This provider's $5.8M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
Medicare payments to this provider grew 884% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 417% in 2015
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 | $563.87 | $143.47 | 3.93x | $420.40 | $75.2K | 708 | 587 |
| 2015 | $613.77 | $180.17 | 3.41x | $433.60 | $389.1K | 3.6K | 2.7K |
| 2016 | $582.23 | $177.60 | 3.28x | $404.63 | $581.9K | 5.5K | 3.7K |
| 2017 | $536.14 | $165.49 | 3.24x | $370.65 | $531.6K | 5.8K | 3.3K |
| 2018 | $572.08 | $167.35 | 3.42x | $404.73 | $576.3K | 6.0K | 3.7K |
| 2019 | $857.28 | $264.09 | 3.25x | $593.19 | $587.6K | 4.7K | 3.1K |
| 2020 | $865.76 | $276.41 | 3.13x | $589.35 | $769.6K | 6.1K | 3.3K |
| 2021 | $750.60 | $236.91 | 3.17x | $513.69 | $804.3K | 7.0K | 3.5K |
| 2022 | $786.11 | $237.95 | 3.30x | $548.16 | $789.5K | 6.6K | 3.4K |
| 2023 | $966.83 | $211.97 | 4.56x | $754.86 | $740.4K | 7.7K | 3.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.1K | $852.6K | $84.09 | 2.83x |
| 33285 | Insertion of heart rhythm monitor under skin | 230 | $617.5K | $2.7K | 4.35x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 598 | $510.9K | $854.29 | 2.96x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 666 | $380.1K | $570.65 | 3.25x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 702 | $217.0K | $309.05 | 3.06x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 607 | $186.3K | $306.99 | 3.10x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.5K | $181.8K | $122.48 | 3.06x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 3.9K | $181.4K | $47.07 | 2.36x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 671 | $176.0K | $262.31 | 3.27x |
| 33340 | Repair of left upper heart | 290 | $171.9K | $592.61 | 3.16x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 505 | $171.5K | $339.66 | 3.83x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 243 | $170.6K | $701.95 | 3.23x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 925 | $138.1K | $149.26 | 3.38x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 196 | $129.5K | $660.46 | 2.82x |
| 93623 | Programmed heart rhythm stimulation after drug infusion into a vein | 1.1K | $121.4K | $111.23 | 3.66x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 1.7K | $118.2K | $69.02 | 3.52x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 292 | $107.7K | $368.67 | 3.11x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.8K | $103.7K | $56.43 | 2.99x |
| 93312 | Insertion of probe in esophagus for heart ultrasound examination including interpretation and report | 1.1K | $91.9K | $85.77 | 4.99x |
| 93297 | Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days | 4.4K | $88.5K | $20.05 | 3.06x |
This provider submits charges 3.35 times higher than what Medicare actually pays.
A markup ratio of 3.35x means for every $100 Medicare pays, this provider initially charges $335. 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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