This provider's $5.9M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
Medicare payments to this provider grew 62% 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 | $433.33 | $156.44 | 2.77x | $276.89 | $417.0K | 5.2K | 3.8K |
| 2015 | $434.11 | $161.66 | 2.69x | $272.45 | $485.9K | 5.6K | 4.4K |
| 2016 | $458.90 | $173.69 | 2.64x | $285.21 | $585.3K | 7.1K | 5.4K |
| 2017 | $404.36 | $161.17 | 2.51x | $243.19 | $536.7K | 7.7K | 5.1K |
| 2018 | $421.46 | $158.47 | 2.66x | $262.99 | $651.8K | 9.8K | 6.2K |
| 2019 | $375.45 | $141.81 | 2.65x | $233.64 | $544.6K | 8.3K | 5.3K |
| 2020 | $345.29 | $134.42 | 2.57x | $210.87 | $637.2K | 10.0K | 6.1K |
| 2021 | $384.47 | $147.48 | 2.61x | $236.99 | $641.2K | 9.9K | 6.1K |
| 2022 | $391.83 | $145.79 | 2.69x | $246.04 | $677.0K | 10.3K | 6.4K |
| 2023 | $347.50 | $118.12 | 2.94x | $229.38 | $673.8K | 12.2K | 6.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 15.5K | $1.3M | $86.74 | 2.70x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 896 | $553.2K | $617.41 | 2.57x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.6K | $312.0K | $120.50 | 2.67x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.6K | $280.4K | $61.41 | 2.78x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.6K | $272.7K | $166.72 | 2.50x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 260 | $256.1K | $984.89 | 2.60x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 18.5K | $233.5K | $12.63 | 2.70x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 4.2K | $217.2K | $51.78 | 2.82x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $212.7K | $125.39 | 2.77x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 415 | $184.3K | $444.07 | 2.62x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 209 | $159.0K | $760.97 | 2.56x |
| 92960 | External shock to heart to regulate heart beat | 1.7K | $155.9K | $90.63 | 3.74x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.6K | $137.1K | $85.63 | 2.50x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 826 | $136.9K | $165.72 | 2.64x |
| 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 | 6.6K | $126.0K | $19.06 | 2.70x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 372 | $118.7K | $319.13 | 2.44x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 4.8K | $115.5K | $23.93 | 2.78x |
| 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 | 2.5K | $72.0K | $28.67 | 2.54x |
| 93224 | Heart rhythm tracing, analysis, and interpretation of 48-hour EKG | 1.2K | $69.9K | $60.27 | 2.88x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 1.8K | $65.7K | $36.05 | 2.68x |
This provider submits charges 2.7 times higher than what Medicare actually pays.
A markup ratio of 2.7x means for every $100 Medicare pays, this provider initially charges $270. 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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