This provider's $5.6M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
Their average markup ratio of 5.86x is significantly above the specialty median of 4.2x.
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 | $727.24 | $218.38 | 3.33x | $508.86 | $488.7K | 2.1K | 1.8K |
| 2015 | $363.24 | $222.42 | 1.63x | $140.82 | $455.4K | 2.2K | 1.9K |
| 2016 | $529.41 | $250.79 | 2.11x | $278.62 | $433.3K | 2.3K | 1.8K |
| 2017 | $1.7K | $198.43 | 8.41x | $1.5K | $431.3K | 3.3K | 2.2K |
| 2018 | $1.7K | $215.86 | 8.03x | $1.5K | $519.7K | 2.7K | 2.3K |
| 2019 | $2.3K | $462.74 | 5.00x | $1.8K | $582.8K | 2.0K | 2.0K |
| 2020 | $2.8K | $491.63 | 5.64x | $2.3K | $539.3K | 1.8K | 1.7K |
| 2021 | $2.0K | $364.70 | 5.46x | $1.6K | $703.0K | 2.7K | 2.5K |
| 2022 | $2.2K | $354.07 | 6.11x | $1.8K | $731.9K | 4.1K | 2.9K |
| 2023 | $2.3K | $344.04 | 6.65x | $1.9K | $690.4K | 4.2K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 1.7K | $1.5M | $882.76 | 6.70x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 1.6K | $510.5K | $319.05 | 4.75x |
| 33285 | Insertion of heart rhythm monitor under skin | 114 | $506.0K | $4.4K | 4.53x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 1.6K | $448.2K | $276.86 | 7.67x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 531 | $359.5K | $677.01 | 9.03x |
| 33340 | Repair of left upper heart | 587 | $355.5K | $605.57 | 5.09x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 998 | $318.7K | $319.32 | 4.01x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.5K | $243.3K | $166.44 | 4.10x |
| 93662 | Ultrasound evaluation of heart blood vessel | 2.0K | $219.5K | $111.56 | 7.18x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $158.3K | $132.16 | 5.02x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 153 | $113.6K | $742.50 | 5.48x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.3K | $106.0K | $83.38 | 2.96x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 5.9K | $75.2K | $12.81 | 7.01x |
| 93654 | Evaluation and insertion of catheters for recording, pacing, and attempted induction of abnormal heart rhythm | 81 | $72.5K | $894.88 | 7.19x |
| 93623 | Programmed heart rhythm stimulation after drug infusion into a vein | 518 | $60.9K | $117.59 | 4.81x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 451 | $52.7K | $116.87 | 2.74x |
| 93650 | Insertion of catheters for creation of complete heart block | 108 | $48.3K | $447.54 | 8.19x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 2.2K | $46.3K | $20.76 | 4.87x |
| 93621 | Insertion of catheters for recording, pacing, and attempted induction of abnormal rhythm in left upper heart | 443 | $42.3K | $95.41 | 4.67x |
| 93462 | Insertion of catheter into left heart for diagnosis | 221 | $37.8K | $171.24 | 4.82x |
This provider submits charges 5.86 times higher than what Medicare actually pays.
A markup ratio of 5.86x means for every $100 Medicare pays, this provider initially charges $586. 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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