This provider's $48.8M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Medicare payments to this provider grew 90% 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 | $45.84 | $25.66 | 1.79x | $20.18 | $2.9M | 114.8K | 4 |
| 2015 | $45.28 | $25.54 | 1.77x | $19.74 | $3.7M | 146.0K | 4 |
| 2016 | $46.35 | $26.45 | 1.75x | $19.90 | $4.2M | 157.2K | 4 |
| 2017 | $50.65 | $28.99 | 1.75x | $21.66 | $4.6M | 160.0K | 6 |
| 2018 | $66.55 | $35.35 | 1.88x | $31.20 | $5.6M | 158.9K | 6 |
| 2019 | $96.20 | $44.09 | 2.18x | $52.11 | $6.8M | 155.3K | 7 |
| 2020 | $145.37 | $55.97 | 2.60x | $89.40 | $6.6M | 118.4K | 7 |
| 2021 | $165.14 | $59.54 | 2.77x | $105.60 | $3.5M | 58.1K | 9 |
| 2022 | $175.55 | $58.62 | 2.99x | $116.93 | $5.2M | 88.3K | 8 |
| 2023 | $207.35 | $62.78 | 3.30x | $144.57 | $5.6M | 89.1K | 9 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 94762 | Test to measure oxygen level in blood using ear or finger device continuously overnight | 1.0M | $25.0M | $24.46 | 1.66x |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 54.4K | $11.6M | $212.76 | 2.11x |
| 95800 | Sleep study including heart rate, breathing, and sleep time | 30.1K | $4.3M | $144.23 | 3.12x |
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 4.3K | $3.5M | $818.61 | 6.11x |
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 4.6K | $2.2M | $465.14 | 3.22x |
| 95827 | Measurement and recording of brain wave (EEG) activity, overnight | 2.7K | $1.7M | $641.02 | 2.34x |
| 94760 | Test to measure oxygen level in blood using ear or finger device | 119.3K | $327.9K | $2.75 | 1.82x |
| 93228 | Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional | 1.8K | $40.0K | $22.67 | 4.41x |
| 94770 | Measurement of exhaled carbon dioxide gas | 6.1K | $38.1K | $6.26 | 7.10x |
| G0400 | Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels | 182 | $36.4K | $199.90 | 2.25x |
| 93268 | Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring and review and report by health care professional | 200 | $35.7K | $178.61 | 14.00x |
| 93226 | Electrocardiogram (ecg) 2-day continuous with report | 683 | $26.3K | $38.56 | 5.43x |
| 93224 | Electrocardiogram (ecg) 2-day continuous with review and report by health care professional | 131 | $9.1K | $69.83 | 4.27x |
| G0398 | Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation | 22 | $7.0K | $318.13 | 1.65x |
| 93271 | Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring and transmission and analysis | 21 | $3.3K | $158.75 | 15.75x |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 28 | $1.9K | $66.58 | 3.75x |
| 99453 | Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment | 14 | $282.24 | $20.16 | 6.70x |
This provider submits charges 2.33 times higher than what Medicare actually pays.
A markup ratio of 2.33x means for every $100 Medicare pays, this provider initially charges $233. This is higher 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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