This provider averages 51 services per working day
Based on 126.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.4M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
Averaging 51 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 205% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 58% in 2016
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 | $317.17 | $114.84 | 2.76x | $202.33 | $235.1K | 4.0K | 3.0K |
| 2015 | $415.59 | $103.75 | 4.01x | $311.84 | $234.5K | 4.6K | 3.8K |
| 2016 | $542.18 | $103.13 | 5.26x | $439.05 | $370.7K | 8.2K | 5.6K |
| 2017 | $555.23 | $101.56 | 5.47x | $453.67 | $470.0K | 9.9K | 6.3K |
| 2018 | $548.90 | $104.49 | 5.25x | $444.41 | $580.2K | 13.9K | 8.0K |
| 2019 | $548.54 | $107.77 | 5.09x | $440.77 | $678.2K | 16.7K | 8.6K |
| 2020 | $593.73 | $120.03 | 4.95x | $473.70 | $700.0K | 16.8K | 8.0K |
| 2021 | $906.32 | $137.09 | 6.61x | $769.23 | $656.5K | 16.3K | 7.8K |
| 2022 | $1.0K | $137.02 | 7.58x | $901.94 | $739.0K | 18.1K | 7.5K |
| 2023 | $591.68 | $126.05 | 4.69x | $465.63 | $716.4K | 17.9K | 7.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.4K | $837.7K | $80.50 | 2.18x |
| 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 | 22.3K | $349.3K | $15.63 | 4.84x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 15.7K | $332.0K | $21.08 | 4.85x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 381 | $280.9K | $737.22 | 5.76x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 599 | $246.8K | $412.09 | 7.08x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour ekg up to 30 days | 416 | $227.7K | $547.29 | 2.74x |
| 93295 | Remote evaluations of defibrillator up to 90 days with analysis, review and report | 6.6K | $198.5K | $30.26 | 5.66x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $197.5K | $119.05 | 1.97x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 4.3K | $189.8K | $43.82 | 3.56x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 275 | $186.8K | $679.44 | 6.02x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.8K | $173.8K | $94.20 | 5.98x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 13.5K | $154.1K | $11.43 | 5.29x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 167 | $146.2K | $875.39 | 5.48x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 7.5K | $143.9K | $19.11 | 5.44x |
| 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 | 5.5K | $133.0K | $24.15 | 4.08x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 287 | $109.9K | $383.02 | 3.29x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 665 | $102.6K | $154.32 | 2.13x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 2.1K | $97.3K | $45.88 | 1.71x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 347 | $95.9K | $276.43 | 2.53x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.7K | $90.9K | $52.45 | 2.26x |
This provider submits charges 4.26 times higher than what Medicare actually pays.
A markup ratio of 4.26x means for every $100 Medicare pays, this provider initially charges $426. 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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