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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. Bradley Mikaelian
⚕️
MDIndividual

Bradley Mikaelian, M.D.

NPI: 1861598682
Colorado Springs, CO
10 years of data
Clinical Cardiac Electrophysiology
$3.3M
Total Payments
32.2K
Beneficiaries
50.8K
Services
2.87x
Markup Ratio

Peer Comparison

97th
percentile in specialty
This provider$3.3M
Specialty median$207.8K

📋 Key Findings

1Billed $3.3M over 10 years
22.87x markup ratio (above median)
397th percentile in Clinical Cardiac Electrophysiology by payments
43 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $3.3M 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$332.96$136.052.45x$196.91$243.1K3.9K2.6K
2015$395.49$157.942.50x$237.55$277.7K4.2K2.9K
2016$396.37$157.082.52x$239.29$331.5K4.9K3.3K
2017$346.36$134.302.58x$212.06$372.3K5.8K4.0K
2018$358.98$138.862.59x$220.12$347.9K5.7K3.7K
2019$416.52$150.852.76x$265.67$350.3K6.1K3.5K
2020$470.46$162.312.90x$308.15$347.9K5.0K3.0K
2021$429.04$148.132.90x$280.91$331.1K5.1K2.8K
2022$491.26$138.923.54x$352.34$339.7K4.9K3.0K
2023$549.89$150.673.65x$399.22$343.3K5.4K3.4K

Top Procedures (20)

33340Repair of left upper heart
$361.4K
577 services$626.28/svc2.83x markup
93295Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days⚠ 3.6x markup
$299.2K
8.1K services$36.90/svc3.59x markup
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm
$272.6K
309 services$882.33/svc2.79x markup
93294Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days
$192.6K
8.5K services$22.60/svc2.95x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$177.8K
2.2K services$80.53/svc2.72x markup
93653Evaluation and insertion of catheters for creation of complete heart block
$166.8K
248 services$672.40/svc2.66x markup
33249Insertion or replacement of single or dual chamber pacing defibrillator leads
$160.6K
217 services$740.20/svc2.59x markup
99204New patient office or other outpatient visit, typically 45 minutes
$137.0K
1.1K services$121.03/svc2.71x markup
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles
$116.7K
409 services$285.21/svc2.80x markup
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes
$103.2K
248 services$416.18/svc2.66x markup
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report
$101.6K
3.6K services$28.14/svc2.78x markup
93655Insertion of catheters for treatment of abnormal heart rhythm⚠ 3.0x markup
$96.0K
311 services$308.77/svc3.04x markup
99222Initial hospital inpatient care, typically 50 minutes per day
$69.5K
651 services$106.69/svc2.53x markup
33274Insertion or replacement of permanent leadless pacemaker into lower right chamber of heart via catheter using imaging guidance
$67.6K
181 services$373.26/svc2.68x markup
93283Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report
$64.4K
1.5K services$42.93/svc2.72x markup
93284Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report
$52.9K
1.1K services$47.04/svc2.71x markup
33228Removal and replacement of dual lead permanent pacemaker pulse generator
$50.1K
175 services$286.11/svc2.57x markup
93657Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm⚠ 3.4x markup
$45.9K
160 services$286.94/svc3.37x markup
93662Ultrasound evaluation of heart blood vessel
$45.5K
422 services$107.80/svc2.81x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day
$45.0K
790 services$56.97/svc2.72x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
33340Repair of left upper heart577$361.4K$626.282.83x
93295Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days8.1K$299.2K$36.903.59x
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm309$272.6K$882.332.79x
93294Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days8.5K$192.6K$22.602.95x
99214Established patient office or other outpatient, visit typically 25 minutes2.2K$177.8K$80.532.72x
93653Evaluation and insertion of catheters for creation of complete heart block248$166.8K$672.402.66x
33249Insertion or replacement of single or dual chamber pacing defibrillator leads217$160.6K$740.202.59x
99204New patient office or other outpatient visit, typically 45 minutes1.1K$137.0K$121.032.71x
93613Insertion of catheters for 3D mapping of electrical impulses to heart muscles409$116.7K$285.212.80x
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes248$103.2K$416.182.66x
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report3.6K$101.6K$28.142.78x
93655Insertion of catheters for treatment of abnormal heart rhythm311$96.0K$308.773.04x
99222Initial hospital inpatient care, typically 50 minutes per day651$69.5K$106.692.53x
33274Insertion or replacement of permanent leadless pacemaker into lower right chamber of heart via catheter using imaging guidance181$67.6K$373.262.68x
93283Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report1.5K$64.4K$42.932.72x
93284Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report1.1K$52.9K$47.042.71x
33228Removal and replacement of dual lead permanent pacemaker pulse generator175$50.1K$286.112.57x
93657Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm160$45.9K$286.943.37x
93662Ultrasound evaluation of heart blood vessel422$45.5K$107.802.81x
99232Subsequent hospital inpatient care, typically 25 minutes per day790$45.0K$56.972.72x

Markup Analysis

Charge-to-Payment Ratio

2.87x

This provider submits charges 2.87 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.87x means for every $100 Medicare pays, this provider initially charges $287. This is higher than the national average.

Location

Colorado Springs, CO

Provider Verification

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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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