Top billers · Codes · 93296

Who bills 93296?

93296 is the CPT code for: Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days. In 2024, 5,002 providers billed 93296 1,969,899 times, with an estimated $30.8M paid by Medicare.

$31.73
2026 PFS national rate (office)
5,002
Providers billing it (2024)
1,969,899
Services billed
$30.8M
Est. Medicare paid
The fee

What does Medicare pay for 93296?

Medicare's 2026 Physician Fee Schedule national rate for 93296 is $31.73 in the office setting. National amounts before geographic adjustment — your locality's rate differs slightly.

Office (non-facility) rate$31.73
Facility rateNo separate facility rate
Fee schedule2026 Medicare Physician Fee Schedule

What Medicare actually paid per service in 2024, on average: $15.61 (observed payment across all settings and modifiers — not a fee-schedule rate).

The list

Who bills 93296 the most.

The top 5 billers nationally, ranked by 2024 Medicare service volume.

#ProviderSpecialtyLocationServicesEst. Medicare paid
1Cardionet, LLCIndependent Diagnostic Testing Facility (IDTF)Melville, NY75,725$1.4M
2Vector Remote Care, LLCIndependent Diagnostic Testing Facility (IDTF)Long Island City, NY67,861$1.3M
3Rhythm Management Group CorpIndependent Diagnostic Testing Facility (IDTF)Brooklyn, NY64,031$1.2M
4Cardiac Rms LLCIndependent Diagnostic Testing Facility (IDTF)Saratoga Springs, NY60,201$1.1M
5Octagos Health Inc.Independent Diagnostic Testing Facility (IDTF)Houston, TX31,206$515K

4,997 more providers billed 93296 in 2024. The full ranked list — filtered to your exact territory, with phone numbers and year-over-year history — is one search in Prospect 811.

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The breakdown

Where 93296 gets billed.

Top states by volume

New York364,249 services
Texas152,116 services
Florida148,175 services
California122,586 services
Pennsylvania89,718 services
Ohio76,515 services
North Carolina64,297 services
Illinois59,326 services

About this code

CMS descriptionEvaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days
Code typeCPT (Level I HCPCS)
Providers billing it (2024)5,002
Services billed (2024)1,969,899
Avg. Medicare payment per service (2024)$15.61
Where these numbers come from. Rates are CMS's own public fee-schedule files — the Physician Fee Schedule, Clinical Laboratory Fee Schedule, ASP drug pricing, DMEPOS, and the OPPS/ASC addenda — each labeled with its file year on this page; national amounts are shown before geographic adjustment. Codes with no separate rate render the fee schedule's own status in words, never a fake $0. Utilization comes from CMS's public Medicare Provider Utilization & Payment data for 2024, the most recent year released. It covers traditional Medicare fee-for-service only (no commercial insurance, no Medicare Advantage), and CMS suppresses any provider-and-code line with fewer than 11 beneficiaries before publishing, so low-volume billers don't appear at all. "Est. Medicare paid" is each billing line's average Medicare payment times its service count, summed — actual per-claim payment varies by setting and modifiers. For drug and supply codes, a "service" is a billed unit (a milligram, a milliliter, a square centimeter), not a patient visit. Code descriptions are CMS's own, from the utilization files. Prospect 811 organizes public data; it doesn't add to or alter it. Not affiliated with or endorsed by CMS. Full detail on the data page.

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