This provider's $5.3M 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 | $531.19 | $134.84 | 3.94x | $396.35 | $521.9K | 9.5K | 5.7K |
| 2015 | $589.54 | $147.35 | 4.00x | $442.19 | $544.1K | 7.7K | 5.3K |
| 2016 | $617.66 | $157.99 | 3.91x | $459.67 | $539.6K | 7.1K | 4.5K |
| 2017 | $589.50 | $210.74 | 2.80x | $378.76 | $690.5K | 6.7K | 4.5K |
| 2018 | $483.80 | $140.00 | 3.46x | $343.80 | $566.9K | 8.4K | 5.6K |
| 2019 | $459.56 | $114.09 | 4.03x | $345.47 | $463.3K | 8.9K | 6.1K |
| 2020 | $311.51 | $76.32 | 4.08x | $235.19 | $399.3K | 7.2K | 4.7K |
| 2021 | $363.52 | $96.38 | 3.77x | $267.14 | $499.0K | 8.3K | 4.7K |
| 2022 | $535.31 | $131.19 | 4.08x | $404.12 | $508.6K | 9.2K | 4.6K |
| 2023 | $567.05 | $127.08 | 4.46x | $439.97 | $538.5K | 9.2K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 16.6K | $1.5M | $92.15 | 1.78x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 7.2K | $384.5K | $53.28 | 4.01x |
| 93283 | Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report | 4.0K | $283.5K | $70.48 | 3.96x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 304 | $277.1K | $911.61 | 3.67x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.9K | $277.1K | $56.67 | 1.85x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.3K | $232.9K | $183.22 | 2.32x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.6K | $228.5K | $63.72 | 2.45x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 446 | $224.4K | $503.11 | 5.57x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 2.5K | $198.6K | $78.42 | 4.19x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 4.7K | $185.0K | $39.50 | 5.32x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $154.4K | $145.42 | 1.86x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 150 | $104.6K | $697.22 | 4.02x |
| 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 | 5.1K | $104.4K | $20.60 | 5.83x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 185 | $86.1K | $465.65 | 3.61x |
| 93282 | Evaluation, testing, and programming adjustment of permanent single lead cardioverter-defibrillator including physician analysis, review, and report | 1.5K | $84.4K | $54.81 | 4.27x |
| 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 | 697 | $81.6K | $117.09 | 4.70x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 3.3K | $78.1K | $23.37 | 5.13x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 192 | $67.7K | $352.68 | 3.12x |
| 93279 | Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report | 1.5K | $67.1K | $45.00 | 3.98x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 367 | $56.2K | $153.03 | 1.78x |
This provider submits charges 3.2 times higher than what Medicare actually pays.
A markup ratio of 3.2x means for every $100 Medicare pays, this provider initially charges $320. 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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