This provider's $7.5M in total Medicare payments ranks in the 99th percentile of Clinical Cardiac Electrophysiology providers nationally.
Medicare payments to this provider grew 114% 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 | $341.99 | $189.52 | 1.80x | $152.47 | $586.5K | 3.0K | 2.4K |
| 2015 | $306.00 | $174.02 | 1.76x | $131.98 | $622.3K | 3.0K | 2.6K |
| 2016 | $283.73 | $169.68 | 1.67x | $114.05 | $603.1K | 3.3K | 2.7K |
| 2017 | $261.15 | $145.59 | 1.79x | $115.56 | $663.0K | 3.5K | 3.0K |
| 2018 | $283.44 | $155.26 | 1.83x | $128.18 | $690.2K | 3.9K | 3.2K |
| 2019 | $287.32 | $167.43 | 1.72x | $119.89 | $694.1K | 3.8K | 3.1K |
| 2020 | $273.56 | $144.34 | 1.90x | $129.22 | $627.6K | 3.3K | 2.8K |
| 2021 | $320.88 | $189.99 | 1.69x | $130.89 | $789.9K | 3.4K | 2.9K |
| 2022 | $723.68 | $402.94 | 1.80x | $320.74 | $922.7K | 3.9K | 3.1K |
| 2023 | $346.63 | $199.53 | 1.74x | $147.10 | $1.3M | 4.4K | 3.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 3.3K | $3.4M | $1.0K | 1.58x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 3.9K | $1.1M | $276.80 | 1.28x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 514 | $990.3K | $1.9K | 1.55x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.7K | $398.2K | $230.28 | 2.39x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 4.8K | $260.4K | $54.22 | 2.61x |
| J2785 | Injection, regadenoson, 0.1 mg | 4.3K | $194.6K | $44.95 | 1.48x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 147 | $131.6K | $895.20 | 1.53x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.7K | $93.4K | $55.22 | 1.80x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 185 | $76.2K | $412.03 | 1.57x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 871 | $76.1K | $87.34 | 1.80x |
| 78434 | Nuclear medicine study of heart muscle blood flow by pet | 500 | $72.7K | $145.37 | 1.56x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 438 | $71.3K | $162.71 | 2.55x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 918 | $67.9K | $74.00 | 1.30x |
| 33285 | Insertion of heart rhythm monitor under skin | 17 | $65.3K | $3.8K | 2.08x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 219 | $62.4K | $284.83 | 1.76x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 78 | $52.7K | $676.16 | 1.57x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 1.6K | $36.3K | $22.34 | 2.60x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 785 | $35.5K | $45.19 | 2.23x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 956 | $35.2K | $36.85 | 2.83x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 2.5K | $29.1K | $11.67 | 2.86x |
This provider submits charges 1.66 times higher than what Medicare actually pays.
A markup ratio of 1.66x means for every $100 Medicare pays, this provider initially charges $166. This is lower 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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