This provider's $17.3M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 6.23x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 64% 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 | $2.1K | $365.73 | 5.85x | $1.8K | $1.3M | 4.3K | 4.0K |
| 2015 | $2.3K | $352.51 | 6.40x | $1.9K | $1.3M | 4.7K | 4.3K |
| 2016 | $2.4K | $451.24 | 5.32x | $1.9K | $1.6M | 5.5K | 5.0K |
| 2017 | $2.5K | $467.91 | 5.29x | $2.0K | $1.7M | 5.7K | 5.2K |
| 2018 | $2.2K | $347.38 | 6.20x | $1.8K | $1.7M | 5.7K | 5.2K |
| 2019 | $2.1K | $323.02 | 6.42x | $1.8K | $1.8M | 6.1K | 5.6K |
| 2020 | $2.2K | $339.30 | 6.34x | $1.8K | $1.8M | 6.1K | 5.6K |
| 2021 | $2.2K | $311.84 | 6.95x | $1.9K | $2.0M | 6.7K | 6.1K |
| 2022 | $2.2K | $301.42 | 7.23x | $1.9K | $2.0M | 7.1K | 6.5K |
| 2023 | $2.2K | $315.16 | 6.84x | $1.8K | $2.2M | 7.9K | 7.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 5.1K | $6.5M | $1.3K | 4.26x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 5.6K | $2.1M | $368.09 | 2.05x |
| 70553 | MRI scan of brain before and after contrast | 4.9K | $1.4M | $281.23 | 9.06x |
| 72148 | MRI scan of lower spinal canal | 5.4K | $915.5K | $171.05 | 11.05x |
| 72197 | MRI scan of pelvis before and after contrast | 2.7K | $844.1K | $308.06 | 7.94x |
| 74183 | MRI scan of abdomen before and after contrast | 2.1K | $693.5K | $337.79 | 7.20x |
| 78816 | Nuclear medicine study with CT imaging whole body | 518 | $664.5K | $1.3K | 4.21x |
| 73721 | MRI scan of leg joint | 3.3K | $602.3K | $182.45 | 10.41x |
| 73221 | MRI scan of arm joint | 3.1K | $558.2K | $180.24 | 10.51x |
| 70551 | MRI scan brain | 2.8K | $488.2K | $176.50 | 10.75x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 1.6K | $464.7K | $292.23 | 8.20x |
| 72141 | MRI scan of upper spinal canal | 2.5K | $410.8K | $161.62 | 11.69x |
| 72156 | MRI scan of upper spinal canal before and after contrast | 904 | $252.6K | $279.38 | 8.57x |
| 72157 | MRI scan of middle spinal canal before and after contrast | 598 | $180.2K | $301.37 | 7.98x |
| 77049 | MRI of both breasts with and without contrast | 528 | $162.8K | $308.34 | 7.99x |
| 72146 | MRI scan of middle spinal canal | 777 | $122.7K | $157.94 | 11.96x |
| 77059 | MRI scan of both breasts with contrast | 281 | $120.5K | $428.93 | 6.71x |
| 78459 | Nuclear medicine study heart muscle with metabolic evaluation | 101 | $108.1K | $1.1K | 4.67x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 1.5K | $88.7K | $60.07 | 8.98x |
| 70543 | MRI scan bones of the eye, face, and/or neck before and after contrast | 254 | $85.5K | $336.75 | 7.16x |
This provider submits charges 6.23 times higher than what Medicare actually pays.
A markup ratio of 6.23x means for every $100 Medicare pays, this provider initially charges $623. 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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