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 137% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 59% in 2019
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $437.66 | $134.36 | 3.26x | $303.30 | $306.5K | 4.6K | 2.4K |
| 2015 | $421.35 | $141.49 | 2.98x | $279.86 | $324.3K | 5.2K | 2.8K |
| 2016 | $457.53 | $151.66 | 3.02x | $305.87 | $323.8K | 5.0K | 3.0K |
| 2017 | $479.91 | $145.53 | 3.30x | $334.38 | $365.1K | 6.0K | 3.4K |
| 2018 | $499.32 | $183.49 | 2.72x | $315.83 | $491.1K | 6.8K | 3.9K |
| 2019 | $671.98 | $256.59 | 2.62x | $415.39 | $782.1K | 7.4K | 4.1K |
| 2020 | $624.27 | $256.48 | 2.43x | $367.79 | $929.9K | 8.7K | 4.2K |
| 2021 | $675.35 | $263.32 | 2.56x | $412.03 | $1.2M | 10.9K | 5.0K |
| 2022 | $753.02 | $247.44 | 3.04x | $505.58 | $886.1K | 11.1K | 4.8K |
| 2023 | $715.54 | $208.98 | 3.42x | $506.56 | $725.3K | 12.4K | 5.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33285 | Insertion of heart rhythm monitor under skin | 518 | $1.5M | $2.8K | 2.72x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.9K | $463.1K | $93.60 | 1.86x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 233 | $304.8K | $1.3K | 1.83x |
| 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 | 8.1K | $248.8K | $30.82 | 2.43x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.0K | $238.3K | $118.39 | 1.83x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 9.1K | $191.8K | $21.02 | 2.37x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.1K | $179.3K | $166.66 | 1.77x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.9K | $174.9K | $60.87 | 1.73x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 270 | $170.1K | $630.13 | 2.82x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 3.1K | $167.8K | $54.49 | 1.92x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 1.4K | $165.9K | $122.89 | 2.51x |
| 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 | 8.0K | $164.5K | $20.46 | 2.84x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 147 | $141.5K | $962.60 | 1.85x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 196 | $126.2K | $643.81 | 5.62x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 4.9K | $118.3K | $24.35 | 2.26x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 273 | $116.5K | $426.64 | 2.40x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 2.7K | $110.7K | $40.53 | 2.34x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 131 | $104.1K | $794.54 | 2.20x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 139 | $100.3K | $721.90 | 1.78x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.1K | $94.2K | $88.40 | 1.98x |
This provider submits charges 2.58 times higher than what Medicare actually pays.
A markup ratio of 2.58x means for every $100 Medicare pays, this provider initially charges $258. 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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