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Methodology•Download Data
  1. Home
  2. Providers
  3. Andrea Natale
⚕️
MDIndividual

Andrea Natale, MD

NPI: 1841382421
Austin, TX
10 years of data
Clinical Cardiac Electrophysiology
$3.8M
Total Payments
17.4K
Beneficiaries
20.8K
Services
4.31x
Markup Ratio

Peer Comparison

97th
percentile in specialty
This provider$3.8M
Specialty median$207.8K

📋 Key Findings

1Billed $3.8M over 10 years
24.31x markup ratio (above median)
397th percentile in Clinical Cardiac Electrophysiology by payments
414 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

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.

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$612.85$158.723.86x$454.13$394.6K2.2K1.7K
2015$700.71$174.444.02x$526.27$409.4K2.5K1.8K
2016$788.52$187.294.21x$601.23$396.5K2.1K1.8K
2017$796.33$193.844.11x$602.49$341.4K1.9K1.6K
2018$757.41$180.644.19x$576.77$351.5K1.9K1.6K
2019$1.2K$180.876.57x$1.0K$389.4K2.2K1.8K
2020$644.98$156.414.12x$488.57$439.6K2.3K1.9K
2021$725.82$159.794.54x$566.03$464.8K2.3K2.0K
2022$769.61$159.784.82x$609.83$320.3K1.7K1.5K
2023$704.58$153.554.59x$551.03$294.4K1.7K1.5K

Top Procedures (20)

93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm⚠ 3.9x markup
$1.1M
1.2K services$891.66/svc3.90x markup
93653Evaluation and insertion of catheters for creation of complete heart block⚠ 3.8x markup
$488.0K
741 services$658.52/svc3.82x markup
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles⚠ 4.8x markup
$417.2K
1.5K services$278.30/svc4.76x markup
93655Insertion of catheters for treatment of abnormal heart rhythm⚠ 3.9x markup
$346.9K
1.1K services$322.97/svc3.89x markup
93657Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm⚠ 4.0x markup
$296.2K
909 services$325.89/svc3.99x markup
93662Ultrasound evaluation of heart blood vessel⚠ 6.8x markup
$186.1K
1.7K services$108.88/svc6.75x markup
33340Repair of left upper heart⚠ 6.2x markup
$154.1K
368 services$418.72/svc6.20x markup
93623Programmed heart rhythm stimulation after drug infusion into a vein⚠ 4.8x markup
$134.5K
1.1K services$122.71/svc4.84x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$132.2K
2.2K services$60.21/svc2.42x markup
93462Insertion of catheter into left heart for diagnosis⚠ 4.0x markup
$90.0K
546 services$164.91/svc3.97x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$83.2K
973 services$85.49/svc2.61x markup
93268Heart rhythm symptom-related tracing and interpretation of 24-hour EKG monitoring up to 30 days⚠ 4.6x markup
$76.8K
484 services$158.60/svc4.61x markup
99204New patient office or other outpatient visit, typically 45 minutes
$67.4K
538 services$125.29/svc2.87x markup
93621Insertion of catheters for recording, pacing, and attempted induction of abnormal rhythm in left upper heart⚠ 6.8x markup
$44.2K
475 services$92.96/svc6.78x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 5.0x markup
$37.3K
2.9K services$13.03/svc5.03x markup
93622Insertion of catheters for recording, pacing, and attempted induction of abnormal rhythm in left lower heart⚠ 7.9x markup
$24.3K
179 services$136.03/svc7.91x markup
99203New patient office or other outpatient visit, typically 30 minutes
$15.9K
204 services$78.02/svc2.80x markup
99443Physician telephone patient service, 21-30 minutes of medical discussion
$14.2K
156 services$90.87/svc2.19x markup
93272Heart rhythm symptom-related interpretation of 24-hour EKG monitoring up to 30 days⚠ 5.5x markup
$14.1K
649 services$21.66/svc5.51x markup
99205New patient office or other outpatient visit, typically 60 minutes
$14.0K
92 services$152.15/svc2.92x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm1.2K$1.1M$891.663.90x
93653Evaluation and insertion of catheters for creation of complete heart block741$488.0K$658.523.82x
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles1.5K$417.2K$278.304.76x
93655Insertion of catheters for treatment of abnormal heart rhythm1.1K$346.9K$322.973.89x
93657Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm909$296.2K$325.893.99x
93662Ultrasound evaluation of heart blood vessel1.7K$186.1K$108.886.75x
33340Repair of left upper heart368$154.1K$418.726.20x
93623Programmed heart rhythm stimulation after drug infusion into a vein1.1K$134.5K$122.714.84x
99213Established patient office or other outpatient visit, typically 15 minutes2.2K$132.2K$60.212.42x
93462Insertion of catheter into left heart for diagnosis546$90.0K$164.913.97x
99214Established patient office or other outpatient, visit typically 25 minutes973$83.2K$85.492.61x
93268Heart rhythm symptom-related tracing and interpretation of 24-hour EKG monitoring up to 30 days484$76.8K$158.604.61x
99204New patient office or other outpatient visit, typically 45 minutes538$67.4K$125.292.87x
93621Insertion of catheters for recording, pacing, and attempted induction of abnormal rhythm in left upper heart475$44.2K$92.966.78x
93000Routine EKG using at least 12 leads including interpretation and report2.9K$37.3K$13.035.03x
93622Insertion of catheters for recording, pacing, and attempted induction of abnormal rhythm in left lower heart179$24.3K$136.037.91x
99203New patient office or other outpatient visit, typically 30 minutes204$15.9K$78.022.80x
99443Physician telephone patient service, 21-30 minutes of medical discussion156$14.2K$90.872.19x
93272Heart rhythm symptom-related interpretation of 24-hour EKG monitoring up to 30 days649$14.1K$21.665.51x
99205New patient office or other outpatient visit, typically 60 minutes92$14.0K$152.152.92x

Markup Analysis

Charge-to-Payment Ratio

4.31x

This provider submits charges 4.31 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.31x means for every $100 Medicare pays, this provider initially charges $431. This is higher than the national average.

Location

Austin, 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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