This provider's $7.9M in total Medicare payments ranks in the 99th percentile of Clinical Cardiac Electrophysiology providers nationally.
Medicare payments to this provider grew 91% 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 | $612.58 | $150.85 | 4.06x | $461.73 | $561.6K | 6.0K | 4.2K |
| 2015 | $580.87 | $141.03 | 4.12x | $439.84 | $604.1K | 6.8K | 4.7K |
| 2016 | $628.87 | $138.36 | 4.55x | $490.51 | $621.3K | 7.7K | 5.0K |
| 2017 | $574.35 | $129.80 | 4.42x | $444.55 | $723.6K | 9.6K | 6.2K |
| 2018 | $613.13 | $141.34 | 4.34x | $471.79 | $879.4K | 12.6K | 7.1K |
| 2019 | $642.89 | $148.39 | 4.33x | $494.50 | $877.9K | 13.7K | 7.4K |
| 2020 | $681.41 | $151.33 | 4.50x | $530.08 | $876.8K | 13.7K | 7.4K |
| 2021 | $709.95 | $155.98 | 4.55x | $553.97 | $922.5K | 13.7K | 7.5K |
| 2022 | $675.73 | $139.51 | 4.84x | $536.22 | $791.4K | 12.8K | 6.9K |
| 2023 | $661.54 | $176.92 | 3.74x | $484.62 | $1.1M | 15.7K | 9.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 16.3K | $1.3M | $81.82 | 1.85x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.1K | $666.3K | $315.03 | 4.10x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 3.7K | $497.8K | $136.34 | 6.58x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 540 | $337.9K | $625.83 | 4.56x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 896 | $329.8K | $368.07 | 4.65x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 1.1K | $287.6K | $269.75 | 2.84x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 373 | $280.8K | $752.70 | 1.98x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 329 | $279.3K | $848.88 | 3.24x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 379 | $257.0K | $678.06 | 3.06x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.8K | $252.6K | $52.97 | 2.26x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.1K | $239.0K | $115.78 | 2.16x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 18.0K | $192.2K | $10.70 | 6.54x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 5.5K | $174.4K | $31.96 | 4.54x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 470 | $165.4K | $351.90 | 2.60x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 1.9K | $165.0K | $86.45 | 2.26x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 1.6K | $155.3K | $96.51 | 2.07x |
| 93620 | Insertion of catheters for recording, pacing, and attempted induction of abnormal rhythm in right upper and lower heart | 343 | $153.8K | $448.33 | 4.77x |
| 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 | 7.8K | $138.1K | $17.71 | 4.41x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 5.7K | $131.5K | $23.23 | 3.66x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 380 | $125.4K | $329.91 | 3.01x |
This provider submits charges 3.91 times higher than what Medicare actually pays.
A markup ratio of 3.91x means for every $100 Medicare pays, this provider initially charges $391. 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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