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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. David Hoch
⚕️
MDIndividual

David Hoch, M.D.

NPI: 1467501858
Roslyn, NY
10 years of data
Clinical Cardiac Electrophysiology
$46.2M
Total Payments
420
Beneficiaries
671.8K
Services
8.22x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$46.2M
Specialty median$207.8K
Rank #1 of 1 in specialty

📋 Key Findings

1Billed $46.2M over 10 years
28.22x markup ratio (above median)
399th percentile in Clinical Cardiac Electrophysiology by payments
4269 services/day — physically implausible
5Payments surged 71% in 2016
619 procedures with >3x markup

⚠️ This provider averages 269 services per working day — physically unusual for an individual practitioner

Based on 671.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $46.2M in total Medicare payments ranks in the 99th percentile of Clinical Cardiac Electrophysiology providers nationally.

Their average markup ratio of 8.22x is significantly above the specialty median of 4.2x.

Averaging 269 services per working day raises questions about billing patterns.

Medicare payments to this provider grew 229% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 71% in 2016

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$268.57$36.397.38x$232.18$1.4M38.3K41
2015$304.62$40.717.48x$263.91$1.8M45.4K43
2016$334.73$55.576.02x$279.16$3.2M56.8K47
2017$329.10$58.905.59x$270.20$3.7M62.3K43
2018$364.50$61.915.89x$302.59$4.1M66.9K43
2019$506.83$71.827.06x$435.01$5.2M72.6K40
2020$695.48$92.547.52x$602.94$6.4M69.5K42
2021$715.34$90.087.94x$625.26$7.8M86.7K38
2022$800.41$90.448.85x$709.97$8.0M88.4K41
2023$875.50$53.9116.24x$821.59$4.6M84.9K42

Top Procedures (20)

G2066Interrogation 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⚠ 3.9x markup
$12.6M
70.3K services$179.71/svc3.93x markup
93299Remote evaluations of implantable heart and blood vessel monitor or loop recorder system with technician analysis, review, and report, up to 30 days
$8.0M
37.7K services$211.63/svc2.14x markup
33285Insertion of heart rhythm monitor under skin⚠ 12.5x markup
$6.0M
1.5K services$3.9K/svc12.53x markup
99214Established patient office or other outpatient visit, 30-39 minutes⚠ 4.5x markup
$3.5M
34.5K services$102.53/svc4.51x markup
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only⚠ 4.7x markup
$1.6M
217.3K services$7.47/svc4.74x markup
93298Evaluation of cardiac rhythm monitor system, remote up to 30 days⚠ 27.1x markup
$1.5M
60.8K services$23.91/svc27.14x markup
93297Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days⚠ 16.4x markup
$1.2M
51.5K services$23.41/svc16.37x markup
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days⚠ 15.7x markup
$1.1M
47.2K services$23.40/svc15.71x markup
93620Insertion of catheters for recording and pacing of right heart chambers rhythm and induction of abnormal rhythm⚠ 9.5x markup
$1.1M
1.7K services$633.16/svc9.46x markup
93295Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days⚠ 12.1x markup
$1.1M
23.7K services$45.17/svc12.08x markup
93656Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation⚠ 20.6x markup
$978.8K
864 services$1.1K/svc20.65x markup
93653Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate)⚠ 17.1x markup
$742.0K
874 services$848.94/svc17.12x markup
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days⚠ 10.3x markup
$631.9K
23.8K services$26.55/svc10.25x markup
93655Insertion of catheters and destruction of tissue to treat abnormal heart rhythm⚠ 17.2x markup
$533.1K
1.3K services$403.53/svc17.19x markup
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report⚠ 8.2x markup
$520.7K
36.7K services$14.19/svc8.17x markup
93657Destruction of tissue of upper heart chamber through tube to treat abnormal heart rhythm⚠ 17.6x markup
$505.6K
1.3K services$403.22/svc17.64x markup
93609Insertion of tube in upper and/or lower heart chambers to record and identify origin of abnormal heart rhythm⚠ 9.6x markup
$467.1K
1.7K services$279.89/svc9.63x markup
93280Programming of dual lead pacemaker system⚠ 6.4x markup
$456.0K
7.7K services$58.93/svc6.41x markup
93282Programming of single lead implantable defibrillator system⚠ 5.8x markup
$378.3K
6.2K services$60.85/svc5.85x markup
93291Evaluation of cardiac rhythm monitor system⚠ 11.2x markup
$303.7K
6.7K services$45.35/svc11.21x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
G2066Interrogation 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 tec70.3K$12.6M$179.713.93x
93299Remote evaluations of implantable heart and blood vessel monitor or loop recorder system with technician analysis, review, and report, up to 30 days37.7K$8.0M$211.632.14x
33285Insertion of heart rhythm monitor under skin1.5K$6.0M$3.9K12.53x
99214Established patient office or other outpatient visit, 30-39 minutes34.5K$3.5M$102.534.51x
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only217.3K$1.6M$7.474.74x
93298Evaluation of cardiac rhythm monitor system, remote up to 30 days60.8K$1.5M$23.9127.14x
93297Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days51.5K$1.2M$23.4116.37x
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days47.2K$1.1M$23.4015.71x
93620Insertion of catheters for recording and pacing of right heart chambers rhythm and induction of abnormal rhythm1.7K$1.1M$633.169.46x
93295Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days23.7K$1.1M$45.1712.08x
93656Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation864$978.8K$1.1K20.65x
93653Comprehensive electrophysiologic evaluation with catheter destruction of abnormality of upper chamber of heart causing supraventricular tachycardia (rapid heart rate)874$742.0K$848.9417.12x
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days23.8K$631.9K$26.5510.25x
93655Insertion of catheters and destruction of tissue to treat abnormal heart rhythm1.3K$533.1K$403.5317.19x
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report36.7K$520.7K$14.198.17x
93657Destruction of tissue of upper heart chamber through tube to treat abnormal heart rhythm1.3K$505.6K$403.2217.64x
93609Insertion of tube in upper and/or lower heart chambers to record and identify origin of abnormal heart rhythm1.7K$467.1K$279.899.63x
93280Programming of dual lead pacemaker system7.7K$456.0K$58.936.41x
93282Programming of single lead implantable defibrillator system6.2K$378.3K$60.855.85x
93291Evaluation of cardiac rhythm monitor system6.7K$303.7K$45.3511.21x

Markup Analysis

Charge-to-Payment Ratio

8.22x

This provider submits charges 8.22 times higher than what Medicare actually pays.

What This Means

A markup ratio of 8.22x means for every $100 Medicare pays, this provider initially charges $822. This is higher than the national average.

Location

Roslyn, NY

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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