This provider's $7.9M in total Medicare payments ranks in the 98th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Medicare payments to this provider grew 3783% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2022% in 2019
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2018 | $244.51 | $82.07 | 2.98x | $162.44 | $48.1K | 740 | 738 |
| 2019 | $268.40 | $79.83 | 3.36x | $188.57 | $1.0M | 16.3K | 15.3K |
| 2020 | $275.75 | $100.00 | 2.76x | $175.75 | $1.3M | 16.9K | 15.8K |
| 2021 | $316.05 | $105.34 | 3.00x | $210.71 | $1.9M | 20.7K | 19.3K |
| 2022 | $527.39 | $110.61 | 4.77x | $416.78 | $1.8M | 20.6K | 19.1K |
| 2023 | $506.12 | $104.53 | 4.84x | $401.59 | $1.9M | 20.0K | 18.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with ct imaging skull base to mid-thigh | 1.6K | $1.9M | $1.2K | 3.36x |
| 77067 | Mammography of both breasts | 10.7K | $1.1M | $99.28 | 2.60x |
| 74177 | CT scan of abdomen and pelvis with contrast | 2.1K | $404.3K | $192.14 | 3.28x |
| 78816 | Nuclear medicine study with ct imaging whole body | 305 | $362.1K | $1.2K | 3.09x |
| 77065 | Mammography of one breast | 3.7K | $258.3K | $69.93 | 3.45x |
| 70553 | MRI scan of brain before and after contrast | 1.3K | $247.0K | $192.93 | 4.84x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 1.1K | $245.5K | $217.84 | 3.48x |
| 77066 | Mammography of both breasts | 2.5K | $225.4K | $91.06 | 3.34x |
| 77063 | Screening digital tomography of both breasts | 8.3K | $210.8K | $25.44 | 2.68x |
| 71250 | CT scan chest | 3.0K | $204.7K | $68.46 | 4.06x |
| 74183 | MRI scan of abdomen before and after contrast | 895 | $193.8K | $216.58 | 4.75x |
| 72148 | MRI scan of lower spinal canal | 1.3K | $141.2K | $107.96 | 4.52x |
| 77080 | Bone density measurement using dedicated X-ray machine | 4.6K | $138.6K | $30.11 | 3.23x |
| 71260 | CT scan chest with contrast | 2.0K | $136.2K | $69.63 | 4.96x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.7K | $105.6K | $60.78 | 1.37x |
| 71046 | X-ray of chest, 2 views | 6.1K | $104.5K | $17.10 | 3.95x |
| 74176 | CT scan of abdomen and pelvis | 1.2K | $104.3K | $88.31 | 4.42x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 5.0K | $99.7K | $20.12 | 7.18x |
| 76642 | Ultrasound of one breast | 2.3K | $97.9K | $43.35 | 3.52x |
| 76536 | Ultrasound of head and neck | 1.4K | $96.6K | $66.80 | 3.56x |
This provider submits charges 3.56 times higher than what Medicare actually pays.
A markup ratio of 3.56x means for every $100 Medicare pays, this provider initially charges $356. 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 MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| American Diagnostics Services Llc | Windsor Mill, MD | $49.3M | โ 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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