This provider's $6.1M in total Medicare payments ranks in the 97th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 5.23x is significantly above the specialty median of 6.1x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 64% 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 | $1.1K | $237.08 | 4.47x | $823.20 | $448.8K | 1.7K | 897 |
| 2015 | $1.1K | $232.57 | 4.58x | $832.88 | $736.0K | 2.8K | 1.4K |
| 2016 | $1.1K | $237.49 | 4.46x | $821.56 | $649.8K | 2.6K | 1.3K |
| 2017 | $1.1K | $230.72 | 4.59x | $827.76 | $619.0K | 2.5K | 1.3K |
| 2018 | $911.82 | $186.32 | 4.89x | $725.50 | $756.6K | 2.8K | 1.4K |
| 2019 | $1.1K | $207.15 | 5.28x | $886.67 | $788.1K | 3.0K | 1.5K |
| 2020 | $831.52 | $137.65 | 6.04x | $693.87 | $568.2K | 2.7K | 1.3K |
| 2021 | $1.1K | $205.22 | 5.34x | $889.98 | $635.9K | 3.3K | 1.5K |
| 2022 | $790.86 | $120.46 | 6.57x | $670.40 | $512.7K | 3.1K | 1.6K |
| 2023 | $1.0K | $186.69 | 5.57x | $853.82 | $415.3K | 2.7K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 12.5K | $3.4M | $275.88 | 4.98x |
| 95810 | Sleep monitoring of patient (6 years or older) in sleep lab | 9.3K | $2.3M | $251.09 | 4.83x |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 4.6K | $273.2K | $58.77 | 11.37x |
| 95806 | Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort | 593 | $39.2K | $66.18 | 9.97x |
| 95807 | Sleep study attended by a technician | 68 | $23.5K | $345.27 | 2.90x |
| 94762 | Overnight measurement of oxygen saturation in blood using ear or finger device | 37 | $784.73 | $21.21 | 6.22x |
This provider submits charges 5.23 times higher than what Medicare actually pays.
A markup ratio of 5.23x means for every $100 Medicare pays, this provider initially charges $523. 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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