This provider's $12.1M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 6.16x 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 | $805.54 | $102.95 | 7.82x | $702.59 | $1.2M | 15.5K | 15.1K |
| 2015 | $864.35 | $104.01 | 8.31x | $760.34 | $1.1M | 15.2K | 14.9K |
| 2016 | $835.48 | $102.75 | 8.13x | $732.73 | $1.3M | 18.4K | 17.9K |
| 2017 | $866.26 | $102.76 | 8.43x | $763.50 | $1.3M | 14.5K | 14.3K |
| 2018 | $884.51 | $111.53 | 7.93x | $772.98 | $1.4M | 15.2K | 14.7K |
| 2019 | $926.16 | $113.15 | 8.19x | $813.01 | $1.3M | 15.2K | 14.8K |
| 2020 | $829.84 | $103.38 | 8.03x | $726.46 | $1.1M | 13.1K | 12.9K |
| 2021 | $823.07 | $101.73 | 8.09x | $721.34 | $1.1M | 13.4K | 13.1K |
| 2022 | $970.19 | $104.82 | 9.26x | $865.37 | $1.0M | 12.8K | 12.5K |
| 2023 | $938.98 | $104.00 | 9.03x | $834.98 | $997.8K | 12.3K | 11.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 20.7K | $2.6M | $123.41 | 3.40x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 15.9K | $1.9M | $122.17 | 3.07x |
| 77063 | Screening digital tomography of both breasts | 27.2K | $1.4M | $51.13 | 3.32x |
| 72148 | MRI scan of lower spinal canal | 4.4K | $663.7K | $149.95 | 12.27x |
| 77059 | MRI scan of both breasts with contrast | 1.1K | $389.6K | $368.58 | 9.01x |
| 70553 | MRI scan of brain before and after contrast | 1.3K | $313.8K | $247.84 | 14.44x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.4K | $297.9K | $220.68 | 9.15x |
| 72141 | MRI scan of upper spinal canal | 1.7K | $245.1K | $143.25 | 11.93x |
| 73721 | MRI scan of leg joint | 1.5K | $235.5K | $155.64 | 10.60x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 901 | $231.6K | $257.04 | 13.93x |
| 77065 | Mammography of one breast | 2.6K | $223.1K | $85.44 | 4.68x |
| 77080 | Bone density measurement using dedicated X-ray machine | 5.8K | $213.2K | $36.94 | 10.56x |
| 73221 | MRI scan of arm joint | 1.3K | $207.9K | $157.36 | 10.50x |
| 76642 | Ultrasound of one breast | 2.6K | $159.2K | $60.14 | 4.41x |
| 74176 | CT scan of abdomen and pelvis | 1.1K | $149.8K | $137.73 | 12.71x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 1.9K | $148.7K | $79.20 | 4.43x |
| 71260 | CT scan chest with contrast | 919 | $126.2K | $137.36 | 7.57x |
| 19083 | Biopsy of breast accessed through the skin with ultrasound guidance | 263 | $110.1K | $418.60 | 4.56x |
| 70551 | MRI scan brain | 665 | $102.8K | $154.63 | 10.93x |
| 77049 | MRI of both breasts with and without contrast | 377 | $102.3K | $271.32 | 12.46x |
This provider submits charges 6.16 times higher than what Medicare actually pays.
A markup ratio of 6.16x means for every $100 Medicare pays, this provider initially charges $616. 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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