Statistical flag only — not an accusation of fraud
This provider's $454.8M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Medicare payments to this provider grew 489% from 2014 to 2023.
86% of their billing comes from a single procedure code (93229 — Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional).
This provider has been statistically flagged with a risk score of 83/100. Statistical flags are not accusations of fraud.
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 | $1.9K | $242.77 | 7.98x | $1.7K | $14.3M | 58.9K | 6 |
| 2015 | $2.1K | $292.15 | 7.14x | $1.8K | $17.4M | 59.6K | 6 |
| 2016 | $2.3K | $377.28 | 6.16x | $1.9K | $25.9M | 68.8K | 6 |
| 2017 | $2.4K | $387.34 | 6.27x | $2.0K | $27.9M | 72.1K | 6 |
| 2018 | $1.7K | $437.11 | 3.89x | $1.3K | $38.7M | 88.5K | 8 |
| 2019 | $1.6K | $429.65 | 3.72x | $1.2K | $46.6M | 108.5K | 8 |
| 2020 | $1.5K | $443.63 | 3.47x | $1.1K | $58.6M | 132.0K | 8 |
| 2021 | $1.5K | $403.24 | 3.62x | $1.1K | $60.7M | 150.5K | 10 |
| 2022 | $1.3K | $475.02 | 2.82x | $862.78 | $80.5M | 169.4K | 10 |
| 2023 | $1.3K | $476.80 | 2.82x | $867.04 | $84.2M | 176.7K | 9 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 492.7K | $392.0M | $795.72 | 3.46x |
| 93271 | Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring and transmission and analysis | 148.8K | $25.4M | $170.54 | 10.68x |
| 93243 | Heart rhythm analysis and report of continous external ekg over more than 48 hours up to 7 days | 82.2K | $12.9M | $157.24 | 2.23x |
| 93247 | Heart rhythm analysis and report of continous external ekg over 8-15 days | 54.7K | $10.0M | $182.05 | 1.92x |
| 0297T | Analysis and report of external ekg recording for more than 48 hours up to 21 days | 31.6K | $7.7M | $244.38 | 1.44x |
| 93226 | Electrocardiogram (ecg) 2-day continuous with report | 211.3K | $6.2M | $29.19 | 13.77x |
| 93270 | Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring | 21.9K | $144.0K | $6.59 | 23.02x |
| 93242 | Heart rhythm recording continous external ekg over more than 48 hours up to 7 days | 17.0K | $140.3K | $8.26 | 23.62x |
| 0296T | External ekg recording for more than 48 hours up to 21 days | 6.7K | $110.9K | $16.44 | 11.86x |
| 93225 | Electrocardiogram (ecg) 2-day continuous | 6.5K | $87.2K | $13.45 | 14.81x |
| 93246 | Heart rhythm recording of continous external ekg over 8-15 days | 8.9K | $78.1K | $8.81 | 22.13x |
| 93293 | Telephonic rhythm strip evaluation of single, dual, multiple lead or leadless pacemaker system, up to 90 days | 2.6K | $68.8K | $26.50 | 11.32x |
This provider submits charges 3.92 times higher than what Medicare actually pays.
A markup ratio of 3.92x means for every $100 Medicare pays, this provider initially charges $392. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Independent Diagnostic Testing Facility (IDTF) providers in TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Alliance Neurodiagnostics, Llc | Irving, TX | $58.5M | ✓ Clear |
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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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