This provider's $7.9M in total Medicare payments ranks in the 99th percentile of Clinical Cardiac Electrophysiology providers nationally.
Medicare payments to this provider grew 1490% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 334% 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 | $244.40 | $72.90 | 3.35x | $171.50 | $65.4K | 1.0K | 669 |
| 2015 | $289.15 | $78.16 | 3.70x | $210.99 | $283.8K | 4.2K | 3.0K |
| 2016 | $298.52 | $80.00 | 3.73x | $218.52 | $352.3K | 4.6K | 3.5K |
| 2017 | $438.42 | $151.81 | 2.89x | $286.61 | $931.0K | 6.0K | 5.1K |
| 2018 | $512.43 | $191.68 | 2.67x | $320.75 | $1.6M | 7.0K | 5.9K |
| 2019 | $521.91 | $182.76 | 2.86x | $339.15 | $1.2M | 5.7K | 4.6K |
| 2020 | $415.56 | $143.23 | 2.90x | $272.33 | $800.0K | 4.7K | 3.9K |
| 2021 | $474.62 | $176.66 | 2.69x | $297.96 | $828.4K | 4.6K | 3.6K |
| 2022 | $413.03 | $151.41 | 2.73x | $261.62 | $729.3K | 4.3K | 3.2K |
| 2023 | $437.48 | $158.73 | 2.76x | $278.75 | $1.0M | 6.0K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 2.5K | $3.4M | $1.4K | 2.01x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 9.1K | $1.1M | $117.42 | 5.08x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 2.5K | $875.5K | $348.24 | 2.72x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 6.5K | $406.0K | $62.64 | 3.26x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 909 | $363.4K | $399.82 | 3.17x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.3K | $337.6K | $102.88 | 2.63x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 3.4K | $217.1K | $64.00 | 3.66x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.3K | $201.2K | $60.64 | 2.52x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.6K | $188.1K | $117.27 | 3.25x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.9K | $131.3K | $45.06 | 2.34x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 670 | $128.8K | $192.20 | 4.08x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 563 | $76.5K | $135.80 | 2.61x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 421 | $70.8K | $168.25 | 3.04x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 451 | $63.2K | $140.24 | 2.86x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 3.7K | $48.2K | $13.07 | 4.66x |
| 99283 | Emergency department visit, moderately severe problem | 820 | $41.6K | $50.75 | 3.65x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 791 | $38.1K | $48.22 | 6.54x |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 503 | $22.2K | $44.14 | 2.49x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 400 | $19.4K | $48.46 | 2.85x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 528 | $17.9K | $33.90 | 3.39x |
This provider submits charges 2.87 times higher than what Medicare actually pays.
A markup ratio of 2.87x means for every $100 Medicare pays, this provider initially charges $287. 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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