This provider's $4.4M in total Medicare payments ranks in the 99th percentile of Critical Care (Intensivists) 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 | $443.66 | $160.03 | 2.77x | $283.63 | $388.2K | 6.5K | 4.6K |
| 2015 | $435.56 | $157.56 | 2.76x | $278.00 | $399.5K | 6.4K | 4.5K |
| 2016 | $680.21 | $160.01 | 4.25x | $520.20 | $459.4K | 7.1K | 4.9K |
| 2017 | $660.15 | $155.98 | 4.23x | $504.17 | $458.9K | 7.0K | 4.8K |
| 2018 | $714.11 | $170.40 | 4.19x | $543.71 | $428.2K | 7.2K | 4.9K |
| 2019 | $661.74 | $159.19 | 4.16x | $502.55 | $498.6K | 8.6K | 5.5K |
| 2020 | $676.24 | $159.72 | 4.23x | $516.52 | $477.0K | 9.1K | 4.8K |
| 2021 | $624.24 | $149.19 | 4.18x | $475.05 | $459.3K | 9.1K | 5.1K |
| 2022 | $630.54 | $145.89 | 4.32x | $484.65 | $398.1K | 8.5K | 4.6K |
| 2023 | $689.72 | $150.91 | 4.57x | $538.81 | $407.4K | 8.1K | 4.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.4K | $520.8K | $81.19 | 2.53x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 522 | $445.9K | $854.27 | 3.67x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.0K | $257.0K | $51.63 | 2.73x |
| 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 | 13.0K | $245.1K | $18.88 | 5.07x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 5.3K | $217.3K | $41.22 | 3.82x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 5.1K | $181.7K | $35.40 | 5.53x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 651 | $177.1K | $272.09 | 4.28x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 7.7K | $173.3K | $22.39 | 4.67x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 449 | $169.1K | $376.63 | 4.16x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 230 | $164.6K | $715.77 | 3.86x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 244 | $160.3K | $656.86 | 3.44x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 12.6K | $143.3K | $11.42 | 5.26x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $128.2K | $118.33 | 2.71x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 359 | $114.0K | $317.55 | 3.70x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 254 | $93.0K | $366.18 | 3.75x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 1.5K | $91.7K | $60.02 | 4.06x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 803 | $85.1K | $105.93 | 2.62x |
| 93650 | Insertion of catheters for creation of complete heart block | 173 | $75.9K | $438.76 | 3.87x |
| 93662 | Ultrasound evaluation of heart blood vessel | 570 | $59.4K | $104.20 | 7.67x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 394 | $59.2K | $150.26 | 2.61x |
This provider submits charges 3.88 times higher than what Medicare actually pays.
A markup ratio of 3.88x means for every $100 Medicare pays, this provider initially charges $388. 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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