How much does Medicare pay for CPT 93641?

Medicare allowed an average of $156.53 per service and paid $124.47 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1013.75, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Which specialty bills 93641 most?

Clinical Cardiac Electrophysiology, with 1,848 services from 94 clinicians. Next are Cardiology, Internal Medicine, Cardiac Surgery.

CPT 93641

Evaluation of single or dual chamber pacing cardioverter-defibrillator and generator at time of implantation or replacement

$156.53Medicare-allowed amount per service, averaged across 2,661 services

Providers submitted

$1013.75

Asking price, not received

Medicare allowed

$156.53

The fee schedule figure

Medicare paid

$124.47

Balance is patient coinsurance

Providers submitted an average of $1013.75 for this code and Medicare allowed $156.53 — 6.5× 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 $124.47 (80%); the rest is the patient’s coinsurance and deductible.

Services: 2,661
Beneficiaries: 2,636
Providers billing it: 135
Total allowed: $416,526

What Medicare pays for CPT 93641

Across 2,661 services billed by 135 providers to 2,636 beneficiaries, Medicare allowed an average of $156.53 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 93641

Specialty	Services	Beneficiaries	Avg allowed	Providers
Clinical Cardiac Electrophysiology	1,848	1,836	$153.18	94
Cardiology	747	735	$164.62	37
Internal Medicine	21	20	$144.31	1
Cardiac Surgery	17	17	$169.83	1
Thoracic Surgery	15	15	$177.35	1
Interventional Cardiology	13	13	$146.52	1

93641 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
Florida	523	$162.58	$121.45	24
California	435	$167.37	$128.92	19
Texas	368	$156.27	$125.28	21
Georgia	143	$147.01	$117.96	7
Indiana	119	$141.37	$120.74	5
Oklahoma	95	$140.97	$116.65	5
Pennsylvania	94	$151.95	$119.60	4
Ohio	91	$145.00	$120.82	5
Nevada	88	$179.60	$144.57	5
South Carolina	77	$140.93	$117.08	3
Kansas	72	$162.13	$133.47	3
North Carolina	67	$149.09	$120.68	4
New Jersey	56	$161.22	$116.64	3
Michigan	48	$162.81	$121.69	2
Missouri	48	$149.53	$119.66	4
Utah	36	$148.51	$116.63	2
Alabama	36	$136.34	$116.63	2
Louisiana	32	$147.46	$116.75	2
New York	32	$149.46	$123.34	2
Delaware	32	$155.44	$123.66	2
Nebraska	26	$136.04	$121.12	1
Maryland	17	$175.18	$116.71	1
Washington	17	$153.45	$123.49	1
Tennessee	16	$143.25	$124.25	1
Iowa	15	$142.49	$124.48	1
Kentucky	15	$140.14	$116.41	1
Wisconsin	14	$142.51	$117.74	1
Virginia	13	$146.22	$116.90	1
Connecticut	13	$167.98	$116.76	1
Illinois	12	$172.36	$126.64	1
Colorado	11	$145.85	$116.89	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
93623Programming of heart rhythm stimulation after drug infusion$65.91
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
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.