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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Chandrasekar Palaniswamy
⚕️
MDIndividual

Chandrasekar Palaniswamy, MD

NPI: 1316170749
Fresno, CA
8 years of data
Clinical Cardiac Electrophysiology
$4.1M
Total Payments
37.7K
Beneficiaries
48.9K
Services
3.59x
Markup Ratio

Peer Comparison

97th
percentile in specialty
This provider$4.1M
Specialty median$207.8K

📋 Key Findings

1Billed $4.1M over 8 years
23.59x markup ratio (above median)
397th percentile in Clinical Cardiac Electrophysiology by payments
4Payments surged 1057% in 2017
512 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 1057% in 2017

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

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
2016$164.73$49.073.36x$115.66$16.0K432387
2017$422.25$132.813.18x$289.44$184.6K2.8K2.1K
2018$498.50$149.213.34x$349.29$224.3K3.3K1.7K
2019$521.74$143.273.64x$378.47$444.7K4.4K3.8K
2020$870.84$258.153.37x$612.69$673.4K6.3K5.2K
2021$728.29$219.223.32x$509.07$673.6K8.1K6.7K
2022$739.72$206.743.58x$532.98$912.2K12.0K9.1K
2023$776.38$216.983.58x$559.40$945.8K11.6K8.7K

Top Procedures (20)

99214Established patient office or other outpatient, visit typically 25 minutes
$598.5K
6.3K services$94.30/svc2.88x markup
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm⚠ 3.3x markup
$587.0K
676 services$868.28/svc3.26x markup
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function⚠ 4.0x markup
$275.3K
3.2K services$85.91/svc3.97x markup
33285Insertion of heart rhythm monitor under skin⚠ 3.5x markup
$270.2K
67 services$4.0K/svc3.47x markup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies
$250.7K
652 services$384.44/svc2.54x markup
93655Insertion of catheters for treatment of abnormal heart rhythm⚠ 3.5x markup
$178.3K
575 services$310.13/svc3.47x markup
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles⚠ 3.2x markup
$139.6K
567 services$246.25/svc3.22x markup
99204New patient office or other outpatient visit, typically 45 minutes
$123.9K
972 services$127.49/svc2.92x markup
99223Initial hospital inpatient care, typically 70 minutes per day
$123.9K
794 services$156.00/svc2.56x markup
33340Repair of left upper heart⚠ 3.5x markup
$107.9K
186 services$579.93/svc3.46x markup
78431Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan
$88.1K
57 services$1.5K/svc2.91x markup
93657Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm⚠ 3.6x markup
$87.2K
295 services$295.70/svc3.64x markup
93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report⚠ 17.8x markup
$84.8K
13.2K services$6.42/svc17.82x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day
$84.1K
1.0K services$83.97/svc2.76x markup
93653Evaluation and insertion of catheters for creation of complete heart block⚠ 3.2x markup
$81.7K
124 services$658.81/svc3.19x markup
99442Physician telephone patient service, 11-20 minutes of medical discussion
$62.2K
904 services$68.84/svc2.74x markup
93662Ultrasound evaluation of heart blood vessel⚠ 3.7x markup
$59.9K
548 services$109.32/svc3.67x markup
93623Programmed heart rhythm stimulation after drug infusion into a vein⚠ 3.9x markup
$57.1K
559 services$102.19/svc3.91x markup
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days⚠ 3.7x markup
$52.6K
2.6K services$20.27/svc3.70x markup
93229Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional
$50.7K
71 services$714.30/svc2.52x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99214Established patient office or other outpatient, visit typically 25 minutes6.3K$598.5K$94.302.88x
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm676$587.0K$868.283.26x
93306Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function3.2K$275.3K$85.913.97x
33285Insertion of heart rhythm monitor under skin67$270.2K$4.0K3.47x
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies652$250.7K$384.442.54x
93655Insertion of catheters for treatment of abnormal heart rhythm575$178.3K$310.133.47x
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles567$139.6K$246.253.22x
99204New patient office or other outpatient visit, typically 45 minutes972$123.9K$127.492.92x
99223Initial hospital inpatient care, typically 70 minutes per day794$123.9K$156.002.56x
33340Repair of left upper heart186$107.9K$579.933.46x
78431Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan57$88.1K$1.5K2.91x
93657Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm295$87.2K$295.703.64x
93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report13.2K$84.8K$6.4217.82x
99233Subsequent hospital inpatient care, typically 35 minutes per day1.0K$84.1K$83.972.76x
93653Evaluation and insertion of catheters for creation of complete heart block124$81.7K$658.813.19x
99442Physician telephone patient service, 11-20 minutes of medical discussion904$62.2K$68.842.74x
93662Ultrasound evaluation of heart blood vessel548$59.9K$109.323.67x
93623Programmed heart rhythm stimulation after drug infusion into a vein559$57.1K$102.193.91x
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days2.6K$52.6K$20.273.70x
93229Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional71$50.7K$714.302.52x

Markup Analysis

Charge-to-Payment Ratio

3.59x

This provider submits charges 3.59 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.59x means for every $100 Medicare pays, this provider initially charges $359. This is higher than the national average.

Location

Fresno, CA

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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