Statistical flag only — not an accusation of fraud
This provider's $281.1M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 8.65x is significantly above the specialty median of 6.1x.
90% 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 74/100. 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 | $2.3K | $359.08 | 6.52x | $2.0K | $30.0M | 83.6K | 10 |
| 2015 | $2.4K | $381.28 | 6.35x | $2.0K | $32.6M | 85.5K | 10 |
| 2016 | $2.5K | $414.55 | 5.94x | $2.0K | $36.6M | 88.3K | 11 |
| 2017 | $2.8K | $425.34 | 6.64x | $2.4K | $39.5M | 92.9K | 9 |
| 2018 | $4.0K | $440.80 | 9.11x | $3.6K | $41.8M | 94.9K | 7 |
| 2019 | $4.2K | $402.57 | 10.40x | $3.8K | $28.7M | 71.4K | 7 |
| 2020 | $5.3K | $476.57 | 11.19x | $4.9K | $22.9M | 48.1K | 8 |
| 2021 | $7.6K | $630.51 | 12.02x | $6.9K | $20.5M | 32.5K | 5 |
| 2022 | $4.5K | $410.29 | 11.07x | $4.1K | $22.1M | 53.9K | 8 |
| 2023 | $2.3K | $117.58 | 19.44x | $2.2K | $6.3M | 53.4K | 6 |
| 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 | 332.0K | $253.3M | $762.93 | 8.05x |
| 93243 | Heart rhythm analysis and report of continous external ekg over more than 48 hours up to 7 days | 38.3K | $8.3M | $217.63 | 16.08x |
| 93226 | Electrocardiogram (ecg) 2-day continuous with report | 239.4K | $7.3M | $30.30 | 14.71x |
| 93271 | Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring and transmission and analysis | 40.4K | $7.1M | $175.18 | 9.01x |
| 93247 | Heart rhythm analysis and report of continous external ekg over 8-15 days | 18.8K | $4.3M | $226.26 | 16.80x |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 2.6K | $380.2K | $145.35 | 3.65x |
| 93293 | Telephonic evaluation of single, dual, or multiple lead pacemaker heart rhythm strips up to 90 days | 7.1K | $187.9K | $26.54 | 7.34x |
| 93225 | Electrocardiogram (ecg) 2-day continuous | 9.5K | $146.8K | $15.42 | 15.90x |
| 93228 | Heart rhythm tracing, computer analysis, and interpretation of patient-triggered events greater than 24-hour ekg up to 30 days | 4.9K | $111.3K | $22.67 | 76.64x |
| 93270 | Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring | 6.4K | $44.1K | $6.88 | 40.48x |
| 93242 | Heart rhythm recording continous external ekg over more than 48 hours up to 7 days | 2.8K | $21.4K | $7.53 | 33.20x |
| G0249 | Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the | 240 | $20.6K | $85.65 | 7.59x |
| 93246 | Heart rhythm recording of continous external ekg over 8-15 days | 1.9K | $14.2K | $7.52 | 33.26x |
| 93268 | Heart rhythm symptom-related tracing and interpretation of 24-hour EKG monitoring up to 30 days | 47 | $9.6K | $204.43 | 7.34x |
| G0248 | Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to | 78 | $7.1K | $91.30 | 7.12x |
| 0297T | Analysis and report of external ekg recording for more than 48 hours up to 21 days | 13 | $2.0K | $154.40 | 22.02x |
| 93272 | Heart rhythm symptom-related interpretation of 24-hour EKG monitoring up to 30 days | 82 | $1.8K | $21.67 | 6.92x |
This provider submits charges 8.65 times higher than what Medicare actually pays.
A markup ratio of 8.65x means for every $100 Medicare pays, this provider initially charges $865. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Cardiac Imaging Inc | Oak Brook Terrace, IL | $223.4M | ⚠️ 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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