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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Joseph Germano
⚕️
DOIndividual

Joseph Germano, DO

NPI: 1861445926
Mineola, NY
10 years of data
Clinical Cardiac Electrophysiology
$6.2M
Total Payments
34.0K
Beneficiaries
70.5K
Services
9.94x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$6.2M
Specialty median$207.8K

📋 Key Findings

1Billed $6.2M over 10 years
29.94x markup ratio (above median)
398th percentile in Clinical Cardiac Electrophysiology by payments
4Payments surged 73% in 2018
520 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $6.2M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.

Their average markup ratio of 9.94x is significantly above the specialty median of 4.2x.

Medicare payments to this provider grew 183% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 73% in 2018

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

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$781.74$185.734.21x$596.01$224.9K3.0K1.8K
2015$507.27$140.363.61x$366.91$200.2K3.0K1.6K
2016$451.37$135.293.34x$316.08$229.0K3.5K1.9K
2017$1.4K$211.646.54x$1.2K$393.3K4.7K2.6K
2018$2.0K$243.398.36x$1.8K$680.6K7.2K3.8K
2019$3.0K$239.9312.70x$2.8K$973.9K9.9K4.5K
2020$2.7K$211.8412.95x$2.5K$910.9K9.2K4.2K
2021$2.7K$173.2015.68x$2.5K$1.0M10.3K4.6K
2022$3.2K$195.9716.20x$3.0K$949.5K9.3K4.4K
2023$3.4K$170.9319.71x$3.2K$637.2K10.4K4.7K

Top Procedures (20)

G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec⚠ 6.1x markup
$1.6M
9.0K services$178.18/svc6.11x markup
93299Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days⚠ 4.5x markup
$860.9K
4.0K services$213.83/svc4.53x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 4.3x markup
$391.7K
3.9K services$101.48/svc4.32x markup
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report⚠ 8.0x markup
$315.5K
5.3K services$59.00/svc8.02x markup
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm⚠ 7.3x markup
$314.7K
276 services$1.1K/svc7.33x markup
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days⚠ 5.9x markup
$300.8K
12.3K services$24.55/svc5.92x markup
33249Insertion or replacement of single or dual chamber pacing defibrillator leads⚠ 6.8x markup
$167.5K
189 services$886.19/svc6.85x markup
93284Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report⚠ 6.7x markup
$165.5K
2.0K services$84.78/svc6.72x markup
93283Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report⚠ 6.7x markup
$164.6K
2.2K services$76.29/svc6.72x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 3.9x markup
$151.3K
2.2K services$68.27/svc3.92x markup
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes⚠ 8.3x markup
$137.3K
283 services$485.16/svc8.31x markup
99204New patient office or other outpatient visit, typically 45 minutes⚠ 4.4x markup
$125.4K
832 services$150.68/svc4.36x markup
93290Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including connection, recording, disconnection, and analysis⚠ 9.6x markup
$116.8K
3.5K services$33.71/svc9.62x markup
93296Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days⚠ 20.9x markup
$92.5K
4.2K services$22.05/svc20.89x markup
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles⚠ 5.1x markup
$86.7K
254 services$341.53/svc5.13x markup
93295Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days⚠ 14.8x markup
$84.6K
2.2K services$37.73/svc14.75x markup
99222Initial hospital inpatient care, typically 50 minutes per day⚠ 4.3x markup
$78.6K
619 services$126.94/svc4.26x markup
33340Repair of left upper heart⚠ 10.6x markup
$69.5K
100 services$695.41/svc10.61x markup
15734Muscle flap wound repair at trunk⚠ 15.8x markup
$67.5K
46 services$1.5K/svc15.85x markup
33225Insertion of left heart electrode for pacing defibrillator device⚠ 7.5x markup
$64.3K
133 services$483.40/svc7.45x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
G2066Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec9.0K$1.6M$178.186.11x
93299Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days4.0K$860.9K$213.834.53x
99214Established patient office or other outpatient, visit typically 25 minutes3.9K$391.7K$101.484.32x
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report5.3K$315.5K$59.008.02x
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm276$314.7K$1.1K7.33x
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days12.3K$300.8K$24.555.92x
33249Insertion or replacement of single or dual chamber pacing defibrillator leads189$167.5K$886.196.85x
93284Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report2.0K$165.5K$84.786.72x
93283Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report2.2K$164.6K$76.296.72x
99213Established patient office or other outpatient visit, typically 15 minutes2.2K$151.3K$68.273.92x
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes283$137.3K$485.168.31x
99204New patient office or other outpatient visit, typically 45 minutes832$125.4K$150.684.36x
93290Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including connection, recording, disconnection, and analysis3.5K$116.8K$33.719.62x
93296Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days4.2K$92.5K$22.0520.89x
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles254$86.7K$341.535.13x
93295Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days2.2K$84.6K$37.7314.75x
99222Initial hospital inpatient care, typically 50 minutes per day619$78.6K$126.944.26x
33340Repair of left upper heart100$69.5K$695.4110.61x
15734Muscle flap wound repair at trunk46$67.5K$1.5K15.85x
33225Insertion of left heart electrode for pacing defibrillator device133$64.3K$483.407.45x

Markup Analysis

Charge-to-Payment Ratio

9.94x

This provider submits charges 9.94 times higher than what Medicare actually pays.

What This Means

A markup ratio of 9.94x means for every $100 Medicare pays, this provider initially charges $994. This is higher than the national average.

Location

Mineola, NY

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Clinical Cardiac Electrophysiology providers in NY for peer comparison.

Joseph Germano (you)
$6.2M
David Hoch, M.D.
$46.2M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
David Hoch, M.D.Roslyn, NY$46.2M✓ Clear

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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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