Medicare Enrolled
Dr. John Costello, D.O.
Clinical Cardiac Electrophysiology Physician · Philadelphia, PA
Practice pattern: Electrophysiology & Remote
— Practice combining electrophysiology and remote services
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Costello from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Costello
Dr. John Costello is a clinical cardiac electrophysiology physician in Philadelphia, PA, with 14 years of NPI registration. Based on federal Medicare data, Dr. Costello performed 5,387 Medicare services across 3,487 unique beneficiaries.
Between the years covered by Open Payments, Dr. Costello received a total of $27,812 from 37 pharmaceutical and/or device companies across 351 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in clinical cardiac electrophysiology physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Costello is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 14 years in practice
▲ Top 17% volume in PA
$27,812 industry payments
Medicare Practice Summary
Medicare Utilization ↗5,387
Medicare services
Top 17% in PA for clinical cardiac electrophysiology physician
3,487
Unique beneficiaries
$56
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~385 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| EKG interpretation and report A standard electrocardiogram test that records the heart's electrical activity using at least 12 leads. The service includes a professional interpretation of the results and a written report. |
2,005 | $7 | $25 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
541 | $12 | $45 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
442 | $103 | $249 |
| Remote monitoring of implantable heart rhythm device Evaluation of data transmitted remotely from an implantable cardiovascular monitor, such as a loop recorder or subcutaneous cardiac rhythm monitor, over a period up to 30 days. |
343 | $34 | $260 |
| Remote cardiac rhythm monitor evaluation, up to 30 days Review and analysis of data from a remote cardiac rhythm monitoring system over a period of up to 30 days. |
231 | $22 | $60 |
| Remote pacemaker/defibrillator monitoring, 90 days Remote evaluation of a pacemaker or implantable defibrillator system within 90 days of the last check. |
196 | $20 | $76 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
195 | $105 | $293 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
188 | $52 | $120 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
154 | $66 | $133 |
| Remote pacemaker monitoring, 90 days Remote assessment of a pacemaker system, including single, dual, multiple lead, or leadless devices, performed up to 90 days apart. |
141 | $25 | $73 |
| Remote monitoring of implantable heart device, up to 30 days Remote evaluation of an implanted heart or blood vessel monitoring system over a period of up to 30 days. |
111 | $21 | $51 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
103 | $41 | $70 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
97 | $139 | $335 |
| Ultrasound guidance for blood vessel access Use of ultrasound imaging to help locate and access a blood vessel. This guidance assists healthcare providers in performing procedures such as inserting IV lines or drawing blood. |
77 | $12 | $28 |
| Remote evaluation of implantable defibrillator system Remote assessment of a single, dual, or multiple lead implantable defibrillator system within 90 days of the previous evaluation. |
59 | $29 | $132 |
| Pacemaker programming, dual lead system Adjustment and configuration of a dual-lead pacemaker device to ensure proper operation and settings. |
55 | $69 | $163 |
| Atrial fibrillation ablation with pulmonary vein isolation A procedure to treat atrial fibrillation by mapping the heart's electrical activity and destroying tissue causing irregular contractions. This is done by isolating the pulmonary veins using catheter-based destruction. |
51 | $803 | $2,303 |
| Heart chamber tissue destruction via catheter A procedure that destroys tissue in the upper heart chamber using a tube to treat abnormal heart rhythm. |
49 | $260 | $859 |
| Echocardiogram, transthoracic An ultrasound of the heart that uses color to show blood flow, rate, direction, and valve function. |
48 | $53 | $142 |
| Pacemaker insertion with heart chamber electrodes A surgical procedure to implant a pacemaker device and place electrodes into the upper and lower chambers of the heart to regulate heart rhythm. |
