This provider's $18.5M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 8.28x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 59% 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 | $1.1K | $119.95 | 8.80x | $935.90 | $1.5M | 18.8K | 17.9K |
| 2015 | $1.1K | $112.81 | 9.57x | $966.33 | $1.4M | 18.9K | 17.9K |
| 2016 | $1.1K | $105.97 | 10.46x | $1.0K | $1.5M | 19.8K | 18.7K |
| 2017 | $1.1K | $108.07 | 10.43x | $1.0K | $1.5M | 15.9K | 15.0K |
| 2018 | $1.1K | $109.57 | 10.42x | $1.0K | $1.7M | 16.8K | 15.6K |
| 2019 | $1.2K | $103.94 | 11.31x | $1.1K | $2.0M | 23.3K | 22.1K |
| 2020 | $1.2K | $104.98 | 11.70x | $1.1K | $2.0M | 20.2K | 18.9K |
| 2021 | $1.2K | $102.57 | 11.96x | $1.1K | $2.4M | 24.3K | 22.7K |
| 2022 | $1.3K | $100.79 | 12.64x | $1.2K | $2.1M | 23.5K | 22.2K |
| 2023 | $1.3K | $100.36 | 13.10x | $1.2K | $2.4M | 27.5K | 25.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 3.1K | $3.8M | $1.2K | 4.31x |
| 77067 | Mammography of both breasts | 24.5K | $2.6M | $106.98 | 4.81x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 13.6K | $1.5M | $107.77 | 2.93x |
| 74177 | CT scan of abdomen and pelvis with contrast | 5.5K | $1.1M | $196.11 | 15.88x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 3.5K | $1.0M | $293.89 | 3.74x |
| 70553 | MRI scan of brain before and after contrast | 3.0K | $602.1K | $203.20 | 15.24x |
| 77063 | Screening digital tomography of both breasts | 20.8K | $568.4K | $27.34 | 3.25x |
| 78816 | Nuclear medicine study with CT imaging whole body | 372 | $462.6K | $1.2K | 4.30x |
| 71260 | CT scan chest with contrast | 5.1K | $414.6K | $81.97 | 19.85x |
| 77080 | Bone density measurement using dedicated X-ray machine | 12.1K | $408.3K | $33.67 | 12.13x |
| 72148 | MRI scan of lower spinal canal | 2.4K | $279.1K | $115.14 | 19.89x |
| 71250 | CT scan chest | 3.4K | $266.8K | $78.13 | 17.24x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 1.1K | $247.3K | $219.85 | 16.94x |
| 74183 | MRI scan of abdomen before and after contrast | 911 | $241.8K | $265.46 | 12.29x |
| 76700 | Ultrasound of abdomen | 3.6K | $231.2K | $64.81 | 6.75x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 2.1K | $204.1K | $94.98 | 3.37x |
| 76770 | Ultrasound behind abdominal cavity | 3.1K | $189.7K | $60.26 | 9.26x |
| 77065 | Mammography of one breast | 2.7K | $189.5K | $69.46 | 4.89x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 2.5K | $185.4K | $73.18 | 3.44x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.4K | $183.9K | $131.54 | 6.13x |
This provider submits charges 8.28 times higher than what Medicare actually pays.
A markup ratio of 8.28x means for every $100 Medicare pays, this provider initially charges $828. 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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