This provider's $5.2M in total Medicare payments ranks in the 98th 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 | $482.52 | $118.71 | 4.06x | $363.81 | $416.9K | 4.5K | 3.3K |
| 2015 | $529.55 | $129.29 | 4.10x | $400.26 | $461.1K | 5.2K | 3.6K |
| 2016 | $585.28 | $147.40 | 3.97x | $437.88 | $487.9K | 5.4K | 3.9K |
| 2017 | $579.28 | $144.33 | 4.01x | $434.95 | $461.7K | 5.1K | 3.8K |
| 2018 | $624.05 | $151.25 | 4.13x | $472.80 | $574.7K | 6.1K | 4.2K |
| 2019 | $615.76 | $152.00 | 4.05x | $463.76 | $584.7K | 7.0K | 4.6K |
| 2020 | $515.51 | $131.83 | 3.91x | $383.68 | $524.9K | 6.7K | 4.2K |
| 2021 | $612.09 | $156.89 | 3.90x | $455.20 | $589.3K | 8.0K | 4.1K |
| 2022 | $568.39 | $138.64 | 4.10x | $429.75 | $546.7K | 7.8K | 4.2K |
| 2023 | $589.11 | $136.87 | 4.30x | $452.24 | $533.2K | 7.9K | 4.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93656 | Evaluation and insertion of catheters for recording, pacing, and treatment of abnormal heart rhythm | 1.2K | $1.1M | $922.33 | 3.95x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.7K | $543.2K | $80.50 | 4.01x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 3.3K | $365.6K | $109.36 | 3.98x |
| 93655 | Insertion of catheters for treatment of abnormal heart rhythm | 1.1K | $347.9K | $327.60 | 4.20x |
| 93657 | Destruction of tissue of right or left upper heart chamber via catheter for treatment of abnormal heart rhythm | 1.0K | $329.0K | $327.39 | 4.20x |
| 93613 | Insertion of catheters for 3D mapping of electrical impulses to heart muscles | 969 | $275.3K | $284.10 | 4.51x |
| 33340 | Repair of left upper heart | 323 | $210.2K | $650.87 | 3.88x |
| 93653 | Evaluation and insertion of catheters for creation of complete heart block | 183 | $127.6K | $697.25 | 3.90x |
| 93654 | Evaluation and insertion of catheters for recording, pacing, and attempted induction of abnormal heart rhythm | 127 | $117.6K | $926.06 | 3.91x |
| 93623 | Programmed heart rhythm stimulation after drug infusion into a vein | 1.0K | $114.6K | $110.94 | 4.65x |
| 93662 | Ultrasound evaluation of heart blood vessel | 1.0K | $111.7K | $108.38 | 4.07x |
| 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 2.4K | $107.8K | $45.89 | 3.82x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 668 | $106.2K | $159.02 | 3.94x |
| 93296 | Remote evaluations of defibrillator transmissions, technician review, support and distribution of results up to 90 days | 5.4K | $95.5K | $17.65 | 4.35x |
| 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 | 3.0K | $80.6K | $26.66 | 3.90x |
| 93294 | Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days | 3.5K | $80.3K | $22.96 | 4.53x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.4K | $77.0K | $54.41 | 4.04x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 6.1K | $72.2K | $11.90 | 4.26x |
| 93295 | Remote evaluations of single, dual, or multiple lead cardioverter-defibrillator with physician analysis, review, and report up to 90 days | 2.0K | $67.8K | $33.74 | 6.13x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.2K | $66.0K | $57.02 | 3.85x |
This provider submits charges 4.1 times higher than what Medicare actually pays.
A markup ratio of 4.1x means for every $100 Medicare pays, this provider initially charges $410. 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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