This provider's $6.0M in total Medicare payments ranks in the 97th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 6.5x is significantly above the specialty median of 6.1x.
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 | $699.99 | $219.98 | 3.18x | $480.01 | $585.4K | 4.3K | 3.5K |
| 2015 | $644.50 | $173.04 | 3.72x | $471.46 | $652.0K | 5.1K | 4.1K |
| 2016 | $1.1K | $179.75 | 6.40x | $970.16 | $627.8K | 5.2K | 4.1K |
| 2017 | $1.2K | $141.37 | 8.21x | $1.0K | $544.5K | 5.9K | 4.6K |
| 2018 | $1.1K | $137.05 | 7.79x | $930.84 | $521.4K | 5.2K | 4.1K |
| 2019 | $1.1K | $135.37 | 8.26x | $983.18 | $565.1K | 4.5K | 3.4K |
| 2020 | $1.1K | $139.99 | 8.14x | $1.0K | $571.4K | 4.3K | 3.4K |
| 2021 | $1.1K | $132.14 | 8.25x | $958.52 | $677.8K | 5.2K | 4.1K |
| 2022 | $1.1K | $131.65 | 8.48x | $984.88 | $617.2K | 5.1K | 4.0K |
| 2023 | $1.1K | $124.19 | 8.62x | $945.95 | $620.5K | 5.3K | 4.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 74177 | CT scan of abdomen and pelvis with contrast | 11.3K | $2.6M | $230.35 | 4.65x |
| 71260 | CT scan chest with contrast | 11.9K | $1.1M | $96.76 | 9.70x |
| 71250 | CT scan chest | 9.9K | $919.7K | $92.93 | 7.96x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 887 | $238.5K | $268.93 | 4.66x |
| 74176 | CT scan of abdomen and pelvis | 1.4K | $162.0K | $114.42 | 5.25x |
| 70450 | CT scan head or brain | 2.1K | $149.9K | $72.54 | 8.81x |
| G0297 | Low dose ct scan (ldct) for lung cancer screening | 479 | $115.7K | $241.59 | 3.06x |
| 71271 | Low dose ct scan of chest for lung cancer screening | 915 | $102.6K | $112.18 | 3.86x |
| 70491 | CT scan of neck with contrast | 817 | $95.2K | $116.54 | 7.83x |
| 74174 | CT scan of abdominal and pelvic blood vessels with contrast | 297 | $84.2K | $283.62 | 5.80x |
| 71275 | CT scan of blood vessels in chest with contrast | 468 | $82.7K | $176.74 | 8.44x |
| 72131 | CT scan of lower spine | 563 | $52.1K | $92.50 | 9.19x |
| 75635 | CT scan of abdominal aorta and both leg arteries with contrast | 193 | $47.1K | $243.92 | 6.57x |
| 70496 | CT scan of blood vessel of head with contrast | 170 | $34.6K | $203.46 | 8.67x |
| 70498 | CT scan of neck blood vessels with contrast | 191 | $29.6K | $154.77 | 11.62x |
| 72125 | CT scan of upper spine | 282 | $26.4K | $93.63 | 9.40x |
| 70486 | CT scan of face | 221 | $19.5K | $88.38 | 9.58x |
| 74170 | CT scan abdomen before and after contrast | 76 | $13.9K | $182.72 | 6.63x |
| 74160 | CT scan abdomen with contrast | 76 | $13.1K | $172.82 | 6.29x |
| 70470 | CT scan head or brain before and after contrast | 89 | $9.6K | $108.41 | 9.36x |
This provider submits charges 6.5 times higher than what Medicare actually pays.
A markup ratio of 6.5x means for every $100 Medicare pays, this provider initially charges $650. 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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