This provider's $5.8M in total Medicare payments ranks in the 97th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 6.25x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 99% from 2014 to 2023.
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 | $638.55 | $115.60 | 5.52x | $522.95 | $444.2K | 3.9K | 3.8K |
| 2015 | $596.33 | $99.86 | 5.97x | $496.47 | $403.7K | 4.0K | 3.9K |
| 2016 | $640.58 | $103.16 | 6.21x | $537.42 | $511.1K | 4.9K | 4.8K |
| 2017 | $621.63 | $102.68 | 6.05x | $518.95 | $452.6K | 4.5K | 4.4K |
| 2018 | $645.57 | $115.19 | 5.60x | $530.38 | $419.2K | 3.5K | 3.5K |
| 2019 | $706.83 | $105.91 | 6.67x | $600.92 | $592.6K | 5.5K | 5.4K |
| 2020 | $925.30 | $125.19 | 7.39x | $800.11 | $612.2K | 5.2K | 5.0K |
| 2021 | $764.88 | $124.03 | 6.17x | $640.85 | $764.8K | 6.5K | 6.3K |
| 2022 | $756.19 | $118.71 | 6.37x | $637.48 | $726.0K | 6.5K | 6.2K |
| 2023 | $734.14 | $112.53 | 6.52x | $621.61 | $885.0K | 8.0K | 7.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 74178 | CT scan of abdomen and pelvis before and after contrast | 2.4K | $781.1K | $319.45 | 4.25x |
| 72148 | MRI scan of lower spinal canal | 3.0K | $553.1K | $183.10 | 9.02x |
| 77067 | Mammography of both breasts | 2.9K | $436.6K | $152.87 | 3.37x |
| 73721 | MRI scan of leg joint | 1.6K | $314.5K | $195.58 | 8.60x |
| 70551 | MRI scan brain | 1.6K | $301.1K | $187.48 | 8.71x |
| 71250 | CT scan chest | 2.2K | $264.9K | $122.39 | 7.00x |
| 76700 | Ultrasound of abdomen | 2.6K | $254.7K | $96.38 | 5.40x |
| 72141 | MRI scan of upper spinal canal | 1.1K | $199.4K | $182.63 | 8.94x |
| 73221 | MRI scan of arm joint | 1.0K | $193.9K | $193.29 | 8.43x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 1.1K | $174.1K | $151.51 | 2.74x |
| 74176 | CT scan of abdomen and pelvis | 1.0K | $171.4K | $169.06 | 6.99x |
| 77080 | Bone density measurement using dedicated X-ray machine | 3.4K | $155.7K | $45.28 | 9.30x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 813 | $131.8K | $162.09 | 3.18x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 625 | $130.3K | $208.50 | 2.46x |
| 76770 | Ultrasound behind abdominal cavity | 1.4K | $124.9K | $88.07 | 5.27x |
| 76536 | Ultrasound of head and neck | 1.2K | $116.0K | $93.99 | 4.69x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 665 | $109.5K | $164.66 | 3.19x |
| 71046 | X-ray of chest, 2 views | 4.0K | $109.5K | $27.46 | 5.49x |
| 70553 | MRI scan of brain before and after contrast | 273 | $86.1K | $315.50 | 7.24x |
| 72146 | MRI scan of middle spinal canal | 413 | $76.5K | $185.23 | 8.81x |
This provider submits charges 6.25 times higher than what Medicare actually pays.
A markup ratio of 6.25x means for every $100 Medicare pays, this provider initially charges $625. 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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