35 | $384 | $1,090 |
| Heart rhythm stimulator programming after drug infusion Adjustment of a heart rhythm stimulation device following a drug infusion. This procedure involves reprogramming the device settings to ensure proper function after the medication has been administered. |
35 | $72 | $294 |
| Repair of left upper heart chamber with implant A surgical procedure to repair the left upper chamber of the heart using an implanted device, with review by a radiologist. |
33 | $618 | $1,628 |
| Initial hospital admission, high complexity Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter. |
33 | $148 | $428 |
| Removal of subcutaneous heart rhythm monitor This procedure involves the removal of a heart rhythm monitor that has been implanted under the skin. It is a minor surgical intervention to extract the device. |
22 | $60 | $178 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
20 | $98 | $208 |
| Continuous ECG monitoring, up to 30 days Continuous heart rhythm monitoring for up to 30 days, including professional review and reporting of the results. |
19 | $22 | $50 |
| 30-day continuous ECG with patient-triggered event transmission and review This procedure involves continuous electrocardiogram monitoring for up to 30 days, including the transmission of patient-triggered events. A healthcare professional reviews the data and provides a report. |
19 | $765 | $2,400 |
| Heart conduction tissue destruction A procedure that destroys heart conduction tissue to create a heart block. |
19 | $469 | $1,107 |
| Insertion of left lower heart electrode for pacemaker or defibrillator A procedure to place an electrode in the lower part of the left side of the heart. This electrode is used to connect a pacemaker or defibrillator to help regulate the heart's rhythm. |
18 | $392 | $900 |
| 2-day continuous ECG with review and report A two-day continuous electrocardiogram recording that includes a professional review and written report of the results. |
17 | $58 | $279 |
| Pacemaker/ICD evaluation at implant or replacement Assessment of a single or dual chamber pacing cardioverter-defibrillator and generator during the initial implantation or replacement procedure. |
17 | $145 | $678 |
| Insertion of implantable defibrillator system A surgical procedure to place an implantable cardioverter-defibrillator (ICD) device into the body. The device is connected to the heart to monitor heart rhythm and deliver shocks if dangerous arrhythmias occur. |
14 | $773 | $1,866 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
13.3% high complexity
1.4% medium
85.2% routine
Industry Payment Transparency
Open Payments through 2024 ↗$27,812
Total received (2018-2024)
Avg $3,973/year across 7 years
Top 39% in PA for clinical cardiac electrophysiology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
37
Companies
351
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$14,059 (50.6%)
Scientific / Research
Research funding and grants
$12,692 (45.6%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$956 (3.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$103 (0.4%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,632
2023
$2,516
2022
$2,897
2021
$2,605
2020
$856
2019
$15,413
2018
$1,893
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ATRICURE, INC.
$497
Impulse Dynamics (USA) Inc.
$384
Boston Scientific Corporation
$323
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$83
PFIZER INC.
$57
CVRx, Inc.
$52
Janssen Pharmaceuticals, Inc
$33
Biosense Webster, Inc.
$28
Bayer Healthcare Pharmaceuticals Inc.
$27
Esperion Therapeutics, Inc.
$27
Abbott Laboratories
$21
Philips North America LLC
$21
Amgen Inc.
$17
Boehringer Ingelheim Pharmaceuticals, Inc.
$16
Kiniksa Pharmaceuticals International, plc
$16
Kestra Medical Technology Services, Inc.
$15
Inari Medical, Inc.
$14
Top 3 companies account for 73.8% of 2024 payments
All-time payments by company (2018-2024) ›
Medtronic Vascular, Inc.
$12,838
Abbott Laboratories
$4,835
Biosense Webster, Inc.
$1,438
BIOTRONIK INC.
$1,419
Impulse Dynamics (USA) Inc.
$1,365
Boston Scientific Corporation
$1,133
Philips Electronics North America Corporation
$848
BOSTON SCIENTIFIC CORPORATION
$828
ATRICURE, INC.
$744
ZOLL Respicardia, Inc.
$352
Aziyo Biologics, Inc.
$345
CVRx, Inc.
$313
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$213
Janssen Pharmaceuticals, Inc
$184
PFIZER INC.
$126
Merck Sharp & Dohme LLC
$116
Medtronic, Inc.
$108
E.R. Squibb & Sons, L.L.C.
