This provider's $6.9M in total Medicare payments ranks in the 97th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
71% 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 | $3.7K | $836.20 | 4.40x | $2.8K | $775.5K | 1.1K | 907 |
| 2015 | $3.7K | $819.75 | 4.48x | $2.9K | $773.4K | 1.1K | 935 |
| 2016 | $3.7K | $821.79 | 4.47x | $2.9K | $865.1K | 1.2K | 1.1K |
| 2017 | $3.7K | $840.06 | 4.38x | $2.8K | $686.3K | 958 | 841 |
| 2018 | $3.7K | $871.85 | 4.22x | $2.8K | $624.3K | 844 | 755 |
| 2019 | $2.9K | $738.62 | 3.93x | $2.2K | $719.8K | 974 | 869 |
| 2020 | $3.7K | $922.27 | 3.99x | $2.8K | $590.6K | 748 | 679 |
| 2021 | $3.0K | $806.46 | 3.70x | $2.2K | $683.2K | 848 | 755 |
| 2022 | $3.7K | $950.64 | 3.87x | $2.7K | $638.0K | 791 | 717 |
| 2023 | $3.0K | $831.00 | 3.65x | $2.2K | $590.7K | 722 | 664 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 4.4K | $4.9M | $1.1K | 4.03x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 4.6K | $1.7M | $364.53 | 2.47x |
| 78816 | Nuclear medicine study with CT imaging whole body | 292 | $336.9K | $1.2K | 4.85x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 49 | $23.8K | $485.35 | 2.31x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 27 | $9.9K | $366.87 | 2.05x |
This provider submits charges 3.68 times higher than what Medicare actually pays.
A markup ratio of 3.68x means for every $100 Medicare pays, this provider initially charges $368. 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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