This provider averages 51 services per working day
Based on 127.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.7M in total Medicare payments ranks in the 99th percentile of Clinical Cardiac Electrophysiology providers nationally.
Averaging 51 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 75% from 2014 to 2023.
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 | $298.43 | $112.69 | 2.65x | $185.74 | $549.1K | 9.3K | 6.1K |
| 2015 | $298.08 | $112.43 | 2.65x | $185.65 | $579.2K | 10.6K | 6.4K |
| 2016 | $448.23 | $171.14 | 2.62x | $277.09 | $755.3K | 12.1K | 7.1K |
| 2017 | $414.87 | $153.43 | 2.70x | $261.44 | $772.7K | 12.4K | 7.5K |
| 2018 | $441.65 | $149.56 | 2.95x | $292.09 | $734.4K | 12.2K | 6.6K |
| 2019 | $438.22 | $169.90 | 2.58x | $268.32 | $802.7K | 13.6K | 7.1K |
| 2020 | $420.33 | $165.18 | 2.54x | $255.15 | $728.2K | 13.2K | 7.2K |
| 2021 | $437.19 | $168.50 | 2.59x | $268.69 | $925.4K | 15.3K | 8.2K |
| 2022 | $440.21 | $163.25 | 2.70x | $276.96 | $853.8K | 14.5K | 7.6K |
| 2023 | $439.90 | $157.22 | 2.80x | $282.68 | $963.6K | 14.3K | 8.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.7K | $1.2M | $83.81 | 2.70x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 4.3K | $490.2K | $113.83 | 2.68x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 439 | $463.9K | $1.1K | 2.54x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 9.0K | $426.4K | $47.38 | 2.68x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 632 | $382.7K | $605.54 | 2.50x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 3.3K | $382.6K | $115.66 | 2.62x |
| 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 | 19.0K | $348.9K | $18.38 | 2.68x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 13.3K | $308.0K | $23.09 | 2.75x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 444 | $251.3K | $565.93 | 3.33x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.5K | $231.0K | $157.04 | 2.59x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 537 | $221.2K | $411.84 | 2.57x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 5.7K | $214.8K | $37.52 | 2.81x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 693 | $212.8K | $307.01 | 2.54x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 1.1K | $187.4K | $174.77 | 2.56x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.2K | $185.0K | $157.41 | 2.62x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.2K | $184.2K | $82.89 | 2.52x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $154.2K | $117.36 | 2.77x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 2.2K | $148.4K | $67.99 | 2.68x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 12.3K | $146.2K | $11.85 | 2.73x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 190 | $138.4K | $728.36 | 2.56x |
This provider submits charges 2.68 times higher than what Medicare actually pays.
A markup ratio of 2.68x means for every $100 Medicare pays, this provider initially charges $268. 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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