This provider's $6.9M 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 | $398.17 | $148.62 | 2.68x | $249.55 | $506.8K | 7.3K | 5.0K |
| 2015 | $400.99 | $156.92 | 2.56x | $244.07 | $524.9K | 8.1K | 5.3K |
| 2016 | $449.44 | $172.98 | 2.60x | $276.46 | $521.8K | 6.5K | 4.9K |
| 2017 | $412.51 | $155.27 | 2.66x | $257.24 | $583.5K | 6.6K | 5.3K |
| 2018 | $466.43 | $180.66 | 2.58x | $285.77 | $742.2K | 10.2K | 7.2K |
| 2019 | $371.08 | $149.21 | 2.49x | $221.87 | $848.8K | 12.1K | 7.5K |
| 2020 | $377.46 | $154.45 | 2.44x | $223.01 | $801.3K | 12.0K | 7.7K |
| 2021 | $398.31 | $157.29 | 2.53x | $241.02 | $837.8K | 13.2K | 8.3K |
| 2022 | $366.11 | $137.03 | 2.67x | $229.08 | $831.7K | 14.5K | 9.1K |
| 2023 | $405.66 | $142.26 | 2.85x | $263.40 | $686.0K | 13.5K | 8.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 1.0K | $789.1K | $785.16 | 2.32x |
| 33340 | Repair of left upper heart | 1.0K | $596.3K | $571.74 | 2.37x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 633 | $424.1K | $670.01 | 2.59x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 1.1K | $424.0K | $378.53 | 2.63x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 7.9K | $354.0K | $44.55 | 2.63x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.7K | $334.4K | $71.34 | 2.01x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 895 | $308.5K | $344.73 | 2.55x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 3.9K | $251.8K | $63.82 | 2.85x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 6.6K | $230.3K | $34.67 | 3.69x |
| 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 | 13.6K | $214.6K | $15.80 | 4.12x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 847 | $204.4K | $241.33 | 2.90x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.4K | $200.4K | $138.52 | 2.03x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 309 | $189.0K | $611.66 | 2.23x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.2K | $170.7K | $146.11 | 1.92x |
| 93650 | Insertion of catheters for creation of complete heart block | 427 | $161.7K | $378.68 | 2.87x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 7.0K | $149.3K | $21.36 | 3.09x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 479 | $137.6K | $287.32 | 2.50x |
| 33274 | Insertion or replacement of permanent leadless pacemaker into lower right chamber of heart via catheter using imaging guidance | 327 | $112.3K | $343.52 | 2.23x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.2K | $106.7K | $87.84 | 2.21x |
| 93283 | Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report | 1.7K | $96.9K | $56.74 | 2.76x |
This provider submits charges 2.62 times higher than what Medicare actually pays.
A markup ratio of 2.62x means for every $100 Medicare pays, this provider initially charges $262. 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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