This provider's $5.0M in total Medicare payments ranks in the 98th percentile of Clinical Cardiac Electrophysiology providers nationally.
Their average markup ratio of 5.28x is significantly above the specialty median of 4.2x.
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 | $375.59 | $99.28 | 3.78x | $276.31 | $557.7K | 12.2K | 8.0K |
| 2015 | $380.90 | $107.81 | 3.53x | $273.09 | $560.4K | 11.5K | 8.0K |
| 2016 | $406.59 | $111.63 | 3.64x | $294.96 | $540.6K | 10.8K | 7.6K |
| 2017 | $409.56 | $105.31 | 3.89x | $304.25 | $525.9K | 12.5K | 8.5K |
| 2018 | $361.53 | $96.03 | 3.76x | $265.50 | $520.3K | 10.8K | 8.1K |
| 2019 | $393.01 | $96.78 | 4.06x | $296.23 | $557.4K | 10.7K | 8.2K |
| 2020 | $394.82 | $99.49 | 3.97x | $295.33 | $460.0K | 8.7K | 7.3K |
| 2021 | $387.23 | $95.74 | 4.04x | $291.49 | $461.8K | 8.6K | 7.2K |
| 2022 | $370.83 | $88.89 | 4.17x | $281.94 | $420.2K | 8.0K | 6.9K |
| 2023 | $332.87 | $74.22 | 4.48x | $258.65 | $357.0K | 7.2K | 6.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.3K | $740.3K | $71.63 | 3.17x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 8.2K | $549.6K | $67.12 | 13.46x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 605 | $401.5K | $663.61 | 2.89x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.7K | $374.6K | $42.99 | 4.12x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 592 | $221.7K | $374.48 | 2.90x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 928 | $196.5K | $211.78 | 2.68x |
| 93312 | Insertion of probe in esophagus for heart ultrasound examination including interpretation and report | 2.1K | $169.4K | $81.38 | 4.92x |
| 92960 | External shock to heart to regulate heart beat | 2.0K | $166.6K | $82.13 | 4.31x |
| 93620 | Insertion of catheters for recording, pacing, and attempted induction of abnormal rhythm in right upper and lower heart | 310 | $138.8K | $447.75 | 3.04x |
| 33225 | Insertion of left heart electrode for pacing defibrillator device | 407 | $138.8K | $340.98 | 2.26x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 215 | $131.6K | $611.96 | 1.72x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 4.7K | $125.3K | $26.83 | 2.84x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 480 | $121.6K | $253.39 | 2.37x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $118.7K | $104.70 | 2.71x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 2.0K | $87.5K | $44.26 | 2.75x |
| 33264 | Removal and replacement of multiple lead pacing defibrillator pulse generator | 297 | $87.4K | $294.26 | 2.33x |
| 93283 | Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report | 2.0K | $80.1K | $40.06 | 2.57x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.2K | $78.3K | $64.35 | 2.98x |
| 93609 | Insertion of catheter for recording to identify origin of abnormal heart rhythm | 290 | $59.0K | $203.47 | 3.28x |
| 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 10.0K | $58.4K | $5.86 | 3.93x |
This provider submits charges 5.28 times higher than what Medicare actually pays.
A markup ratio of 5.28x means for every $100 Medicare pays, this provider initially charges $528. 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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