Statistical flag only — not an accusation of fraud
This provider's $662.0M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 9.66x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 217% from 2014 to 2023.
92% 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 88/100. 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 | $3.9K | $599.53 | 6.54x | $3.3K | $35.4M | 59.1K | 5 |
| 2015 | $3.4K | $472.44 | 7.17x | $2.9K | $43.5M | 92.0K | 5 |
| 2016 | $3.7K | $509.70 | 7.35x | $3.2K | $51.5M | 101.0K | 5 |
| 2017 | $4.1K | $496.39 | 8.26x | $3.6K | $52.3M | 105.4K | 4 |
| 2018 | $4.8K | $524.92 | 9.10x | $4.3K | $58.6M | 111.7K | 5 |
| 2019 | $5.8K | $564.95 | 10.27x | $5.2K | $67.0M | 118.6K | 5 |
| 2020 | $6.5K | $585.34 | 11.12x | $5.9K | $66.2M | 113.1K | 5 |
| 2021 | $7.4K | $609.19 | 12.11x | $6.8K | $71.7M | 117.7K | 5 |
| 2022 | $4.6K | $447.48 | 10.18x | $4.1K | $103.6M | 231.5K | 5 |
| 2023 | $5.0K | $483.48 | 10.33x | $4.5K | $112.2M | 232.0K | 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 | 763.6K | $612.1M | $801.69 | 9.39x |
| 93271 | Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring and transmission and analysis | 173.2K | $30.1M | $174.04 | 12.88x |
| 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 | 285.2K | $19.0M | $66.47 | 12.58x |
| 93226 | Electrocardiogram (ecg) 2-day continuous with report | 10.7K | $422.6K | $39.61 | 9.79x |
| 93270 | Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring | 49.5K | $345.9K | $6.99 | 45.94x |
| 93225 | Electrocardiogram (ecg) 2-day continuous | 31 | $357.12 | $11.52 | 21.70x |
This provider submits charges 9.66 times higher than what Medicare actually pays.
A markup ratio of 9.66x means for every $100 Medicare pays, this provider initially charges $966. 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 |
|---|---|---|---|
| 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 |
| Medi-Lynx Cardiac Monitoring, Llc | San Francisco, CA | $88.5M | ✓ Clear |
| Modern Nuclear, Inc. | La Habra, CA | $50.0M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data