This provider's $8.3M in total Medicare payments ranks in the 99th 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 | $301.77 | $81.17 | 3.72x | $220.60 | $701.1K | 8.0K | 2.0K |
| 2015 | $383.69 | $90.70 | 4.23x | $292.99 | $786.6K | 9.8K | 2.8K |
| 2016 | $393.59 | $89.39 | 4.40x | $304.20 | $906.7K | 11.4K | 2.9K |
| 2017 | $332.73 | $81.32 | 4.09x | $251.41 | $746.3K | 10.2K | 3.1K |
| 2018 | $351.60 | $92.92 | 3.78x | $258.68 | $721.0K | 9.1K | 2.9K |
| 2019 | $404.73 | $115.86 | 3.49x | $288.87 | $856.7K | 10.1K | 3.0K |
| 2020 | $375.76 | $117.25 | 3.20x | $258.51 | $853.2K | 9.4K | 2.5K |
| 2021 | $544.09 | $172.12 | 3.16x | $371.97 | $883.8K | 8.4K | 2.8K |
| 2022 | $505.70 | $146.02 | 3.46x | $359.68 | $956.8K | 9.4K | 2.8K |
| 2023 | $628.58 | $183.22 | 3.43x | $445.36 | $926.0K | 9.3K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 29.4K | $2.6M | $87.85 | 3.98x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 13.2K | $2.4M | $183.58 | 4.00x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.7K | $709.4K | $92.07 | 2.99x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 3.0K | $508.3K | $166.64 | 3.16x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 7.9K | $478.2K | $60.18 | 3.14x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 268 | $447.0K | $1.7K | 3.39x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.0K | $196.9K | $65.55 | 5.97x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 207 | $77.3K | $373.44 | 4.03x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 5.6K | $74.7K | $13.34 | 3.75x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 106 | $69.6K | $656.91 | 2.28x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 8.8K | $61.6K | $6.97 | 5.74x |
| 93297 | Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days | 2.9K | $60.1K | $21.03 | 3.33x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 323 | $56.1K | $173.61 | 3.17x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 417 | $55.7K | $133.57 | 2.06x |
| 93296 | Remote evaluations of defibrillator transmissions, technician review, support and distribution of results up to 90 days | 2.6K | $55.2K | $21.59 | 3.24x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 118 | $51.8K | $439.35 | 2.96x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 70 | $42.6K | $608.85 | 4.29x |
| 93295 | Remote evaluations of defibrillator up to 90 days with analysis, review and report | 1.1K | $41.8K | $37.56 | 10.65x |
| 99292 | Critical care delivery critically ill or injured patient | 430 | $38.9K | $90.47 | 3.54x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 1.5K | $35.0K | $23.93 | 7.31x |
This provider submits charges 3.83 times higher than what Medicare actually pays.
A markup ratio of 3.83x means for every $100 Medicare pays, this provider initially charges $383. 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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