This provider's $3.3M in total Medicare payments ranks in the 97th percentile of Clinical Cardiac Electrophysiology providers nationally.
Their average markup ratio of 5.11x is significantly above the specialty median of 4.2x.
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 | $671.21 | $140.19 | 4.79x | $531.02 | $263.8K | 3.2K | 2.7K |
| 2015 | $619.54 | $124.35 | 4.98x | $495.19 | $229.7K | 2.7K | 2.3K |
| 2016 | $720.60 | $128.57 | 5.60x | $592.03 | $211.4K | 2.6K | 2.3K |
| 2017 | $946.07 | $187.61 | 5.04x | $758.46 | $273.1K | 2.1K | 1.8K |
| 2018 | $762.07 | $153.73 | 4.96x | $608.34 | $371.8K | 3.0K | 2.7K |
| 2019 | $604.54 | $124.09 | 4.87x | $480.45 | $451.7K | 4.3K | 3.9K |
| 2020 | $775.60 | $154.71 | 5.01x | $620.89 | $345.9K | 3.4K | 3.1K |
| 2021 | $777.94 | $149.64 | 5.20x | $628.30 | $409.7K | 2.8K | 2.8K |
| 2022 | $778.14 | $147.44 | 5.28x | $630.70 | $394.0K | 3.6K | 3.4K |
| 2023 | $691.01 | $124.86 | 5.53x | $566.15 | $392.3K | 4.0K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 913 | $855.2K | $936.72 | 4.72x |
| 33340 | Repair of left upper heart | 681 | $454.2K | $666.99 | 4.83x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.0K | $264.1K | $89.17 | 4.69x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 802 | $232.7K | $290.12 | 5.20x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 526 | $169.0K | $321.35 | 5.36x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 449 | $150.2K | $334.44 | 5.07x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 199 | $140.4K | $705.65 | 4.63x |
| 93662 | Ultrasound evaluation of heart blood vessel | 838 | $97.1K | $115.90 | 6.43x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.0K | $94.6K | $92.02 | 5.05x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 678 | $90.6K | $133.68 | 4.62x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 5.4K | $75.0K | $13.83 | 6.87x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 726 | $74.9K | $103.11 | 4.76x |
| 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 | 3.5K | $71.9K | $20.84 | 7.54x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 755 | $55.8K | $73.92 | 4.89x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 2.3K | $53.1K | $23.51 | 5.47x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 375 | $44.9K | $119.82 | 4.64x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 848 | $43.4K | $51.13 | 4.99x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 1.2K | $41.8K | $35.33 | 7.44x |
| G2066 | Interrogation 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 | 715 | $30.2K | $42.22 | 5.85x |
| 93288 | Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection | 765 | $23.9K | $31.19 | 4.86x |
This provider submits charges 5.11 times higher than what Medicare actually pays.
A markup ratio of 5.11x means for every $100 Medicare pays, this provider initially charges $511. 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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