This provider's $5.0M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $883.85 | $195.22 | 4.53x | $688.63 | $508.6K | 3.9K | 2.8K |
| 2015 | $608.21 | $195.50 | 3.11x | $412.71 | $487.0K | 3.9K | 2.7K |
| 2016 | $572.13 | $186.48 | 3.07x | $385.65 | $538.5K | 4.3K | 3.2K |
| 2017 | $573.26 | $183.40 | 3.13x | $389.86 | $554.5K | 4.5K | 3.3K |
| 2018 | $578.49 | $178.38 | 3.24x | $400.11 | $426.2K | 4.0K | 3.0K |
| 2019 | $532.40 | $180.77 | 2.95x | $351.63 | $552.6K | 4.4K | 3.3K |
| 2020 | $599.48 | $214.54 | 2.79x | $384.94 | $440.8K | 2.9K | 2.2K |
| 2021 | $622.06 | $232.62 | 2.67x | $389.44 | $564.4K | 3.3K | 2.5K |
| 2022 | $722.60 | $207.20 | 3.49x | $515.40 | $472.9K | 2.9K | 2.3K |
| 2023 | $684.73 | $176.59 | 3.88x | $508.14 | $493.2K | 4.1K | 3.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 1.1K | $977.1K | $878.67 | 2.57x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.5K | $740.6K | $86.66 | 2.28x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 484 | $358.6K | $740.94 | 2.57x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 1.0K | $328.4K | $320.40 | 2.60x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 1.1K | $299.6K | $275.66 | 2.86x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 627 | $259.2K | $413.41 | 3.45x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 317 | $210.2K | $662.95 | 2.69x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.2K | $189.4K | $156.82 | 1.87x |
| 93623 | Programmed heart rhythm stimulation after drug infusion into a vein | 1.3K | $159.6K | $118.41 | 3.58x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 901 | $123.7K | $137.28 | 2.43x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 328 | $123.3K | $375.85 | 2.74x |
| 93641 | Evaluation of single or dual chamber pacing cardioverter-defibrillator and generator at time of implantation or replacement | 912 | $120.2K | $131.77 | 8.68x |
| 93650 | Insertion of catheters for creation of complete heart block | 259 | $108.4K | $418.58 | 3.09x |
| 93662 | Ultrasound evaluation of heart blood vessel | 873 | $100.4K | $114.96 | 2.92x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 245 | $68.7K | $280.28 | 3.30x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 1.4K | $68.5K | $47.38 | 3.35x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 568 | $66.0K | $116.22 | 1.98x |
| 33264 | Removal and replacement of multiple lead pacing defibrillator pulse generator | 183 | $59.4K | $324.47 | 4.65x |
| 33263 | Removal and replacement of dual lead pacing defibrillator pulse generator | 192 | $59.1K | $307.78 | 4.37x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 3.9K | $50.9K | $13.13 | 4.15x |
This provider submits charges 3.01 times higher than what Medicare actually pays.
A markup ratio of 3.01x means for every $100 Medicare pays, this provider initially charges $301. 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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