This provider's $19.4M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 6.61x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 262% from 2014 to 2023.
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 | $369.75 | $67.29 | 5.49x | $302.46 | $1.0M | 15.5K | 24 |
| 2015 | $371.22 | $49.70 | 7.47x | $321.52 | $1.1M | 22.7K | 26 |
| 2016 | $349.41 | $46.08 | 7.58x | $303.33 | $1.3M | 28.8K | 28 |
| 2017 | $326.24 | $44.68 | 7.30x | $281.56 | $1.6M | 34.7K | 25 |
| 2018 | $323.56 | $43.30 | 7.47x | $280.26 | $1.6M | 37.2K | 28 |
| 2019 | $60.64 | $8.77 | 6.91x | $51.87 | $2.0M | 223.4K | 33 |
| 2020 | $44.34 | $6.90 | 6.43x | $37.44 | $2.0M | 283.4K | 29 |
| 2021 | $47.24 | $7.23 | 6.53x | $40.01 | $2.4M | 326.7K | 34 |
| 2022 | $147.98 | $22.89 | 6.46x | $125.09 | $2.7M | 120.1K | 34 |
| 2023 | $61.02 | $10.64 | 5.73x | $50.38 | $3.8M | 354.1K | 34 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 5.9K | $6.9M | $1.2K | 4.36x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 6.3K | $2.3M | $371.95 | 2.18x |
| 70553 | Mri scan of brain before and after contrast | 7.2K | $1.4M | $190.40 | 11.99x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 2.0K | $967.6K | $476.19 | 1.28x |
| 72148 | Mri scan of lower spinal canal without contrast | 7.8K | $878.7K | $112.32 | 14.30x |
| 74183 | Mri scan of abdomen before and after contrast | 3.1K | $781.1K | $252.78 | 8.44x |
| 78816 | Nuclear medicine study whole body with ct scan | 563 | $666.8K | $1.2K | 4.34x |
| 72197 | Mri scan of pelvis before and after contrast | 2.6K | $610.1K | $234.74 | 9.10x |
| 73721 | Mri scan of leg joint without contrast | 4.4K | $567.0K | $129.39 | 12.47x |
| 70551 | Mri scan of brain without contrast | 4.8K | $562.0K | $117.81 | 13.78x |
| 73221 | Mri scan of arm joint without contrast | 3.8K | $500.6K | $130.27 | 12.29x |
| 72141 | Mri scan of upper spinal canal without contrast | 3.9K | $375.8K | $97.17 | 16.58x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 990 | $318.0K | $321.20 | 1.56x |
| 72158 | Mri scan of lower spinal canal before and after contrast | 1.3K | $243.2K | $190.75 | 11.08x |
| 72156 | Mri scan of upper spinal canal before and after contrast | 1.3K | $241.4K | $190.19 | 11.12x |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | 125.7K | $183.6K | $1.46 | 3.68x |
| 78608 | Nuclear medicine study of brain with metabolic evaluation | 167 | $180.2K | $1.1K | 4.93x |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | 1.3M | $163.7K | $0.13 | 4.14x |
| A9587 | Gallium ga-68, dotatate, diagnostic, 0.1 millicurie | 3.2K | $154.1K | $47.57 | 1.81x |
| 72157 | Mri scan of middle spinal canal before and after contrast | 649 | $136.3K | $209.94 | 10.09x |
This provider submits charges 6.61 times higher than what Medicare actually pays.
A markup ratio of 6.61x means for every $100 Medicare pays, this provider initially charges $661. 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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