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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. Joshua Stern
⚕️
MDIndividual

Joshua Stern, M.D.

NPI: 1922087188
Roslyn, NY
10 years of data
Clinical Cardiac Electrophysiology
$10.1M
Total Payments
55.7K
Beneficiaries
95.7K
Services
8.23x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$10.1M
Specialty median$207.8K

📋 Key Findings

1Billed $10.1M over 10 years
28.23x markup ratio (above median)
399th percentile in Clinical Cardiac Electrophysiology by payments
4Payments surged 93% in 2015
519 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $10.1M in total Medicare payments ranks in the 99th percentile of Clinical Cardiac Electrophysiology providers nationally.

Their average markup ratio of 8.23x is significantly above the specialty median of 4.2x.

Medicare payments to this provider grew 453% 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 93% in 2015

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$824.54$145.115.68x$679.43$249.7K2.8K2.4K
2015$792.02$143.325.53x$648.70$482.0K5.3K3.7K
2016$834.51$137.966.05x$696.55$562.1K6.3K4.5K
2017$974.54$143.096.81x$831.45$846.0K9.7K5.7K
2018$951.41$121.797.81x$829.62$815.7K9.5K5.8K
2019$3.1K$266.2011.49x$2.8K$1.1M11.5K6.5K
2020$4.2K$287.5614.73x$3.9K$1.3M11.1K6.0K
2021$4.4K$283.9615.37x$4.1K$1.6M12.5K6.8K
2022$3.6K$266.6613.60x$3.4K$1.7M13.2K7.1K
2023$3.9K$265.6514.67x$3.6K$1.4M13.7K7.2K

Top Procedures (20)

33285Insertion of heart rhythm monitor under skin⚠ 12.4x markup
$1.6M
406 services$4.0K/svc12.41x markup
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⚠ 4.0x markup
$1.4M
8.0K services$177.85/svc4.03x markup
99214Established patient office or other outpatient, visit typically 25 minutes⚠ 4.7x markup
$1.1M
10.6K services$105.62/svc4.71x markup
93299Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days
$812.5K
3.9K services$208.18/svc2.21x markup
33249Insertion or replacement of single or dual chamber pacing defibrillator leads⚠ 7.0x markup
$496.6K
539 services$921.28/svc7.05x markup
99222Initial hospital inpatient care, typically 50 minutes per day⚠ 4.7x markup
$370.0K
2.9K services$126.03/svc4.71x markup
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes⚠ 7.5x markup
$367.1K
701 services$523.72/svc7.53x markup
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report⚠ 7.1x markup
$333.7K
5.3K services$62.49/svc7.14x markup
99233Subsequent hospital inpatient care, typically 35 minutes per day⚠ 4.5x markup
$289.8K
3.1K services$93.39/svc4.50x markup
99232Subsequent hospital inpatient care, typically 25 minutes per day⚠ 5.4x markup
$246.8K
3.7K services$67.18/svc5.42x markup
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm⚠ 23.3x markup
$219.4K
197 services$1.1K/svc23.33x markup
93000Routine EKG using at least 12 leads including interpretation and report⚠ 9.1x markup
$206.5K
14.9K services$13.86/svc9.10x markup
99205New patient office or other outpatient visit, typically 60 minutes⚠ 4.8x markup
$165.1K
836 services$197.46/svc4.84x markup
33225Insertion of left heart electrode for pacing defibrillator device⚠ 7.0x markup
$154.7K
324 services$477.55/svc6.99x markup
93284Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report⚠ 7.5x markup
$150.0K
1.7K services$88.23/svc7.54x markup
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days⚠ 26.6x markup
$145.7K
6.1K services$23.73/svc26.58x markup
93282Evaluation, testing, and programming adjustment of permanent single lead cardioverter-defibrillator including physician analysis, review, and report⚠ 6.7x markup
$139.7K
2.2K services$64.02/svc6.72x markup
93297Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days⚠ 19.9x markup
$138.7K
5.9K services$23.34/svc19.93x markup
93620Insertion of catheters for recording, pacing, and attempted induction of abnormal rhythm in right upper and lower heart⚠ 10.5x markup
$121.0K
189 services$640.22/svc10.52x markup
99213Established patient office or other outpatient visit, typically 15 minutes⚠ 4.7x markup
$118.2K
1.7K services$69.58/svc4.74x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
33285Insertion of heart rhythm monitor under skin406$1.6M$4.0K12.41x
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 tec8.0K$1.4M$177.854.03x
99214Established patient office or other outpatient, visit typically 25 minutes10.6K$1.1M$105.624.71x
93299Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days3.9K$812.5K$208.182.21x
33249Insertion or replacement of single or dual chamber pacing defibrillator leads539$496.6K$921.287.05x
99222Initial hospital inpatient care, typically 50 minutes per day2.9K$370.0K$126.034.71x
33208Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes701$367.1K$523.727.53x
93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report5.3K$333.7K$62.497.14x
99233Subsequent hospital inpatient care, typically 35 minutes per day3.1K$289.8K$93.394.50x
99232Subsequent hospital inpatient care, typically 25 minutes per day3.7K$246.8K$67.185.42x
93656Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm197$219.4K$1.1K23.33x
93000Routine EKG using at least 12 leads including interpretation and report14.9K$206.5K$13.869.10x
99205New patient office or other outpatient visit, typically 60 minutes836$165.1K$197.464.84x
33225Insertion of left heart electrode for pacing defibrillator device324$154.7K$477.556.99x
93284Evaluation, testing, and programming adjustment of permanent multiple lead cardioverter-defibrillator including physician analysis, review, and report1.7K$150.0K$88.237.54x
93298Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days6.1K$145.7K$23.7326.58x
93282Evaluation, testing, and programming adjustment of permanent single lead cardioverter-defibrillator including physician analysis, review, and report2.2K$139.7K$64.026.72x
93297Remote evaluations of implantable heart monitoring system with physician analysis, review, and report up to 30 days5.9K$138.7K$23.3419.93x
93620Insertion of catheters for recording, pacing, and attempted induction of abnormal rhythm in right upper and lower heart189$121.0K$640.2210.52x
99213Established patient office or other outpatient visit, typically 15 minutes1.7K$118.2K$69.584.74x

Markup Analysis

Charge-to-Payment Ratio

8.23x

This provider submits charges 8.23 times higher than what Medicare actually pays.

What This Means

A markup ratio of 8.23x means for every $100 Medicare pays, this provider initially charges $823. This is higher than the national average.

Location

Roslyn, 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.

Joshua Stern (you)
$10.1M
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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