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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
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Methodology•Download Data
  1. Home
  2. Providers
  3. Ramesh Hariharan
⚕️
MDIndividual

Ramesh Hariharan, MD, FHRS

NPI: 1770509168
Houston, TX
10 years of data
Clinical Cardiac Electrophysiology
$3.5M
Total Payments
30.5K
Beneficiaries
68.1K
Services
7.21x
Markup Ratio

Peer Comparison

97th
percentile in specialty
This provider$3.5M
Specialty median$207.8K

📋 Key Findings

1Billed $3.5M over 10 years
27.21x markup ratio (above median)
397th percentile in Clinical Cardiac Electrophysiology by payments
417 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $3.5M in total Medicare payments ranks in the 97th percentile of Clinical Cardiac Electrophysiology providers nationally.

Their average markup ratio of 7.21x is significantly above the specialty median of 4.2x.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$1.7K$182.519.16x$1.5K$305.2K2.9K2.3K
2015$1.7K$188.269.08x$1.5K$261.4K2.8K2.2K
2016$1.6K$182.098.70x$1.4K$346.9K4.2K3.0K
2017$1.4K$168.688.06x$1.2K$309.0K4.1K2.8K
2018$1.2K$163.647.49x$1.1K$380.5K4.8K3.2K
2019$1.5K$206.337.35x$1.3K$333.0K3.5K2.5K
2020$1.7K$212.988.21x$1.5K$306.7K6.3K3.4K
2021$1.8K$200.749.08x$1.6K$440.9K13.1K3.7K
2022$1.6K$185.468.50x$1.4K$424.8K14.1K3.6K
2023$1.4K$176.558.19x$1.3K$368.3K12.2K3.7K

Top Procedures (20)

93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm⚠ 16.0x markup
$466.5K
528 services$883.53/svc16.03x markup
G2066Interrogation 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⚠ 3.6x markup
$312.1K
12.0K services$25.96/svc3.58x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$276.5K
3.3K services$82.56/svc2.90x markup
93297Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days⚠ 6.4x markup
$210.3K
11.2K services$18.84/svc6.37x markup
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles⚠ 6.3x markup
$173.5K
618 services$280.77/svc6.33x markup
93295Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days⚠ 6.3x markup
$165.1K
5.2K services$31.81/svc6.35x markup
93296Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days⚠ 7.3x markup
$159.1K
9.1K services$17.40/svc7.30x markup
33249Insertion or replacement of single or dual chamber pacing defibrillator leads⚠ 8.3x markup
$151.5K
208 services$728.14/svc8.25x markup
93294Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days⚠ 5.9x markup
$147.8K
6.8K services$21.74/svc5.93x markup
93655Insertion of catheters for treatment of abnormal heart rhythm⚠ 5.5x markup
$125.3K
392 services$319.66/svc5.46x markup
93653Evaluation and insertion of catheters for creation of complete heart block⚠ 8.6x markup
$109.1K
165 services$661.18/svc8.60x markup
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes⚠ 9.0x markup
$91.3K
229 services$398.60/svc8.96x markup
99204New patient office or other outpatient visit, typically 45 minutes
$90.1K
732 services$123.07/svc2.85x markup
93657Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm⚠ 4.5x markup
$77.2K
246 services$314.01/svc4.45x markup
33225Insertion of left heart electrode for pacing defibrillator device⚠ 5.5x markup
$73.7K
198 services$372.03/svc5.46x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 8.2x markup
$69.2K
5.9K services$11.83/svc8.18x markup
93284Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report⚠ 4.7x markup
$63.5K
918 services$69.19/svc4.69x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$63.5K
1.1K services$55.24/svc2.86x markup
93654Evaluation and insertion of catheters for recording, pacing, and attempted induction of abnormal heart rhythm⚠ 11.3x markup
$56.0K
61 services$917.54/svc11.35x markup
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days⚠ 6.4x markup
$54.0K
2.8K services$18.97/svc6.41x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm528$466.5K$883.5316.03x
G2066Interrogation 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 tec12.0K$312.1K$25.963.58x
99214Established patient office or other outpatient, visit typically 25 minutes3.3K$276.5K$82.562.90x
93297Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days11.2K$210.3K$18.846.37x
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles618$173.5K$280.776.33x
93295Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days5.2K$165.1K$31.816.35x
93296Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days9.1K$159.1K$17.407.30x
33249Insertion or replacement of single or dual chamber pacing defibrillator leads208$151.5K$728.148.25x
93294Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days6.8K$147.8K$21.745.93x
93655Insertion of catheters for treatment of abnormal heart rhythm392$125.3K$319.665.46x
93653Evaluation and insertion of catheters for creation of complete heart block165$109.1K$661.188.60x
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes229$91.3K$398.608.96x
99204New patient office or other outpatient visit, typically 45 minutes732$90.1K$123.072.85x
93657Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm246$77.2K$314.014.45x
33225Insertion of left heart electrode for pacing defibrillator device198$73.7K$372.035.46x
93000Routine EKG using at least 12 leads including interpretation and report5.9K$69.2K$11.838.18x
93284Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report918$63.5K$69.194.69x
99213Established patient office or other outpatient visit, typically 15 minutes1.1K$63.5K$55.242.86x
93654Evaluation and insertion of catheters for recording, pacing, and attempted induction of abnormal heart rhythm61$56.0K$917.5411.35x
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days2.8K$54.0K$18.976.41x

Markup Analysis

Charge-to-Payment Ratio

7.21x

This provider submits charges 7.21 times higher than what Medicare actually pays.

What This Means

A markup ratio of 7.21x means for every $100 Medicare pays, this provider initially charges $721. This is higher than the national average.

Location

Houston, TX

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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