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 676 | $587.0K | $868.28 | 3.26x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.2K | $275.3K | $85.91 | 3.97x |
| 33285 | Insertion of heart rhythm monitor under skin | 67 | $270.2K | $4.0K | 3.47x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 652 | $250.7K | $384.44 | 2.54x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 575 | $178.3K | $310.13 | 3.47x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 567 | $139.6K | $246.25 | 3.22x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 972 | $123.9K | $127.49 | 2.92x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 794 | $123.9K | $156.00 | 2.56x |
| 33340 | Repair of left upper heart | 186 | $107.9K | $579.93 | 3.46x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 57 | $88.1K | $1.5K | 2.91x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 295 | $87.2K | $295.70 | 3.64x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 13.2K | $84.8K | $6.42 | 17.82x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.0K | $84.1K | $83.97 | 2.76x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 124 | $81.7K | $658.81 | 3.19x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 904 | $62.2K | $68.84 | 2.74x |
| 93662 | Ultrasound evaluation of heart blood vessel | 548 | $59.9K | $109.32 | 3.67x |
| 93623 | Programmed heart rhythm stimulation after drug infusion into a vein | 559 | $57.1K | $102.19 | 3.91x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 2.6K | $52.6K | $20.27 | 3.70x |
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 71 | $50.7K | $714.30 | 2.52x |
This provider submits charges 3.59 times higher than what Medicare actually pays.
A markup ratio of 3.59x means for every $100 Medicare pays, this provider initially charges $359. 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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