This provider's $7.7M in total Medicare payments ranks in the 98th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Medicare payments to this provider grew 61% from 2014 to 2023.
75% 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.
Notable: Payments increased 62% in 2018
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $2.8K | $793.65 | 3.53x | $2.0K | $668.4K | 1.2K | 904 |
| 2015 | $2.8K | $783.73 | 3.57x | $2.0K | $718.5K | 1.3K | 987 |
| 2016 | $2.8K | $785.84 | 3.57x | $2.0K | $635.7K | 1.1K | 935 |
| 2017 | $1.9K | $569.06 | 3.42x | $1.4K | $450.2K | 1.1K | 923 |
| 2018 | $2.5K | $880.26 | 2.87x | $1.6K | $730.6K | 1.2K | 993 |
| 2019 | $2.4K | $780.82 | 3.06x | $1.6K | $713.4K | 1.1K | 970 |
| 2020 | $2.0K | $686.64 | 2.93x | $1.3K | $802.5K | 1.3K | 1.0K |
| 2021 | $2.4K | $838.15 | 2.85x | $1.6K | $853.5K | 1.3K | 1.0K |
| 2022 | $2.4K | $1.1K | 2.12x | $1.3K | $1.1M | 1.4K | 1.1K |
| 2023 | $2.0K | $730.48 | 2.78x | $1.3K | $1.1M | 1.6K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 5.4K | $5.8M | $1.1K | 3.33x |
| 78816 | Nuclear medicine study with CT imaging whole body | 740 | $846.0K | $1.1K | 3.18x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 5.9K | $626.3K | $106.26 | 1.27x |
| 78608 | Nuclear medicine study brain with metabolic evaluation | 174 | $181.1K | $1.0K | 3.43x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 143 | $128.7K | $900.31 | 1.45x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 134 | $115.6K | $862.57 | 1.34x |
| A9587 | Gallium ga-68, dotatate, diagnostic, 0.1 millicurie | 66 | $9.6K | $144.75 | 1.46x |
This provider submits charges 3.09 times higher than what Medicare actually pays.
A markup ratio of 3.09x means for every $100 Medicare pays, this provider initially charges $309. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Independent Diagnostic Testing Facility (IDTF) providers in PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Cardionet, Llc | Malvern, PA | $60.6M | ⚠️ Flagged |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data