This provider averages 53 services per working day
Based on 132.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.4M in total Medicare payments ranks in the 99th percentile of Clinical Cardiac Electrophysiology providers nationally.
Averaging 53 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 72% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 57% in 2017
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $237.87 | $152.39 | 1.56x | $85.48 | $553.3K | 9.7K | 4.8K |
| 2015 | $211.21 | $132.69 | 1.59x | $78.52 | $515.3K | 8.5K | 5.8K |
| 2016 | $185.44 | $117.95 | 1.57x | $67.49 | $588.1K | 10.9K | 6.7K |
| 2017 | $235.92 | $196.68 | 1.20x | $39.24 | $924.5K | 13.0K | 8.1K |
| 2018 | $198.39 | $126.38 | 1.57x | $72.01 | $773.6K | 15.8K | 9.4K |
| 2019 | $326.06 | $208.07 | 1.57x | $117.99 | $966.6K | 16.8K | 10.2K |
| 2020 | $302.61 | $197.99 | 1.53x | $104.62 | $1.1M | 17.3K | 9.7K |
| 2021 | $308.54 | $199.70 | 1.55x | $108.84 | $1.1M | 15.2K | 9.5K |
| 2022 | $295.26 | $188.56 | 1.57x | $106.70 | $908.1K | 11.4K | 8.7K |
| 2023 | $298.86 | $183.07 | 1.63x | $115.79 | $953.6K | 13.8K | 8.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33285 | Insertion of heart rhythm monitor under skin | 584 | $1.6M | $2.7K | 1.53x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.4K | $1.0M | $96.23 | 1.51x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 4.7K | $810.7K | $172.49 | 1.49x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 15.3K | $459.9K | $30.03 | 1.59x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 19.7K | $451.5K | $22.90 | 1.48x |
| 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 | 12.9K | $389.2K | $30.08 | 1.63x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 753 | $352.0K | $467.51 | 1.55x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 4.5K | $240.4K | $53.52 | 1.52x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 281 | $218.5K | $777.49 | 1.50x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.2K | $212.2K | $177.46 | 1.48x |
| 93297 | Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days | 9.2K | $206.0K | $22.34 | 1.52x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 4.6K | $197.1K | $43.30 | 1.54x |
| 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 | 9.4K | $194.2K | $20.55 | 1.54x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 1.7K | $131.3K | $75.37 | 1.51x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 4.9K | $126.2K | $25.58 | 1.57x |
| 92960 | External shock to heart to regulate heart beat | 1.2K | $120.2K | $97.07 | 1.62x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 139 | $117.4K | $844.79 | 1.49x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.8K | $112.6K | $63.85 | 1.58x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 342 | $112.5K | $328.81 | 1.47x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 3.1K | $104.3K | $33.90 | 1.48x |
This provider submits charges 1.53 times higher than what Medicare actually pays.
A markup ratio of 1.53x means for every $100 Medicare pays, this provider initially charges $153. This is lower 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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