$92
W. L. Gore & Associates, Inc.
$65
Novartis Pharmaceuticals Corporation
$56
CARDIVA MEDICAL, INC.
$47
Amarin Pharma Inc.
$43
Bayer Healthcare Pharmaceuticals Inc.
$42
Kestra Medical Technology Services, Inc.
$28
Esperion Therapeutics, Inc.
$27
Bayer HealthCare Pharmaceuticals Inc.
$24
Philips North America LLC
$21
AtriCure, Inc.
$19
Regeneron Healthcare Solutions, Inc.
$18
Cardiovascular Systems Inc.
$18
Amgen Inc.
$17
Boehringer Ingelheim Pharmaceuticals, Inc.
$16
Kiniksa Pharmaceuticals International, plc
$16
AstraZeneca Pharmaceuticals LP
$15
Inari Medical, Inc.
$14
SCPHARMACEUTICALS INC.
$14
Kiniksa Pharmaceuticals, Ltd.
$14
Top 3 companies account for 68.7% of all-time payments
Associated products mentioned in payments ›
(5044) MCOT · (9124) LM Undivided · (AO0) IGT Devices Intracardiac · AMPLATZER · AMPLATZER AMULET · ARCTIC FRONT ADVANCE · AVEIR · Acticor · Acticor 7 VR-T DX · Allure CRT Pacemaker · Anthem CRT Pacemaker · Arcalyst · Assure WCD · Assurity Pacemaker · BIOMONITOR · Barostim Neo System · Blazer II · CARDIOMEMS · CARDIVA VASCADE 5F VCS · CARTO 3 · CONFIRM RX · CRT-Ds · Carto 3 · Carto 3 System · Carto Smarttouch · Claria MRI · Confidense · Confirm Rx · Diamondback Coronary · ECM Patch · ELIQUIS · EMBLEM · ENSITE · EP-WorkMate Claris System · EPI-SENSE GUIDED COAGULATION SYSTEM WITH VISITRAX · EVKEEZA · Edora · Ellipse ICD · Ensite Cardiac Mapping System · FARXIGA · FINELINE II Sterox · FLOWTRIEVER CATHETER · FUROSCIX · Fortify Assura · GALLANT · GENERAL - THERAPIES · GENERAL THERAPIES · GORE CARDIOFORM Septal Occluder · JARDIANCE · Kerendia · LATITUDE Communicator Power Supply · LEQVIO · LUX-Dx Insertable Cardiac Monitor · LifeVest · MERLIN@HOME · MICRA · Micra · NEXLETOL · Nanostim Leadleas Pacemaker · OCTARAY MAPPING CATHETER · OPTIMIZER · Optimizer · Optimizer Smart System · Pacing Leads · Peel-Away Standard Introducer · Pouch · QDOT MICRO Catheter · QUADRA ALLURE MP · QUARTET · Quadra Allure MP RF CRT Pacemkr · Quadra Assura CRT Defibrillator · Quartet CRT Lead · RHYTHMIA · Repatha · Reveal LINQ · Rivacor · Rivacor 7 DR-T · S · S-ICD System Magnet · SQRX PULSE GENERATOR · Smartablate · Solia · TYRX · VERQUVO · VIGILANT · VYNDAQEL · Vascepa · VersaCross Large Access Solution · Visitag · WATCHMAN · WATCHMAN Access System · WATCHMAN FLX · XARELTO · remede System
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (51%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Clinical cardiac electrophysiology physicians within 10 mi
61
Per 100K population
3.9
County median income
$60,698
Nearest hospital
BELMONT BEHAVIORAL HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Costello is an electrophysiology & remote specialist, with above-average Medicare volume (top 17% in PA), with low-engagement industry engagement.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Costello experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Costello performed 2,005 ekg interpretation and report services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Costello receive payments from pharmaceutical companies?
Yes. Dr. Costello received a total of $27,812 from 37 companies across 351 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Costello's costs compare to other clinical cardiac electrophysiology physicians in Philadelphia?
Dr. Costello's average Medicare payment per service is $56. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Costello) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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