This provider's $49.3M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Medicare payments to this provider grew 54% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 51% in 2015
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 | $193.85 | $52.28 | 3.71x | $141.57 | $3.6M | 68.0K | 50.1K |
| 2015 | $120.15 | $52.28 | 2.30x | $67.87 | $5.4M | 102.7K | 75.7K |
| 2016 | $113.54 | $52.28 | 2.17x | $61.26 | $3.5M | 67.1K | 49.4K |
| 2017 | $133.54 | $52.28 | 2.55x | $81.26 | $4.6M | 87.7K | 64.6K |
| 2018 | $128.62 | $52.28 | 2.46x | $76.34 | $4.5M | 85.6K | 63.1K |
| 2019 | $160.85 | $52.28 | 3.08x | $108.57 | $5.9M | 112.4K | 82.8K |
| 2020 | $150.33 | $52.28 | 2.88x | $98.05 | $5.8M | 111.0K | 81.8K |
| 2021 | $118.70 | $52.28 | 2.27x | $66.42 | $6.4M | 121.6K | 89.6K |
| 2022 | $111.98 | $52.28 | 2.14x | $59.70 | $4.3M | 82.5K | 60.8K |
| 2023 | $82.47 | $52.28 | 1.58x | $30.19 | $5.5M | 105.0K | 77.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Office/outpatient visit, low complexity | 128.5K | $10.5M | $81.95 | 2.03x |
| 99215 | Office/outpatient visit, high complexity | 152.4K | $8.2M | $53.80 | 2.10x |
| 99214 | Office/outpatient visit, moderate complexity | 55.7K | $5.2M | $93.88 | 1.86x |
| 99203 | Office/outpatient visit, new patient | 70.2K | $3.6M | $51.20 | 1.98x |
| 80053 | Comprehensive metabolic panel | 41.7K | $3.3M | $79.32 | 3.69x |
| 85025 | Complete blood cell count | 68.6K | $2.4M | $35.36 | 3.48x |
| 36415 | Insertion of needle into vein for blood collection | 41.1K | $2.3M | $55.40 | 2.53x |
| 93000 | Electrocardiogram with interpretation | 36.3K | $1.7M | $46.23 | 2.99x |
| 71046 | Chest X-ray, 2 views | 21.9K | $1.2M | $56.14 | 3.99x |
| 96372 | Therapeutic injection | 13.9K | $978.9K | $70.64 | 2.20x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. This is lower 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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