This provider's $6.6M in total Medicare payments ranks in the 98th 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 | $505.13 | $148.00 | 3.41x | $357.13 | $586.2K | 6.3K | 4.4K |
| 2015 | $509.35 | $150.92 | 3.37x | $358.43 | $583.3K | 5.8K | 4.1K |
| 2016 | $486.79 | $143.13 | 3.40x | $343.66 | $562.5K | 5.9K | 4.0K |
| 2017 | $505.48 | $145.10 | 3.48x | $360.38 | $627.0K | 7.8K | 5.1K |
| 2018 | $495.21 | $136.51 | 3.63x | $358.70 | $733.3K | 11.1K | 7.2K |
| 2019 | $489.60 | $136.30 | 3.59x | $353.30 | $800.9K | 12.9K | 8.3K |
| 2020 | $490.08 | $135.74 | 3.61x | $354.34 | $683.1K | 12.2K | 7.6K |
| 2021 | $438.78 | $120.78 | 3.63x | $318.00 | $775.4K | 12.9K | 8.2K |
| 2022 | $482.70 | $126.14 | 3.83x | $356.56 | $623.1K | 10.9K | 7.0K |
| 2023 | $483.12 | $122.02 | 3.96x | $361.10 | $614.4K | 9.4K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 1.2K | $953.0K | $815.92 | 3.29x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.9K | $609.8K | $77.64 | 3.75x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 532 | $355.7K | $668.59 | 3.48x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.2K | $330.8K | $150.30 | 3.53x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 2.2K | $322.5K | $148.07 | 3.68x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 1.0K | $306.3K | $294.20 | 3.35x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 1.2K | $303.9K | $256.88 | 3.66x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 729 | $267.5K | $366.91 | 3.65x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 336 | $205.5K | $611.60 | 3.25x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.7K | $183.9K | $49.78 | 3.80x |
| 93296 | Remote evaluations of defibrillator transmissions, technician review, support and distribution of results up to 90 days | 10.7K | $174.3K | $16.22 | 5.36x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.1K | $171.3K | $54.52 | 3.44x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 481 | $165.9K | $344.97 | 3.16x |
| 93654 | Evaluation and insertion of catheters for recording, pacing, and attempted induction of abnormal heart rhythm | 183 | $152.5K | $833.07 | 3.18x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 7.0K | $147.1K | $21.02 | 3.85x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 4.1K | $127.1K | $30.68 | 5.25x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 11.0K | $121.7K | $11.07 | 5.92x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.4K | $114.9K | $80.63 | 3.42x |
| 93662 | Ultrasound evaluation of heart blood vessel | 1.1K | $114.8K | $106.12 | 3.30x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.0K | $108.9K | $103.83 | 3.67x |
This provider submits charges 3.69 times higher than what Medicare actually pays.
A markup ratio of 3.69x means for every $100 Medicare pays, this provider initially charges $369. 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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