This provider's $6.5M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
Medicare payments to this provider grew 175% from 2014 to 2023.
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 | $310.38 | $124.74 | 2.49x | $185.64 | $385.0K | 6.1K | 3.1K |
| 2015 | $347.13 | $130.83 | 2.65x | $216.30 | $437.9K | 7.5K | 3.6K |
| 2016 | $435.22 | $132.19 | 3.29x | $303.03 | $482.0K | 8.4K | 3.9K |
| 2017 | $526.80 | $118.40 | 4.45x | $408.40 | $533.7K | 8.7K | 4.2K |
| 2018 | $627.96 | $140.02 | 4.48x | $487.94 | $598.0K | 9.5K | 4.7K |
| 2019 | $816.14 | $127.49 | 6.40x | $688.65 | $626.8K | 10.7K | 4.9K |
| 2020 | $1.1K | $242.27 | 4.67x | $888.49 | $705.0K | 10.3K | 4.7K |
| 2021 | $1.0K | $227.29 | 4.59x | $815.44 | $787.0K | 8.8K | 4.8K |
| 2022 | $1.0K | $217.64 | 4.76x | $818.99 | $928.6K | 11.2K | 5.6K |
| 2023 | $656.62 | $179.69 | 3.65x | $476.93 | $1.1M | 12.6K | 6.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.1K | $1.2M | $96.14 | 2.42x |
| 33285 | Insertion of heart rhythm monitor under skin | 299 | $703.0K | $2.4K | 5.67x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 558 | $520.7K | $933.18 | 3.34x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.5K | $408.8K | $63.35 | 2.32x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 4.9K | $288.6K | $58.35 | 3.18x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.9K | $259.0K | $136.13 | 2.40x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 344 | $244.7K | $711.29 | 3.14x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 558 | $211.6K | $379.25 | 2.78x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 9.7K | $208.7K | $21.41 | 3.40x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 467 | $202.1K | $432.68 | 3.86x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 676 | $200.8K | $297.03 | 3.73x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.1K | $184.6K | $174.63 | 4.41x |
| G2066 | Interrogation 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 | 5.0K | $149.9K | $29.72 | 2.39x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 10.6K | $140.4K | $13.27 | 5.67x |
| 93296 | Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days | 6.3K | $139.2K | $22.20 | 4.23x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 5.3K | $132.1K | $24.92 | 3.52x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 364 | $123.8K | $339.99 | 3.20x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 709 | $122.5K | $172.80 | 1.89x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.0K | $115.3K | $112.42 | 2.57x |
| 92960 | External shock to heart to regulate heart beat | 1.2K | $114.0K | $95.37 | 6.29x |
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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