This provider's $5.5M in total Medicare payments ranks in the 97th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 11.12x is significantly above the specialty median of 6.1x.
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 | $1.4K | $237.30 | 5.70x | $1.1K | $501.8K | 3.0K | 2.9K |
| 2015 | $2.0K | $233.32 | 8.78x | $1.8K | $605.0K | 3.8K | 3.6K |
| 2016 | $2.0K | $227.02 | 8.95x | $1.8K | $613.9K | 3.9K | 3.8K |
| 2017 | $2.0K | $212.89 | 9.24x | $1.8K | $622.8K | 4.0K | 3.9K |
| 2018 | $1.9K | $202.68 | 9.60x | $1.7K | $660.4K | 4.3K | 4.1K |
| 2019 | $2.0K | $202.64 | 10.03x | $1.8K | $645.0K | 4.3K | 4.1K |
| 2020 | $2.0K | $186.47 | 10.65x | $1.8K | $407.0K | 2.9K | 2.8K |
| 2021 | $2.1K | $193.43 | 10.64x | $1.9K | $470.0K | 3.3K | 3.3K |
| 2022 | $2.1K | $182.38 | 11.25x | $1.9K | $452.0K | 3.5K | 3.4K |
| 2023 | $2.1K | $179.86 | 11.51x | $1.9K | $499.2K | 3.9K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 72148 | MRI scan of lower spinal canal | 7.0K | $1.1M | $154.94 | 12.49x |
| 73721 | MRI scan of leg joint | 4.8K | $771.5K | $160.72 | 12.06x |
| 70551 | MRI scan brain | 3.8K | $585.6K | $155.84 | 12.55x |
| 70553 | MRI scan of brain before and after contrast | 2.3K | $568.4K | $252.63 | 9.48x |
| 73221 | MRI scan of arm joint | 3.5K | $565.3K | $161.65 | 12.02x |
| 72141 | MRI scan of upper spinal canal | 2.5K | $381.3K | $152.16 | 12.71x |
| 72197 | MRI scan of pelvis before and after contrast | 590 | $180.5K | $306.00 | 7.85x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 658 | $170.6K | $259.31 | 9.31x |
| 73718 | MRI scan of leg | 784 | $159.6K | $203.60 | 9.57x |
| 74183 | MRI scan of abdomen before and after contrast | 506 | $158.4K | $313.05 | 7.75x |
| 72195 | MRI scan of pelvis | 746 | $148.4K | $198.92 | 9.88x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 2.7K | $143.7K | $52.51 | 7.62x |
| 72146 | MRI scan of middle spinal canal | 811 | $119.4K | $147.27 | 13.17x |
| 70549 | MRA scan of neck blood vessels before and after contrast | 229 | $81.8K | $357.28 | 6.54x |
| 70543 | MRI scan bones of the eye, face, and/or neck before and after contrast | 260 | $76.6K | $294.62 | 8.22x |
| 70544 | MRA scan of head blood vessels | 277 | $53.6K | $193.59 | 9.91x |
| 70546 | MRA scan of head blood vessels before and after contrast | 138 | $44.8K | $324.75 | 7.15x |
| 72156 | MRI scan of upper spinal canal before and after contrast | 182 | $42.8K | $235.40 | 10.20x |
| 72157 | MRI scan of middle spinal canal before and after contrast | 97 | $26.0K | $267.88 | 9.28x |
| 73222 | MRI scan of arm joint with contrast | 100 | $24.7K | $247.22 | 10.05x |
This provider submits charges 11.12 times higher than what Medicare actually pays.
A markup ratio of 11.12x means for every $100 Medicare pays, this provider initially charges $1112. 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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