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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Seth Bender
⚕️
MDIndividual

Seth Bender, MD

NPI: 1578740478
Garden City, NY
10 years of data
Clinical Cardiac Electrophysiology
$6.5M
Total Payments
29.7K
Beneficiaries
65.9K
Services
9.34x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$6.5M
Specialty median$207.8K

📋 Key Findings

1Billed $6.5M over 10 years
29.34x markup ratio (above median)
398th percentile in Clinical Cardiac Electrophysiology by payments
4Payments surged 72% in 2017
520 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $6.5M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.

Their average markup ratio of 9.34x is significantly above the specialty median of 4.2x.

Medicare payments to this provider grew 316% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 72% in 2017

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$918.06$180.885.08x$737.18$176.1K1.5K1.2K
2015$894.41$222.844.01x$671.57$248.9K2.1K1.4K
2016$998.62$246.314.05x$752.31$309.7K2.6K1.4K
2017$924.84$188.374.91x$736.47$533.2K4.8K2.4K
2018$1.3K$207.506.44x$1.1K$701.4K6.0K2.8K
2019$2.2K$178.0112.18x$2.0K$796.5K7.8K3.3K
2020$2.3K$191.1912.14x$2.1K$838.9K8.5K4.0K
2021$3.2K$217.2314.86x$3.0K$1.0M10.4K4.3K
2022$3.2K$196.6416.24x$3.0K$1.1M11.0K4.4K
2023$3.2K$180.2618.00x$3.1K$733.5K11.2K4.6K

Top Procedures (20)

G2066Interrogation 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⚠ 6.1x markup
$1.7M
9.3K services$178.74/svc6.09x markup
93299Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days⚠ 4.2x markup
$955.3K
4.4K services$215.84/svc4.23x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 4.4x markup
$429.9K
5.8K services$74.00/svc4.37x markup
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm⚠ 7.0x markup
$313.8K
275 services$1.1K/svc6.97x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 4.0x markup
$270.6K
2.6K services$104.81/svc4.04x markup
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days⚠ 5.8x markup
$269.0K
11.0K services$24.37/svc5.80x markup
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes⚠ 7.7x markup
$254.6K
493 services$516.38/svc7.73x markup
33249Insertion or replacement of single or dual chamber pacing defibrillator leads⚠ 6.4x markup
$210.3K
227 services$926.26/svc6.37x markup
99222Initial hospital inpatient care, typically 50 minutes per day⚠ 3.6x markup
$187.0K
1.5K services$125.81/svc3.63x markup
99204New patient office or other outpatient visit, typically 45 minutes⚠ 5.0x markup
$159.9K
1.0K services$153.47/svc4.95x markup
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report⚠ 8.7x markup
$155.2K
2.5K services$61.42/svc8.66x markup
93653Evaluation and insertion of catheters for creation of complete heart block⚠ 5.6x markup
$154.0K
177 services$870.12/svc5.59x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day⚠ 3.4x markup
$146.7K
2.2K services$66.24/svc3.42x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 7.3x markup
$117.7K
7.8K services$15.07/svc7.31x markup
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles⚠ 4.8x markup
$117.6K
334 services$351.97/svc4.82x markup
99223Initial hospital inpatient care, typically 70 minutes per day⚠ 3.2x markup
$92.3K
498 services$185.30/svc3.16x markup
93620Insertion of catheters for recording, pacing, and attempted induction of abnormal rhythm in right upper and lower heart⚠ 5.6x markup
$76.9K
123 services$625.22/svc5.58x markup
33225Insertion of left heart electrode for pacing defibrillator device⚠ 7.4x markup
$65.9K
134 services$492.06/svc7.42x markup
93296Remote evaluations of defibrillator transmissions, technician review, support and distribution of results up to 90 days⚠ 22.3x markup
$65.0K
2.8K services$23.35/svc22.29x markup
93291Evaluation of implantable heart recorder system including physician analysis, review, and report⚠ 12.1x markup
$62.3K
1.6K services$39.99/svc12.13x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
G2066Interrogation 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 tec9.3K$1.7M$178.746.09x
93299Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days4.4K$955.3K$215.844.23x
99213Established patient office or other outpatient visit, typically 15 minutes5.8K$429.9K$74.004.37x
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm275$313.8K$1.1K6.97x
99214Established patient office or other outpatient, visit typically 25 minutes2.6K$270.6K$104.814.04x
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days11.0K$269.0K$24.375.80x
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes493$254.6K$516.387.73x
33249Insertion or replacement of single or dual chamber pacing defibrillator leads227$210.3K$926.266.37x
99222Initial hospital inpatient care, typically 50 minutes per day1.5K$187.0K$125.813.63x
99204New patient office or other outpatient visit, typically 45 minutes1.0K$159.9K$153.474.95x
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report2.5K$155.2K$61.428.66x
93653Evaluation and insertion of catheters for creation of complete heart block177$154.0K$870.125.59x
99232Subsequent hospital inpatient care, typically 25 minutes per day2.2K$146.7K$66.243.42x
93000Routine EKG using at least 12 leads including interpretation and report7.8K$117.7K$15.077.31x
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles334$117.6K$351.974.82x
99223Initial hospital inpatient care, typically 70 minutes per day498$92.3K$185.303.16x
93620Insertion of catheters for recording, pacing, and attempted induction of abnormal rhythm in right upper and lower heart123$76.9K$625.225.58x
33225Insertion of left heart electrode for pacing defibrillator device134$65.9K$492.067.42x
93296Remote evaluations of defibrillator transmissions, technician review, support and distribution of results up to 90 days2.8K$65.0K$23.3522.29x
93291Evaluation of implantable heart recorder system including physician analysis, review, and report1.6K$62.3K$39.9912.13x

Markup Analysis

Charge-to-Payment Ratio

9.34x

This provider submits charges 9.34 times higher than what Medicare actually pays.

What This Means

A markup ratio of 9.34x means for every $100 Medicare pays, this provider initially charges $934. This is higher than the national average.

Location

Garden City, NY

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Clinical Cardiac Electrophysiology providers in NY for peer comparison.

Seth Bender (you)
$6.5M
David Hoch, M.D.
$46.2M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
David Hoch, M.D.Roslyn, NY$46.2M✓ Clear

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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