This provider's $3.4M in total Medicare payments ranks in the 97th 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 | $633.88 | $119.53 | 5.30x | $514.35 | $313.3K | 6.4K | 4.8K |
| 2015 | $599.95 | $118.09 | 5.08x | $481.86 | $295.0K | 6.1K | 4.5K |
| 2016 | $573.21 | $122.91 | 4.66x | $450.30 | $313.9K | 6.8K | 5.4K |
| 2017 | $435.88 | $108.08 | 4.03x | $327.80 | $311.1K | 6.7K | 5.4K |
| 2018 | $478.80 | $115.63 | 4.14x | $363.17 | $281.1K | 6.7K | 5.2K |
| 2019 | $757.57 | $128.49 | 5.90x | $629.08 | $384.4K | 9.8K | 7.1K |
| 2020 | $453.44 | $124.00 | 3.66x | $329.44 | $385.7K | 9.0K | 6.2K |
| 2021 | $551.11 | $133.82 | 4.12x | $417.29 | $404.3K | 8.0K | 5.5K |
| 2022 | $571.18 | $122.84 | 4.65x | $448.34 | $356.3K | 7.1K | 4.7K |
| 2023 | $656.67 | $140.16 | 4.69x | $516.51 | $365.6K | 5.5K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.1K | $391.7K | $77.04 | 3.38x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 292 | $234.4K | $802.60 | 3.59x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.7K | $228.9K | $49.19 | 3.78x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.3K | $186.1K | $147.71 | 3.15x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 4.8K | $160.8K | $33.52 | 5.16x |
| 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 | 9.9K | $159.7K | $16.14 | 7.32x |
| 33340 | Repair of left upper heart | 255 | $144.5K | $566.85 | 5.06x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 212 | $142.2K | $670.57 | 5.11x |
| 93289 | Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including device connection, recording, and disconnection | 3.3K | $138.8K | $42.50 | 4.87x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 2.4K | $130.2K | $54.16 | 4.63x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 5.2K | $107.7K | $20.90 | 4.86x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 283 | $105.9K | $374.24 | 5.46x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.3K | $103.4K | $79.82 | 3.54x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 8.8K | $93.1K | $10.63 | 7.51x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.7K | $90.6K | $54.77 | 3.79x |
| 93288 | Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection | 2.8K | $76.6K | $26.96 | 4.71x |
| 93283 | Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report | 1.1K | $70.4K | $66.49 | 4.31x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 580 | $67.3K | $116.06 | 2.98x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 10.1K | $65.1K | $6.42 | 7.21x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 256 | $63.3K | $247.37 | 4.15x |
This provider submits charges 4.55 times higher than what Medicare actually pays.
A markup ratio of 4.55x means for every $100 Medicare pays, this provider initially charges $455. 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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