This provider's $4.9M in total Medicare payments ranks in the 96th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 99% in 2022
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 | $277.02 | $214.92 | 1.29x | $62.10 | $1.3M | 13.1K | 12.6K |
| 2015 | $145.24 | $112.33 | 1.29x | $32.91 | $496.5K | 9.9K | 9.5K |
| 2016 | $182.62 | $141.16 | 1.29x | $41.46 | $408.0K | 9.9K | 9.4K |
| 2017 | $203.86 | $158.19 | 1.29x | $45.67 | $421.0K | 10.0K | 9.4K |
| 2018 | $268.79 | $161.98 | 1.66x | $106.81 | $426.7K | 10.4K | 9.8K |
| 2019 | $238.60 | $161.16 | 1.48x | $77.44 | $350.4K | 8.7K | 8.2K |
| 2020 | $161.11 | $115.99 | 1.39x | $45.12 | $322.7K | 6.4K | 6.0K |
| 2021 | $107.23 | $51.95 | 2.06x | $55.28 | $332.8K | 7.0K | 6.6K |
| 2022 | $461.91 | $94.84 | 4.87x | $367.07 | $663.3K | 5.6K | 5.4K |
| 2023 | $2.7K | $136.45 | 19.82x | $2.6K | $134.8K | 2.4K | 2.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93226 | Heart rhythm analysis, interpretation and report of 48-hour EKG | 69.6K | $2.4M | $35.17 | 2.24x |
| 93271 | Heart rhythm symptom-related transmission and analysis of 24-hour EKG monitoring up to 30 days | 5.6K | $899.4K | $159.29 | 1.29x |
| 93243 | Heart rhythm analysis and report of continous external ekg over more than 48 hours up to 7 days | 3.6K | $617.2K | $170.39 | 7.01x |
| 0297T | Analysis and report of external EKG recording for more than 48 hours up to 21 days | 1.6K | $454.1K | $275.72 | 1.38x |
| 93229 | Heart rhythm tracing, computer analysis, physician prescribed transmission of patient-triggered events greater than 24-hour EKG up to 30 days | 499 | $312.2K | $625.72 | 1.28x |
| 93247 | Heart rhythm analysis and report of continous external ekg over 8-15 days | 800 | $144.6K | $180.70 | 5.21x |
| 93270 | Heart rhythm symptom-related tracing of 24-hour EKG monitoring up to 30 days | 1.3K | $8.2K | $6.59 | 1.72x |
| 93242 | Heart rhythm recording continous external ekg over more than 48 hours up to 7 days | 413 | $4.5K | $10.91 | 1.76x |
| 0296T | External ekg recording for more than 48 hours up to 21 days | 34 | $677.96 | $19.94 | 1.25x |
| 93246 | Heart rhythm recording of continous external ekg over 8-15 days | 40 | $439.60 | $10.99 | 1.75x |
This provider submits charges 2.61 times higher than what Medicare actually pays.
A markup ratio of 2.61x means for every $100 Medicare pays, this provider initially charges $261. 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 MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| American Diagnostics Services Llc | Windsor Mill, MD | $49.3M | ✓ 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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