This provider's $14.4M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 12.09x is significantly above the specialty median of 6.1x.
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 | $2.0K | $256.04 | 7.67x | $1.7K | $1.4M | 8.2K | 7.7K |
| 2015 | $2.1K | $251.63 | 8.20x | $1.8K | $1.4M | 9.2K | 8.5K |
| 2016 | $2.0K | $239.77 | 8.27x | $1.7K | $1.5M | 10.0K | 9.1K |
| 2017 | $2.1K | $237.83 | 8.73x | $1.8K | $1.6M | 10.7K | 9.9K |
| 2018 | $2.1K | $229.69 | 9.31x | $1.9K | $1.5M | 10.2K | 9.4K |
| 2019 | $2.2K | $207.80 | 10.42x | $2.0K | $1.1M | 8.6K | 8.1K |
| 2020 | $2.3K | $210.69 | 10.85x | $2.1K | $1.3M | 9.8K | 9.0K |
| 2021 | $2.5K | $200.46 | 12.62x | $2.3K | $1.6M | 12.0K | 11.0K |
| 2022 | $2.5K | $199.36 | 12.60x | $2.3K | $1.5M | 12.3K | 11.3K |
| 2023 | $2.4K | $186.36 | 13.01x | $2.2K | $1.5M | 12.7K | 11.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 70553 | MRI scan of brain before and after contrast | 12.3K | $2.8M | $227.94 | 13.36x |
| 74183 | MRI scan of abdomen before and after contrast | 5.6K | $1.7M | $300.70 | 10.02x |
| 72148 | MRI scan of lower spinal canal | 11.3K | $1.4M | $127.30 | 14.88x |
| 70551 | MRI scan brain | 6.4K | $892.3K | $139.93 | 13.50x |
| 72197 | MRI scan of pelvis before and after contrast | 3.3K | $871.4K | $267.95 | 11.57x |
| 73721 | MRI scan of leg joint | 5.9K | $868.6K | $147.05 | 12.90x |
| 72141 | MRI scan of upper spinal canal | 5.7K | $675.2K | $118.95 | 15.90x |
| 73221 | MRI scan of arm joint | 3.5K | $527.2K | $149.86 | 12.63x |
| 77059 | MRI scan of both breasts with contrast | 1.1K | $485.1K | $422.54 | 6.15x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 1.9K | $423.6K | $217.43 | 13.70x |
| 75561 | MRI of heart before and after contrast | 1.5K | $409.2K | $273.56 | 9.66x |
| 70544 | MRA scan of head blood vessels | 2.2K | $407.9K | $186.78 | 10.03x |
| 77049 | MRI of both breasts with and without contrast | 1.4K | $365.0K | $260.75 | 11.45x |
| 70549 | MRA scan of neck blood vessels before and after contrast | 896 | $338.8K | $378.08 | 7.26x |
| 72156 | MRI scan of upper spinal canal before and after contrast | 1.4K | $289.4K | $199.60 | 15.33x |
| 72195 | MRI scan of pelvis | 1.3K | $281.4K | $210.49 | 8.98x |
| 70543 | MRI scan bones of the eye, face, and/or neck before and after contrast | 859 | $254.7K | $296.56 | 9.95x |
| 72157 | MRI scan of middle spinal canal before and after contrast | 1.0K | $241.9K | $237.41 | 13.04x |
| 73718 | MRI scan of leg | 978 | $198.5K | $203.00 | 9.36x |
| 72146 | MRI scan of middle spinal canal | 1.5K | $168.3K | $111.75 | 16.99x |
This provider submits charges 12.09 times higher than what Medicare actually pays.
A markup ratio of 12.09x means for every $100 Medicare pays, this provider initially charges $1209. 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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