This provider's $3.8M 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 | $612.85 | $158.72 | 3.86x | $454.13 | $394.6K | 2.2K | 1.7K |
| 2015 | $700.71 | $174.44 | 4.02x | $526.27 | $409.4K | 2.5K | 1.8K |
| 2016 | $788.52 | $187.29 | 4.21x | $601.23 | $396.5K | 2.1K | 1.8K |
| 2017 | $796.33 | $193.84 | 4.11x | $602.49 | $341.4K | 1.9K | 1.6K |
| 2018 | $757.41 | $180.64 | 4.19x | $576.77 | $351.5K | 1.9K | 1.6K |
| 2019 | $1.2K | $180.87 | 6.57x | $1.0K | $389.4K | 2.2K | 1.8K |
| 2020 | $644.98 | $156.41 | 4.12x | $488.57 | $439.6K | 2.3K | 1.9K |
| 2021 | $725.82 | $159.79 | 4.54x | $566.03 | $464.8K | 2.3K | 2.0K |
| 2022 | $769.61 | $159.78 | 4.82x | $609.83 | $320.3K | 1.7K | 1.5K |
| 2023 | $704.58 | $153.55 | 4.59x | $551.03 | $294.4K | 1.7K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 1.2K | $1.1M | $891.66 | 3.90x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 741 | $488.0K | $658.52 | 3.82x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 1.5K | $417.2K | $278.30 | 4.76x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 1.1K | $346.9K | $322.97 | 3.89x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 909 | $296.2K | $325.89 | 3.99x |
| 93662 | Ultrasound evaluation of heart blood vessel | 1.7K | $186.1K | $108.88 | 6.75x |
| 33340 | Repair of left upper heart | 368 | $154.1K | $418.72 | 6.20x |
| 93623 | Programmed heart rhythm stimulation after drug infusion into a vein | 1.1K | $134.5K | $122.71 | 4.84x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.2K | $132.2K | $60.21 | 2.42x |
| 93462 | Insertion of catheter into left heart for diagnosis | 546 | $90.0K | $164.91 | 3.97x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 973 | $83.2K | $85.49 | 2.61x |
| 93268 | Heart rhythm symptom-related tracing and interpretation of 24-hour EKG monitoring up to 30 days | 484 | $76.8K | $158.60 | 4.61x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 538 | $67.4K | $125.29 | 2.87x |
| 93621 | Insertion of catheters for recording, pacing, and attempted induction of abnormal rhythm in left upper heart | 475 | $44.2K | $92.96 | 6.78x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 2.9K | $37.3K | $13.03 | 5.03x |
| 93622 | Insertion of catheters for recording, pacing, and attempted induction of abnormal rhythm in left lower heart | 179 | $24.3K | $136.03 | 7.91x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 204 | $15.9K | $78.02 | 2.80x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 156 | $14.2K | $90.87 | 2.19x |
| 93272 | Heart rhythm symptom-related interpretation of 24-hour EKG monitoring up to 30 days | 649 | $14.1K | $21.66 | 5.51x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 92 | $14.0K | $152.15 | 2.92x |
This provider submits charges 4.31 times higher than what Medicare actually pays.
A markup ratio of 4.31x means for every $100 Medicare pays, this provider initially charges $431. 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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