This provider's $5.3M in total Medicare payments ranks in the 97th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Medicare payments to this provider grew 16502% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 10674% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $1.0K | $801.62 | 1.31x | $245.07 | $19.2K | 24 | 2 |
| 2022 | $1.0K | $348.14 | 2.93x | $672.85 | $2.1M | 6.0K | 12 |
| 2023 | $330.03 | $117.62 | 2.81x | $212.41 | $3.2M | 27.2K | 12 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 893 | $1.5M | $1.7K | 2.69x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 795 | $1.5M | $1.9K | 2.37x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 1.6K | $788.5K | $483.44 | 1.65x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 1.6K | $663.3K | $408.72 | 2.55x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 901 | $229.0K | $254.20 | 1.47x |
| J2785 | Injection, regadenoson, 0.1 mg | 3.3K | $150.2K | $45.67 | 3.39x |
| 78816 | Nuclear medicine study whole body with ct scan | 84 | $142.2K | $1.7K | 2.41x |
| 78434 | Nuclear medicine study of heart muscle blood flow by pet | 804 | $108.4K | $134.79 | 14.84x |
| 74177 | Ct scan of abdomen and pelvis with contrast | 275 | $90.9K | $330.47 | 5.36x |
| 93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 802 | $55.8K | $69.59 | 14.43x |
| 71260 | Ct scan of chest with contrast | 294 | $34.0K | $115.57 | 8.53x |
| 70491 | Ct scan of soft tissue of neck with contrast | 23 | $3.2K | $139.24 | 7.18x |
| 71250 | Ct scan of chest without contrast | 19 | $2.6K | $135.51 | 5.90x |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 21.7K | $2.5K | $0.12 | 6.78x |
This provider submits charges 2.85 times higher than what Medicare actually pays.
A markup ratio of 2.85x means for every $100 Medicare pays, this provider initially charges $285. 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 |
| Medi-Lynx Cardiac Monitoring, Llc | San Francisco, CA | $88.5M | ✓ 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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