This provider averages 62 services per working day
Based on 154.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.5M in total Medicare payments ranks in the 99th percentile of Clinical Cardiac Electrophysiology providers nationally.
Averaging 62 services per working day raises questions about billing patterns.
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 | $593.67 | $132.52 | 4.48x | $461.15 | $925.2K | 17.0K | 10.2K |
| 2015 | $629.73 | $137.83 | 4.57x | $491.90 | $889.5K | 16.4K | 10.4K |
| 2016 | $630.37 | $140.81 | 4.48x | $489.56 | $923.9K | 16.6K | 10.5K |
| 2017 | $651.33 | $150.33 | 4.33x | $501.00 | $821.7K | 14.5K | 8.8K |
| 2018 | $640.41 | $149.20 | 4.29x | $491.21 | $866.1K | 15.5K | 9.2K |
| 2019 | $651.27 | $143.36 | 4.54x | $507.91 | $892.7K | 15.0K | 8.8K |
| 2020 | $708.01 | $157.14 | 4.51x | $550.87 | $768.4K | 14.6K | 7.5K |
| 2021 | $646.19 | $143.99 | 4.49x | $502.20 | $795.1K | 13.8K | 7.4K |
| 2022 | $657.34 | $140.82 | 4.67x | $516.52 | $811.1K | 15.0K | 7.4K |
| 2023 | $662.41 | $125.45 | 5.28x | $536.96 | $814.2K | 15.5K | 7.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 17.1K | $856.0K | $50.02 | 2.02x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 6.9K | $808.7K | $116.86 | 5.05x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.1K | $646.2K | $79.87 | 1.77x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 692 | $591.6K | $854.90 | 4.09x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 11.4K | $507.8K | $44.37 | 5.63x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 815 | $437.8K | $537.14 | 3.44x |
| 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 | 19.1K | $321.9K | $16.83 | 5.94x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 451 | $316.9K | $702.57 | 4.27x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 12.5K | $283.7K | $22.75 | 6.59x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 719 | $277.3K | $385.65 | 7.78x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 4.3K | $272.7K | $63.38 | 5.52x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 6.7K | $257.0K | $38.14 | 5.24x |
| 93297 | Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days | 12.4K | $235.2K | $19.00 | 4.74x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 17.0K | $188.0K | $11.06 | 8.59x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.6K | $185.2K | $116.25 | 1.81x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.5K | $166.7K | $107.73 | 1.78x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 404 | $146.6K | $362.84 | 4.13x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 513 | $133.6K | $260.44 | 5.76x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.4K | $129.0K | $54.43 | 2.39x |
| 93283 | Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report | 2.1K | $118.8K | $56.72 | 5.29x |
This provider submits charges 4.31 times higher than what Medicare actually pays.
A markup ratio of 4.31x means for every $100 Medicare pays, this provider initially charges $431. 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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