This provider's $7.7M in total Medicare payments ranks in the 99th percentile of Clinical Cardiac Electrophysiology providers nationally.
Medicare payments to this provider grew 151% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 102% in 2019
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $659.25 | $199.01 | 3.31x | $460.24 | $403.5K | 3.9K | 2.5K |
| 2015 | $690.23 | $207.48 | 3.33x | $482.75 | $477.2K | 4.4K | 2.9K |
| 2016 | $678.62 | $205.76 | 3.30x | $472.86 | $518.2K | 5.0K | 3.4K |
| 2017 | $612.97 | $186.88 | 3.28x | $426.09 | $571.3K | 7.7K | 4.5K |
| 2018 | $558.76 | $171.78 | 3.25x | $386.98 | $579.8K | 9.8K | 5.2K |
| 2019 | $755.65 | $291.52 | 2.59x | $464.13 | $1.2M | 11.9K | 5.6K |
| 2020 | $743.35 | $302.92 | 2.45x | $440.43 | $1.2M | 11.7K | 4.3K |
| 2021 | $776.65 | $320.42 | 2.42x | $456.23 | $953.6K | 12.3K | 3.9K |
| 2022 | $778.66 | $322.78 | 2.41x | $455.88 | $846.8K | 11.1K | 3.7K |
| 2023 | $839.53 | $305.79 | 2.75x | $533.74 | $1.0M | 12.3K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 33285 | Insertion of heart rhythm monitor under skin | 525 | $2.0M | $3.9K | 1.68x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.5K | $775.2K | $91.54 | 1.98x |
| G2066 | Interrogation 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 | 12.1K | $395.1K | $32.77 | 3.36x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 6.3K | $379.8K | $60.33 | 1.99x |
| 93298 | Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days | 15.1K | $331.7K | $21.95 | 2.96x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 389 | $249.8K | $642.24 | 3.00x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 172 | $237.0K | $1.4K | 2.03x |
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 233 | $221.2K | $949.42 | 3.00x |
| 33249 | Insertion or replacement of single or dual chamber pacing defibrillator leads | 276 | $215.5K | $780.77 | 3.10x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 302 | $215.2K | $712.66 | 2.74x |
| 33208 | Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes | 481 | $204.8K | $425.73 | 3.43x |
| 93299 | Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days | 4.0K | $152.1K | $37.74 | 2.91x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.3K | $145.2K | $113.86 | 2.20x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 466 | $140.9K | $302.46 | 3.06x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 10.0K | $133.0K | $13.25 | 4.26x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 771 | $133.0K | $172.45 | 2.21x |
| 93296 | Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days | 5.8K | $125.3K | $21.61 | 3.70x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 680 | $121.7K | $178.99 | 3.07x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 915 | $114.9K | $125.54 | 2.11x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 172 | $104.1K | $605.21 | 2.51x |
This provider submits charges 2.58 times higher than what Medicare actually pays.
A markup ratio of 2.58x means for every $100 Medicare pays, this provider initially charges $258. 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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