How much does Medicare pay for CPT 93623?

Medicare allowed an average of $65.91 per service and paid $52.63 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $579.86, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 93623?

Programming of heart rhythm stimulation after drug infusion. It was billed 34,404 times to 33,608 Medicare beneficiaries by 948 providers in 2024.

Does 93623 pay differently in an office than a hospital?

Yes. The allowed amount averaged $65.52 in an office setting and $65.91 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 93623 most?

Clinical Cardiac Electrophysiology, with 28,045 services from 752 clinicians. Next are Cardiology, Internal Medicine, Interventional Cardiology.

CPT 93623

Programming of heart rhythm stimulation after drug infusion

$65.91Medicare-allowed amount per service, averaged across 34,404 services

Providers submitted

$579.86

Asking price, not received

Medicare allowed

$65.91

The fee schedule figure

Medicare paid

$52.63

Balance is patient coinsurance

Providers submitted an average of $579.86 for this code and Medicare allowed $65.91 — 8.8× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $52.63 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $65.52
Hospital / facility: $65.91

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 11 services were billed in an office setting and 34,393 in a facility.

Services: 34,404
Beneficiaries: 33,608
Providers billing it: 948
Total allowed: $2,267,568

What Medicare pays for CPT 93623

Across 34,404 services billed by 948 providers to 33,608 beneficiaries, Medicare allowed an average of $65.91 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 93623

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Cardiac Electrophysiology	28,045	27,408	$65.89	752
Cardiology	5,473	5,334	$66.30	167
Internal Medicine	743	725	$64.82	23
Interventional Cardiology	68	67	$66.56	3
Critical Care (Intensivists)	43	43	$62.27	1
Hospitalist	21	20	$67.76	1
Physician Assistant	11	11	$8.98	1

93623 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	4,967	$67.23	$49.22	100
Florida	4,033	$67.32	$51.46	87
Texas	3,776	$64.22	$51.62	99
New York	2,711	$77.02	$51.37	70
Pennsylvania	1,284	$65.81	$51.53	50
Virginia	1,234	$64.62	$51.52	35
North Carolina	1,171	$60.99	$51.53	35
South Carolina	1,150	$61.75	$51.49	26
Illinois	1,074	$68.77	$51.54	38
Arizona	1,033	$63.47	$51.61	28
Colorado	925	$65.70	$51.58	29
Indiana	880	$59.77	$51.52	26
New Jersey	858	$71.81	$51.57	25
Kansas	759	$60.71	$51.57	20
Georgia	757	$63.18	$51.46	24
Washington	709	$67.10	$51.69	25
Alabama	571	$59.52	$51.49	15
Tennessee	551	$59.86	$51.59	18
Ohio	544	$62.25	$51.63	22
Oregon	409	$63.90	$51.65	13
Wisconsin	394	$60.84	$51.16	16
Maryland	369	$70.84	$51.50	12
Utah	338	$62.79	$51.57	6
Oklahoma	336	$60.79	$51.56	9
Alaska	333	$80.03	$51.69	4
Arkansas	332	$58.87	$51.68	8
Michigan	309	$67.18	$51.51	17
Louisiana	294	$60.88	$51.67	8
Minnesota	292	$62.31	$51.56	14
Kentucky	290	$62.17	$51.67	10
Idaho	252	$59.49	$51.52	5
Massachusetts	249	$62.66	$49.62	6
Missouri	223	$62.92	$51.14	10
West Virginia	217	$64.35	$51.62	5
Connecticut	179	$70.21	$51.54	8
Nebraska	130	$58.59	$51.53	4
District of Columbia	112	$64.72	$51.73	2
Montana	97	$63.73	$51.37	4
New Mexico	70	$63.55	$51.55	4
North Dakota	48	$60.30	$51.73	2
Nevada	45	$64.17	$51.56	3
Iowa	28	$57.89	$51.94	2
South Dakota	20	$60.95	$51.50	1
Rhode Island	20	$64.25	$52.10	1
Mississippi	18	$59.30	$51.53	1
Delaware	13	$64.37	$47.52	1

Related codes

93656Comprehensive electrophysiologic evaluation$911.22
93657Destruction of tissue of upper heart chamber through tube to treat abn$297.38
93655Insertion of catheters and destruction of tissue to treat abnormal hea$294.16
93662Ultrasound evaluation of heart blood vessel$67.91
93653Comprehensive electrophysiologic evaluation$804.30
93622Insertion of catheters for recording and pacing of left lower heart ch$163.00
93609Insertion of tube in upper and/or lower heart chambers to record and i$269.78
93650Destruction of heart conduction tissue to create heart block$527.25
93660Evaluation of heart function$111.98
93641Evaluation of single or dual chamber pacing cardioverter-defibrillator$156.53
93654Comprehensive electrophysiologic evaluation$954.56
93620Insertion of catheters for recording and pacing of right heart chamber$595.77

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.