This provider's $3.7M in total Medicare payments ranks in the 97th percentile of Clinical Cardiac Electrophysiology providers nationally.
Medicare payments to this provider grew 115% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 62% in 2015
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 | $326.55 | $119.01 | 2.74x | $207.54 | $183.4K | 2.5K | 1.8K |
| 2015 | $362.57 | $128.66 | 2.82x | $233.91 | $296.8K | 4.0K | 3.1K |
| 2016 | $355.23 | $120.80 | 2.94x | $234.43 | $371.8K | 5.9K | 4.6K |
| 2017 | $341.41 | $118.75 | 2.88x | $222.66 | $394.5K | 7.2K | 5.4K |
| 2018 | $313.47 | $98.17 | 3.19x | $215.30 | $376.9K | 7.5K | 6.0K |
| 2019 | $310.89 | $89.69 | 3.47x | $221.20 | $362.6K | 7.6K | 6.0K |
| 2020 | $370.54 | $110.41 | 3.36x | $260.13 | $382.9K | 7.6K | 6.1K |
| 2021 | $394.08 | $116.42 | 3.38x | $277.66 | $495.4K | 9.1K | 7.6K |
| 2022 | $428.43 | $102.70 | 4.17x | $325.73 | $407.5K | 7.5K | 6.4K |
| 2023 | $666.64 | $112.38 | 5.93x | $554.26 | $394.9K | 8.1K | 6.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 1.1K | $855.9K | $793.28 | 2.71x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.8K | $298.6K | $62.16 | 2.33x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 1.1K | $271.8K | $250.93 | 2.54x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 566 | $212.2K | $374.88 | 2.89x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 276 | $167.5K | $607.01 | 1.73x |
| 93620 | Insertion of catheters for recording, pacing, and attempted induction of abnormal rhythm in right upper and lower heart | 276 | $123.9K | $449.09 | 3.03x |
| 93312 | Insertion of probe in esophagus for heart ultrasound examination including interpretation and report | 1.4K | $115.9K | $83.07 | 4.84x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.2K | $115.9K | $36.03 | 2.64x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 5.3K | $112.0K | $21.16 | 3.03x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 167 | $111.0K | $664.51 | 2.88x |
| 33340 | Repair of left upper heart | 211 | $102.8K | $487.00 | 1.95x |
| 93662 | Ultrasound evaluation of heart blood vessel | 862 | $88.3K | $102.38 | 2.59x |
| 92960 | External shock to heart to regulate heart beat | 941 | $76.2K | $80.97 | 4.50x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 718 | $68.0K | $94.66 | 2.20x |
| 83880 | Natriuretic peptide (heart and blood vessel protein) level | 1.6K | $66.0K | $40.38 | 7.69x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 2.0K | $53.9K | $26.58 | 2.89x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 1.7K | $52.5K | $31.31 | 3.99x |
| 93314 | Interpretation and report of heart ultrasound examination using esophageal probe | 781 | $51.8K | $66.32 | 7.54x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 7.8K | $46.8K | $5.98 | 3.85x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 156 | $42.6K | $272.97 | 1.93x |
This provider submits charges 3.7 times higher than what Medicare actually pays.
A markup ratio of 3.7x means for every $100 Medicare pays, this provider initially charges $370. 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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