This provider's $4.8M in total Medicare payments ranks in the 96th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Medicare payments to this provider grew 2243% from 2016 to 2023.
87% of their billing comes from a single procedure code (93229 — Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 356% in 2017
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $1.2K | $330.07 | 3.71x | $894.93 | $61.4K | 137 | 136 |
| 2017 | $1.2K | $327.33 | 3.74x | $897.67 | $280.1K | 655 | 655 |
| 2018 | $1.2K | $334.37 | 3.66x | $890.63 | $569.0K | 1.3K | 1.3K |
| 2019 | $1.3K | $322.75 | 3.90x | $936.93 | $610.5K | 1.5K | 1.5K |
| 2020 | $612.57 | $154.04 | 3.98x | $458.53 | $390.3K | 1.1K | 1.1K |
| 2021 | $731.58 | $149.68 | 4.89x | $581.90 | $409.7K | 1.4K | 1.4K |
| 2022 | $842.79 | $218.63 | 3.85x | $624.16 | $991.9K | 1.9K | 1.9K |
| 2023 | $1.3K | $274.18 | 4.64x | $998.21 | $1.4M | 4.0K | 3.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 7.1K | $4.1M | $579.83 | 3.61x |
| 0608T | Data analysis and report transmission to health care professional for remote monitoring of lung fluid monitoring system | 302 | $251.3K | $831.99 | 4.75x |
| 93271 | Heart rhythm symptom-related transmission and analysis of 24-hour EKG monitoring up to 30 days | 2.0K | $242.6K | $119.51 | 5.03x |
| 95800 | Sleep study including heart rate, breathing, and sleep time | 1.3K | $105.1K | $80.41 | 6.61x |
| 0297T | Analysis and report of external ekg recording for more than 48 hours up to 21 days | 43 | $9.8K | $227.51 | 3.84x |
| 0607T | Set-up and patient education for remote monitoring of lung fluid monitoring system | 289 | $4.4K | $15.18 | 5.60x |
| 93270 | Heart rhythm symptom-related tracing of 24-hour ekg monitoring up to 30 days | 843 | $4.0K | $4.79 | 6.26x |
| 93243 | Heart rhythm analysis and report of continous external ekg over more than 48 hours up to 7 days | 43 | $3.2K | $75.53 | 11.92x |
| 93242 | Heart rhythm recording continous external ekg over more than 48 hours up to 7 days | 40 | $345.60 | $8.64 | 6.94x |
| 93226 | Heart rhythm analysis, interpretation and report of 48-hour ekg | 14 | $340.95 | $24.35 | 4.49x |
| 0296T | External ekg recording for more than 48 hours up to 21 days | 15 | $230.70 | $15.38 | 3.90x |
This provider submits charges 3.82 times higher than what Medicare actually pays.
A markup ratio of 3.82x means for every $100 Medicare pays, this provider initially charges $382. 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 PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Cardionet, Llc | Malvern, PA | $60.6M | ⚠️ Flagged |
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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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