This provider's $4.1M in total Medicare payments ranks in the 97th percentile of Clinical Cardiac Electrophysiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $378.09 | $106.45 | 3.55x | $271.64 | $359.8K | 7.8K | 5.4K |
| 2015 | $440.06 | $125.27 | 3.51x | $314.79 | $442.1K | 8.5K | 5.7K |
| 2016 | $403.71 | $119.50 | 3.38x | $284.21 | $476.0K | 10.6K | 6.2K |
| 2017 | $417.23 | $114.87 | 3.63x | $302.36 | $454.4K | 10.6K | 5.8K |
| 2018 | $429.50 | $115.25 | 3.73x | $314.25 | $457.3K | 12.2K | 6.1K |
| 2019 | $444.58 | $121.22 | 3.67x | $323.36 | $443.9K | 13.5K | 5.9K |
| 2020 | $418.15 | $115.04 | 3.63x | $303.11 | $406.4K | 13.0K | 5.5K |
| 2021 | $376.98 | $103.27 | 3.65x | $273.71 | $412.6K | 12.8K | 5.6K |
| 2022 | $375.56 | $100.61 | 3.73x | $274.95 | $322.7K | 11.1K | 5.0K |
| 2023 | $489.52 | $125.76 | 3.89x | $363.76 | $361.5K | 10.6K | 5.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.8K | $507.6K | $75.04 | 3.09x |
| G0249 | Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the | 7.7K | $404.8K | $52.81 | 5.65x |
| 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 | 17.9K | $275.7K | $15.42 | 4.66x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 7.2K | $253.5K | $35.08 | 3.58x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 6.9K | $227.5K | $32.80 | 5.32x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 11.0K | $218.1K | $19.81 | 4.57x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 538 | $199.1K | $369.98 | 3.67x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 235 | $190.1K | $809.06 | 3.67x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.4K | $168.3K | $49.74 | 2.98x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 228 | $152.0K | $666.78 | 3.52x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 751 | $111.4K | $148.36 | 3.05x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 1.9K | $107.9K | $55.44 | 3.68x |
| 93283 | Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report | 1.7K | $88.1K | $50.66 | 3.60x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 7.9K | $86.4K | $10.94 | 4.37x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 127 | $76.7K | $603.90 | 3.69x |
| 92960 | External shock to heart to regulate heart beat | 869 | $73.5K | $84.53 | 3.43x |
| 93793 | Anti-clotting management for patient taking warfarin | 9.3K | $70.7K | $7.63 | 4.33x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 194 | $65.9K | $339.82 | 3.36x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 596 | $65.9K | $110.56 | 2.98x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 968 | $52.5K | $54.26 | 1.44x |
This provider submits charges 3.92 times higher than what Medicare actually pays.
A markup ratio of 3.92x means for every $100 Medicare pays, this provider initially charges $392. 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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