This provider's $88.5M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 7.13x is significantly above the specialty median of 6.1x.
95% 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).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 203% in 2015
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $5.3K | $468.55 | 11.29x | $4.8K | $2.5M | 5.3K | 5 |
| 2015 | $4.5K | $493.52 | 9.06x | $4.0K | $7.5M | 15.3K | 5 |
| 2016 | $3.7K | $553.80 | 6.61x | $3.1K | $8.7M | 15.6K | 5 |
| 2017 | $3.9K | $569.81 | 6.85x | $3.3K | $14.3M | 25.1K | 5 |
| 2018 | $3.9K | $578.79 | 6.82x | $3.4K | $15.2M | 26.2K | 5 |
| 2019 | $4.0K | $581.32 | 6.93x | $3.4K | $11.7M | 20.1K | 5 |
| 2020 | $3.2K | $434.52 | 7.44x | $2.8K | $8.2M | 18.8K | 5 |
| 2021 | $3.3K | $450.90 | 7.30x | $2.8K | $7.9M | 17.5K | 9 |
| 2022 | $3.3K | $550.69 | 6.02x | $2.8K | $9.0M | 16.4K | 9 |
| 2023 | $3.4K | $552.31 | 6.20x | $2.9K | $3.6M | 6.5K | 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 | 107.7K | $84.0M | $779.90 | 6.57x |
| 93271 | Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring and transmission and analysis | 17.7K | $3.0M | $171.48 | 19.18x |
| 93226 | Electrocardiogram (ecg) 2-day continuous with report | 28.3K | $1.1M | $38.20 | 15.87x |
| 93243 | Heart rhythm analysis and report of continous external ekg over more than 48 hours up to 7 days | 2.0K | $193.4K | $94.85 | 10.60x |
| 93247 | Heart rhythm analysis and report of continous external ekg over 8-15 days | 863 | $85.2K | $98.71 | 11.33x |
| 93225 | Electrocardiogram (ecg) 2-day continuous | 4.0K | $79.5K | $19.86 | 7.26x |
| 93270 | Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring | 6.0K | $40.7K | $6.84 | 13.88x |
| 93246 | Heart rhythm recording of continous external ekg over 8-15 days | 123 | $1.4K | $11.20 | 6.70x |
| 93242 | Heart rhythm recording continous external ekg over more than 48 hours up to 7 days | 126 | $1.3K | $10.66 | 7.04x |
This provider submits charges 7.13 times higher than what Medicare actually pays.
A markup ratio of 7.13x means for every $100 Medicare pays, this provider initially charges $713. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Cardionet, Llc. | Pleasanton, CA | $662.0M | ⚠️ Flagged |
| Irhythm Technologies, Inc. | San Francisco, CA | $393.0M | ⚠️ Flagged |
| Alere Home Monitoring, Inc. | Livermore, CA | $361.4M | ⚠️ Flagged |
| Mdinr, Llc | San Jose, CA | $333.5M | ⚠️ Flagged |
| Modern Nuclear, Inc. | La Habra, CA | $50.0M | ✓ 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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