This provider's $4.8M in total Medicare payments ranks in the 98th 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 | $624.68 | $145.16 | 4.30x | $479.52 | $481.3K | 7.8K | 6.2K |
| 2015 | $593.51 | $146.07 | 4.06x | $447.44 | $544.9K | 7.9K | 6.2K |
| 2016 | $685.76 | $140.95 | 4.87x | $544.81 | $472.3K | 7.8K | 5.9K |
| 2017 | $682.23 | $144.27 | 4.73x | $537.96 | $538.1K | 8.8K | 6.4K |
| 2018 | $632.89 | $134.77 | 4.70x | $498.12 | $448.6K | 8.1K | 5.6K |
| 2019 | $628.47 | $132.36 | 4.75x | $496.11 | $451.3K | 8.4K | 5.8K |
| 2020 | $1.0K | $148.43 | 6.79x | $859.94 | $461.3K | 8.5K | 5.8K |
| 2021 | $1.0K | $135.15 | 7.58x | $889.39 | $480.7K | 8.7K | 5.9K |
| 2022 | $665.97 | $132.14 | 5.04x | $533.83 | $488.5K | 8.1K | 5.5K |
| 2023 | $618.66 | $132.01 | 4.69x | $486.65 | $442.0K | 8.6K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 853 | $722.3K | $846.72 | 3.56x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.9K | $289.8K | $152.28 | 2.39x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 4.4K | $245.5K | $56.05 | 2.57x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 847 | $231.5K | $273.33 | 3.58x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 558 | $219.6K | $393.53 | 6.97x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 296 | $206.6K | $697.90 | 5.97x |
| 33340 | Repair of left upper heart | 323 | $193.2K | $598.29 | 4.35x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 294 | $188.7K | $641.89 | 3.26x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 595 | $184.6K | $310.33 | 3.32x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 7.8K | $169.5K | $21.77 | 3.58x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 26.9K | $166.0K | $6.17 | 3.76x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.5K | $144.1K | $98.53 | 3.28x |
| 93312 | Insertion of probe in esophagus for heart ultrasound examination including interpretation and report | 1.6K | $139.2K | $84.46 | 9.21x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 4.2K | $138.4K | $32.72 | 4.50x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.3K | $126.5K | $38.73 | 4.24x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 4.7K | $125.5K | $26.74 | 5.78x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 325 | $98.8K | $303.95 | 3.65x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.4K | $91.1K | $63.01 | 3.61x |
| 92960 | External shock to heart to regulate heart beat | 964 | $82.9K | $85.99 | 7.04x |
| 93662 | Ultrasound evaluation of heart blood vessel | 717 | $75.1K | $104.74 | 5.17x |
This provider submits charges 4.47 times higher than what Medicare actually pays.
A markup ratio of 4.47x means for every $100 Medicare pays, this provider initially charges $447. 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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