This provider's $6.0M 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 | $595.36 | $145.46 | 4.09x | $449.90 | $455.2K | 6.5K | 3.9K |
| 2015 | $653.49 | $164.66 | 3.97x | $488.83 | $617.1K | 9.0K | 5.1K |
| 2016 | $635.63 | $158.37 | 4.01x | $477.26 | $582.5K | 9.0K | 5.1K |
| 2017 | $638.30 | $154.38 | 4.13x | $483.92 | $651.9K | 10.3K | 5.6K |
| 2018 | $639.54 | $154.97 | 4.13x | $484.57 | $653.0K | 11.3K | 6.0K |
| 2019 | $608.82 | $151.80 | 4.01x | $457.02 | $603.1K | 10.6K | 5.8K |
| 2020 | $635.38 | $165.19 | 3.85x | $470.19 | $625.7K | 10.4K | 6.0K |
| 2021 | $618.95 | $158.08 | 3.92x | $460.87 | $619.2K | 12.3K | 5.8K |
| 2022 | $581.95 | $159.02 | 3.66x | $422.93 | $525.3K | 11.7K | 5.3K |
| 2023 | $603.82 | $156.51 | 3.86x | $447.31 | $643.3K | 13.0K | 6.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 15.2K | $562.7K | $37.01 | 5.35x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 695 | $482.2K | $693.76 | 3.84x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 1.2K | $466.8K | $389.34 | 3.95x |
| 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 | 26.4K | $461.2K | $17.50 | 5.31x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.6K | $449.7K | $79.88 | 2.47x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 843 | $299.7K | $355.50 | 3.77x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 11.2K | $258.2K | $23.01 | 4.39x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 276 | $228.2K | $826.68 | 3.58x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.8K | $149.6K | $53.39 | 2.49x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 985 | $147.1K | $149.32 | 2.49x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 226 | $144.1K | $637.59 | 3.48x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 2.2K | $141.1K | $64.56 | 4.10x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 906 | $134.9K | $148.85 | 2.51x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.2K | $133.5K | $109.43 | 2.42x |
| 93650 | Insertion of catheters for creation of complete heart block | 299 | $133.1K | $445.04 | 3.86x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 2.8K | $125.2K | $45.03 | 3.25x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $121.0K | $113.84 | 2.62x |
| 93283 | Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report | 2.0K | $117.7K | $59.73 | 4.00x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.1K | $110.2K | $101.45 | 2.50x |
| 93297 | Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days | 5.3K | $105.1K | $19.82 | 3.78x |
This provider submits charges 3.99 times higher than what Medicare actually pays.
A markup ratio of 3.99x means for every $100 Medicare pays, this provider initially charges $399. 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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