This provider's $4.9M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
Their average markup ratio of 5.36x is significantly above the specialty median of 4.2x.
Medicare payments to this provider grew 374% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 127% in 2015
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $363.60 | $92.22 | 3.94x | $271.38 | $159.0K | 1.7K | 1.3K |
| 2015 | $427.85 | $110.12 | 3.89x | $317.73 | $361.5K | 3.4K | 2.3K |
| 2016 | $481.48 | $112.48 | 4.28x | $369.00 | $415.9K | 3.7K | 2.7K |
| 2017 | $464.68 | $109.27 | 4.25x | $355.41 | $440.2K | 3.8K | 2.8K |
| 2018 | $431.78 | $99.26 | 4.35x | $332.52 | $448.7K | 3.9K | 2.9K |
| 2019 | $598.94 | $120.48 | 4.97x | $478.46 | $418.0K | 3.4K | 2.6K |
| 2020 | $700.31 | $127.55 | 5.49x | $572.76 | $398.4K | 3.0K | 2.4K |
| 2021 | $658.35 | $119.95 | 5.49x | $538.40 | $761.2K | 4.8K | 4.1K |
| 2022 | $795.67 | $121.69 | 6.54x | $673.98 | $748.5K | 5.1K | 4.4K |
| 2023 | $878.89 | $127.49 | 6.89x | $751.40 | $753.5K | 5.3K | 4.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 8.0K | $1.5M | $181.30 | 4.75x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.7K | $821.0K | $173.80 | 8.10x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 5.2K | $721.0K | $137.78 | 4.15x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.1K | $265.3K | $236.21 | 6.66x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.4K | $232.1K | $95.92 | 3.76x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 494 | $224.1K | $453.62 | 5.80x |
| 93978 | Ultrasound scan of vena cava or groin graft or vessel blood flow | 962 | $168.5K | $175.12 | 6.06x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.1K | $101.1K | $95.22 | 3.73x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 514 | $93.9K | $182.59 | 6.31x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 445 | $80.9K | $181.78 | 3.99x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 387 | $78.7K | $203.41 | 3.34x |
| 93923 | Ultrasound study of arteries of both arms and legs | 603 | $73.0K | $121.07 | 6.44x |
| 93924 | Ultrasound study of arteries of both legs at rest and exercise | 450 | $70.1K | $155.86 | 5.49x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 4.5K | $66.7K | $14.88 | 5.87x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 1.0K | $59.7K | $59.35 | 4.52x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 498 | $53.2K | $106.80 | 2.49x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 266 | $49.3K | $185.19 | 4.31x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 614 | $39.6K | $64.47 | 6.03x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 144 | $37.4K | $259.63 | 6.75x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 474 | $30.7K | $64.67 | 3.88x |
This provider submits charges 5.36 times higher than what Medicare actually pays.
A markup ratio of 5.36x means for every $100 Medicare pays, this provider initially charges $536. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Clinical Cardiac Electrophysiology providers in NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| David Hoch, M.D. | Roslyn, NY | $46.2M | ✓ Clear |
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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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