This provider's $25.2M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 6.14x 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 | $1.1K | $146.13 | 7.50x | $949.46 | $2.7M | 21.9K | 20.7K |
| 2015 | $1.0K | $133.07 | 7.71x | $893.55 | $2.7M | 23.1K | 21.8K |
| 2016 | $1.0K | $130.85 | 7.87x | $898.71 | $2.7M | 22.5K | 21.2K |
| 2017 | $1.1K | $136.30 | 7.88x | $937.59 | $2.4M | 19.2K | 18.0K |
| 2018 | $1.1K | $135.02 | 7.86x | $926.84 | $2.5M | 21.1K | 20.0K |
| 2019 | $1.1K | $135.22 | 8.14x | $965.89 | $2.6M | 21.0K | 19.9K |
| 2020 | $1.1K | $139.69 | 7.96x | $972.46 | $2.5M | 18.3K | 17.3K |
| 2021 | $1.0K | $133.81 | 7.77x | $905.73 | $2.6M | 20.1K | 19.0K |
| 2022 | $1.1K | $126.04 | 8.42x | $934.93 | $2.3M | 19.2K | 18.2K |
| 2023 | $1.2K | $132.38 | 8.76x | $1.0K | $2.2M | 17.8K | 16.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 5.2K | $6.5M | $1.2K | 2.44x |
| 77067 | Mammography of both breasts | 14.6K | $2.1M | $141.69 | 3.91x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 10.4K | $1.5M | $141.72 | 3.91x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 5.3K | $1.1M | $217.00 | 2.42x |
| 77063 | Screening digital tomography of both breasts | 17.0K | $965.8K | $56.91 | 3.17x |
| 74177 | CT scan of abdomen and pelvis with contrast | 3.6K | $919.6K | $256.44 | 5.63x |
| 72148 | MRI scan of lower spinal canal | 4.8K | $796.4K | $166.34 | 14.79x |
| 70553 | MRI scan of brain before and after contrast | 2.0K | $573.8K | $290.55 | 16.50x |
| 73721 | MRI scan of leg joint | 2.8K | $484.0K | $175.00 | 12.56x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 1.6K | $479.3K | $290.51 | 6.29x |
| 76700 | Ultrasound of abdomen | 4.5K | $409.8K | $90.21 | 5.75x |
| 73221 | MRI scan of arm joint | 2.2K | $399.2K | $177.80 | 12.35x |
| 72141 | MRI scan of upper spinal canal | 2.2K | $353.2K | $159.97 | 14.22x |
| 77080 | Bone density measurement using dedicated X-ray machine | 8.0K | $341.6K | $42.70 | 7.84x |
| 70551 | MRI scan brain | 1.9K | $336.9K | $173.66 | 12.96x |
| 71260 | CT scan chest with contrast | 2.4K | $323.3K | $135.45 | 11.00x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 1.1K | $314.2K | $289.35 | 16.58x |
| 76770 | Ultrasound behind abdominal cavity | 3.7K | $311.4K | $85.26 | 5.89x |
| 78816 | Nuclear medicine study with CT imaging whole body | 248 | $310.4K | $1.3K | 2.45x |
| 74183 | MRI scan of abdomen before and after contrast | 786 | $269.7K | $343.19 | 13.76x |
This provider submits charges 6.14 times higher than what Medicare actually pays.
A markup ratio of 6.14x means for every $100 Medicare pays, this provider initially charges $614. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Cardionet, Llc. | Pleasanton, CA | $662.0M | ⚠️ Flagged |
| Irhythm Technologies, Inc. | San Francisco, CA | $393.0M | ⚠️ Flagged |
| Alere Home Monitoring, Inc. | Livermore, CA | $361.4M | ⚠️ Flagged |
| Mdinr, Llc | San Jose, CA | $333.5M | ⚠️ Flagged |
| Medi-Lynx Cardiac Monitoring, Llc | San Francisco, CA | $88.5M | ✓ Clear |
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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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