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.
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 | $332.96 | $136.05 | 2.45x | $196.91 | $243.1K | 3.9K | 2.6K |
| 2015 | $395.49 | $157.94 | 2.50x | $237.55 | $277.7K | 4.2K | 2.9K |
| 2016 | $396.37 | $157.08 | 2.52x | $239.29 | $331.5K | 4.9K | 3.3K |
| 2017 | $346.36 | $134.30 | 2.58x | $212.06 | $372.3K | 5.8K | 4.0K |
| 2018 | $358.98 | $138.86 | 2.59x | $220.12 | $347.9K | 5.7K | 3.7K |
| 2019 | $416.52 | $150.85 | 2.76x | $265.67 | $350.3K | 6.1K | 3.5K |
| 2020 | $470.46 | $162.31 | 2.90x | $308.15 | $347.9K | 5.0K | 3.0K |
| 2021 | $429.04 | $148.13 | 2.90x | $280.91 | $331.1K | 5.1K | 2.8K |
| 2022 | $491.26 | $138.92 | 3.54x | $352.34 | $339.7K | 4.9K | 3.0K |
| 2023 | $549.89 | $150.67 | 3.65x | $399.22 | $343.3K | 5.4K | 3.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33340 | Repair of left upper heart | 577 | $361.4K | $626.28 | 2.83x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 8.1K | $299.2K | $36.90 | 3.59x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 309 | $272.6K | $882.33 | 2.79x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 8.5K | $192.6K | $22.60 | 2.95x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.2K | $177.8K | $80.53 | 2.72x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 248 | $166.8K | $672.40 | 2.66x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 217 | $160.6K | $740.20 | 2.59x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $137.0K | $121.03 | 2.71x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 409 | $116.7K | $285.21 | 2.80x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 248 | $103.2K | $416.18 | 2.66x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 3.6K | $101.6K | $28.14 | 2.78x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 311 | $96.0K | $308.77 | 3.04x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 651 | $69.5K | $106.69 | 2.53x |
| 33274 | Insertion or replacement of permanent leadless pacemaker into lower right chamber of heart via catheter using imaging guidance | 181 | $67.6K | $373.26 | 2.68x |
| 93283 | Evaluation, testing, and programming adjustment of permanent dual lead cardioverter-defibrillator including physician analysis, review, and report | 1.5K | $64.4K | $42.93 | 2.72x |
| 93284 | Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report | 1.1K | $52.9K | $47.04 | 2.71x |
| 33228 | Removal and replacement of dual lead permanent pacemaker pulse generator | 175 | $50.1K | $286.11 | 2.57x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 160 | $45.9K | $286.94 | 3.37x |
| 93662 | Ultrasound evaluation of heart blood vessel | 422 | $45.5K | $107.80 | 2.81x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 790 | $45.0K | $56.97 | 2.72x |
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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