This provider's $6.3M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
Medicare payments to this provider grew 149% 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 | $716.19 | $182.15 | 3.93x | $534.04 | $383.1K | 5.0K | 2.8K |
| 2015 | $722.07 | $180.73 | 4.00x | $541.34 | $512.0K | 6.0K | 3.1K |
| 2016 | $673.21 | $174.37 | 3.86x | $498.84 | $539.0K | 6.3K | 3.2K |
| 2017 | $656.06 | $170.60 | 3.85x | $485.46 | $560.9K | 6.4K | 3.6K |
| 2018 | $672.04 | $168.55 | 3.99x | $503.49 | $667.1K | 6.8K | 4.1K |
| 2019 | $698.37 | $171.23 | 4.08x | $527.14 | $592.3K | 6.8K | 4.0K |
| 2020 | $696.79 | $180.81 | 3.85x | $515.98 | $562.9K | 5.9K | 3.7K |
| 2021 | $810.80 | $251.76 | 3.22x | $559.04 | $756.6K | 6.5K | 4.0K |
| 2022 | $662.57 | $226.27 | 2.93x | $436.30 | $744.9K | 7.4K | 4.7K |
| 2023 | $598.13 | $230.38 | 2.60x | $367.75 | $955.8K | 11.3K | 5.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.5K | $734.3K | $58.96 | 3.77x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.5K | $555.6K | $85.47 | 3.73x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 622 | $540.6K | $869.12 | 3.35x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 3.0K | $376.9K | $127.45 | 3.30x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 543 | $356.0K | $655.66 | 3.42x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 461 | $329.6K | $714.98 | 3.55x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 4.4K | $317.4K | $71.91 | 3.60x |
| 33285 | Insertion of heart rhythm monitor under skin | 65 | $260.7K | $4.0K | 2.30x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 849 | $228.9K | $269.58 | 4.14x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 4.3K | $220.8K | $50.79 | 3.37x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 599 | $186.6K | $311.44 | 3.39x |
| 93282 | Evaluation, testing, and programming adjustment of permanent single lead cardioverter-defibrillator including physician analysis, review, and report | 3.3K | $174.3K | $52.40 | 3.52x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.0K | $170.9K | $167.38 | 3.83x |
| 93623 | Programmed heart rhythm stimulation after drug infusion into a vein | 1.3K | $140.7K | $112.58 | 3.55x |
| 99426 | Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month | 2.8K | $137.8K | $49.04 | 2.56x |
| 93283 | Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report | 2.1K | $134.0K | $65.03 | 3.65x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 10.3K | $128.3K | $12.47 | 7.48x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 258 | $101.7K | $394.26 | 3.63x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 772 | $99.7K | $129.10 | 3.83x |
| 93641 | Evaluation of single or dual chamber pacing cardioverter-defibrillator and generator at time of implantation or replacement | 697 | $93.9K | $134.70 | 7.82x |
This provider submits charges 3.66 times higher than what Medicare actually pays.
A markup ratio of 3.66x means for every $100 Medicare pays, this provider initially charges $366. 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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