This provider's $9.1M in total Medicare payments ranks in the 98th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
72% of their billing comes from a single procedure code (78815 — Nuclear medicine study with CT imaging skull base to mid-thigh).
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 | $1.8K | $591.47 | 3.02x | $1.2K | $756.3K | 1.1K | 790 |
| 2015 | $560.76 | $345.46 | 1.62x | $215.30 | $901.1K | 1.7K | 1.1K |
| 2016 | $495.26 | $357.53 | 1.39x | $137.73 | $1.0M | 2.0K | 1.3K |
| 2017 | $1.0K | $752.52 | 1.39x | $295.65 | $1.0M | 1.8K | 1.3K |
| 2018 | $471.61 | $359.94 | 1.31x | $111.67 | $875.8K | 1.8K | 1.2K |
| 2019 | $405.59 | $298.47 | 1.36x | $107.12 | $841.4K | 1.7K | 1.2K |
| 2020 | $502.14 | $393.26 | 1.28x | $108.88 | $809.5K | 1.4K | 1.0K |
| 2021 | $534.88 | $409.68 | 1.31x | $125.20 | $942.5K | 1.7K | 1.2K |
| 2022 | $552.13 | $418.45 | 1.32x | $133.68 | $962.9K | 1.7K | 1.2K |
| 2023 | $494.13 | $361.87 | 1.37x | $132.26 | $973.2K | 1.6K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 6.6K | $6.6M | $1.0K | 1.50x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 6.2K | $1.6M | $255.28 | 1.47x |
| 78816 | Nuclear medicine study with CT imaging whole body | 469 | $477.1K | $1.0K | 1.42x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 463 | $209.1K | $451.54 | 1.34x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 262 | $127.3K | $485.74 | 1.34x |
| A9586 | Florbetapir f18, diagnostic, per study dose, up to 10 millicuries | 24 | $56.5K | $2.4K | 1.43x |
| 78814 | Nuclear medicine study with CT imaging | 24 | $23.7K | $985.96 | 1.28x |
| 71046 | X-ray of chest, 2 views | 916 | $19.4K | $21.12 | 1.42x |
| 71020 | X-ray of chest, 2 views, front and side | 959 | $18.1K | $18.83 | 1.58x |
| 77075 | X-ray survey of forearm or wrist bone density | 147 | $9.3K | $63.09 | 1.38x |
| 74019 | X-ray of abdomen, 2 views | 236 | $5.5K | $23.39 | 1.62x |
| A9580 | Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries | 36 | $4.7K | $131.12 | 3.18x |
| 74000 | X-ray of abdomen, single view | 140 | $2.3K | $16.28 | 1.34x |
| A9587 | Gallium ga-68, dotatate, diagnostic, 0.1 millicurie | 14 | $689.04 | $49.22 | 1.42x |
| 74018 | X-ray of abdomen, 1 view | 38 | $566.22 | $14.90 | 1.50x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 22 | $479.83 | $21.81 | 1.74x |
| 73564 | X-ray of knee, 4 or more views | 15 | $386.55 | $25.77 | 1.48x |
This provider submits charges 1.48 times higher than what Medicare actually pays.
A markup ratio of 1.48x means for every $100 Medicare pays, this provider initially charges $148. This is lower 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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