This provider's $4.9M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
Their average markup ratio of 6.81x 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 | $1.2K | $179.39 | 6.73x | $1.0K | $398.3K | 3.1K | 2.6K |
| 2015 | $1.2K | $175.67 | 6.85x | $1.0K | $372.7K | 2.7K | 2.3K |
| 2016 | $1.3K | $171.24 | 7.50x | $1.1K | $525.2K | 3.8K | 3.2K |
| 2017 | $1.1K | $137.53 | 7.93x | $953.26 | $466.2K | 3.9K | 3.2K |
| 2018 | $1.2K | $151.57 | 7.86x | $1.0K | $454.0K | 4.0K | 3.2K |
| 2019 | $1.2K | $165.62 | 7.54x | $1.1K | $513.0K | 4.6K | 3.5K |
| 2020 | $1.5K | $163.89 | 8.89x | $1.3K | $524.2K | 4.3K | 3.2K |
| 2021 | $1.1K | $152.46 | 7.25x | $952.20 | $600.8K | 4.9K | 3.8K |
| 2022 | $1.0K | $147.02 | 7.03x | $886.32 | $532.9K | 4.8K | 3.5K |
| 2023 | $1.4K | $183.15 | 7.62x | $1.2K | $532.3K | 4.0K | 3.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 1.2K | $1.1M | $881.41 | 6.78x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.0K | $328.4K | $82.02 | 4.40x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 1.0K | $322.7K | $312.43 | 6.62x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 1.1K | $312.2K | $278.96 | 6.45x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 913 | $290.8K | $318.53 | 6.40x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 319 | $214.6K | $672.83 | 6.94x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.3K | $204.8K | $160.39 | 5.07x |
| 93623 | Programmed heart rhythm stimulation after drug infusion into a vein | 1.7K | $190.2K | $113.26 | 8.04x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 393 | $154.4K | $392.87 | 7.36x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 178 | $130.2K | $731.46 | 7.05x |
| 93662 | Ultrasound evaluation of heart blood vessel | 1.1K | $121.1K | $111.47 | 3.79x |
| 93650 | Insertion of catheters for creation of complete heart block | 265 | $119.9K | $452.50 | 9.76x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 898 | $113.7K | $126.67 | 4.31x |
| 33340 | Repair of left upper heart | 167 | $105.2K | $630.05 | 6.52x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 274 | $103.7K | $378.39 | 5.64x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 3.5K | $82.7K | $23.93 | 6.03x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 1.9K | $81.9K | $43.03 | 5.55x |
| 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 | 3.4K | $72.1K | $21.17 | 7.72x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 541 | $66.5K | $122.83 | 4.09x |
| 93295 | Remote evaluations of defibrillator up to 90 days with analysis, review and report | 1.8K | $62.1K | $35.39 | 7.39x |
This provider submits charges 6.81 times higher than what Medicare actually pays.
A markup ratio of 6.81x means for every $100 Medicare pays, this provider initially charges $681. 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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