This provider's $4.6M 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 | $422.99 | $142.47 | 2.97x | $280.52 | $472.8K | 8.1K | 4.9K |
| 2015 | $427.49 | $144.61 | 2.96x | $282.88 | $472.5K | 8.0K | 4.3K |
| 2016 | $483.06 | $168.73 | 2.86x | $314.33 | $453.4K | 6.5K | 3.9K |
| 2017 | $579.00 | $157.82 | 3.67x | $421.18 | $457.9K | 7.4K | 4.3K |
| 2018 | $543.29 | $143.95 | 3.77x | $399.34 | $427.1K | 7.1K | 4.4K |
| 2019 | $597.28 | $166.58 | 3.59x | $430.70 | $464.5K | 7.1K | 4.4K |
| 2020 | $901.55 | $156.82 | 5.75x | $744.73 | $434.4K | 6.7K | 4.1K |
| 2021 | $591.21 | $157.78 | 3.75x | $433.43 | $460.7K | 6.6K | 3.9K |
| 2022 | $569.84 | $149.28 | 3.82x | $420.56 | $467.1K | 9.4K | 6.2K |
| 2023 | $1.2K | $234.06 | 5.05x | $947.11 | $455.6K | 10.2K | 6.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.6K | $797.7K | $83.43 | 2.37x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 406 | $399.3K | $983.41 | 3.21x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 5.4K | $273.3K | $50.65 | 3.29x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 259 | $209.4K | $808.44 | 4.08x |
| 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 | 1.6K | $190.9K | $117.77 | 3.18x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 1.4K | $190.1K | $134.55 | 2.85x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.5K | $173.4K | $113.22 | 2.29x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 4.2K | $170.6K | $40.23 | 4.48x |
| 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 | 8.4K | $158.8K | $18.82 | 4.82x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 11.2K | $145.2K | $13.00 | 5.49x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 1.9K | $143.1K | $74.13 | 3.42x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 307 | $139.3K | $453.86 | 4.31x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.0K | $124.6K | $121.71 | 2.17x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 163 | $121.7K | $746.47 | 3.14x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 383 | $117.1K | $305.65 | 3.51x |
| 93283 | Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report | 1.6K | $107.9K | $67.39 | 3.36x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.7K | $98.5K | $59.60 | 2.23x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 161 | $96.8K | $601.06 | 2.67x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 4.2K | $96.8K | $22.81 | 4.13x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 512 | $88.5K | $172.82 | 2.49x |
This provider submits charges 3.42 times higher than what Medicare actually pays.
A markup ratio of 3.42x means for every $100 Medicare pays, this provider initially charges $342. 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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