This provider's $6.8M in total Medicare payments ranks in the 97th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
69% 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.
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 | $1.6K | $328.53 | 4.91x | $1.3K | $542.6K | 1.7K | 1.2K |
| 2015 | $1.6K | $321.83 | 4.88x | $1.2K | $522.0K | 1.6K | 1.2K |
| 2016 | $1.6K | $319.55 | 4.93x | $1.3K | $518.4K | 1.6K | 1.1K |
| 2017 | $2.0K | $635.94 | 3.20x | $1.4K | $593.5K | 1.7K | 1.2K |
| 2018 | $4.8K | $937.06 | 5.13x | $3.9K | $674.4K | 1.8K | 1.2K |
| 2019 | $2.9K | $616.34 | 4.66x | $2.3K | $708.8K | 1.8K | 1.3K |
| 2020 | $2.5K | $561.86 | 4.37x | $1.9K | $723.5K | 1.8K | 1.3K |
| 2021 | $3.8K | $797.11 | 4.72x | $3.0K | $866.0K | 1.9K | 1.4K |
| 2022 | $4.9K | $1.2K | 4.21x | $3.8K | $895.5K | 1.9K | 1.4K |
| 2023 | $2.2K | $449.29 | 4.82x | $1.7K | $765.5K | 1.8K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 7.7K | $4.7M | $607.95 | 3.75x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 8.1K | $732.0K | $90.64 | 9.94x |
| 78816 | Nuclear medicine study with CT imaging whole body | 1.1K | $652.6K | $608.16 | 3.74x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 205 | $416.5K | $2.0K | 4.65x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 207 | $215.5K | $1.0K | 4.35x |
| A9587 | Gallium ga-68, dotatate, diagnostic, 0.1 millicurie | 156 | $39.5K | $253.07 | 9.51x |
| A9586 | Florbetapir f18, diagnostic, per study dose, up to 10 millicuries | 19 | $36.5K | $1.9K | 1.88x |
| 78608 | Nuclear medicine study brain with metabolic evaluation | 39 | $23.3K | $598.23 | 3.68x |
| 78814 | Nuclear medicine study with CT imaging | 20 | $11.6K | $580.40 | 3.96x |
| A9580 | Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries | 65 | $5.9K | $90.58 | 9.94x |
This provider submits charges 4.52 times higher than what Medicare actually pays.
A markup ratio of 4.52x means for every $100 Medicare pays, this provider initially charges $452. This is higher 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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