Statistical flag only — not an accusation of fraud
This provider's $393.0M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Medicare payments to this provider grew 2352% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 75/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 130% 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 | $390.73 | $223.67 | 1.75x | $167.06 | $3.8M | 17.1K | 3 |
| 2015 | $383.45 | $236.40 | 1.62x | $147.05 | $8.8M | 37.4K | 3 |
| 2016 | $385.62 | $225.32 | 1.71x | $160.30 | $14.7M | 65.1K | 3 |
| 2017 | $384.62 | $224.97 | 1.71x | $159.65 | $21.3M | 94.7K | 4 |
| 2018 | $403.50 | $229.55 | 1.76x | $173.95 | $32.1M | 139.8K | 3 |
| 2019 | $991.30 | $227.36 | 4.36x | $763.94 | $46.6M | 204.9K | 3 |
| 2020 | $1.1K | $243.08 | 4.40x | $827.05 | $57.4M | 236.3K | 3 |
| 2021 | $1.1K | $118.95 | 9.41x | $1.0K | $35.4M | 297.3K | 4 |
| 2022 | $1.1K | $238.22 | 4.78x | $901.64 | $78.9M | 331.1K | 4 |
| 2023 | $1.2K | $249.24 | 4.64x | $906.25 | $94.0M | 377.3K | 4 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 0297T | Analysis and report of external ekg recording for more than 48 hours up to 21 days | 738.8K | $174.9M | $236.75 | 3.05x |
| 93247 | Heart rhythm analysis and report of continous external ekg over 8-15 days | 676.4K | $119.4M | $176.47 | 5.64x |
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | 66.9K | $56.7M | $848.01 | 4.71x |
| 93243 | Heart rhythm analysis and report of continous external ekg over more than 48 hours up to 7 days | 232.5K | $39.3M | $168.92 | 5.89x |
| 93226 | Electrocardiogram (ecg) 2-day continuous with report | 84.8K | $2.5M | $29.91 | 14.00x |
| 93271 | Heart rhythm symptom-related transmission and analysis of 24-hour EKG monitoring up to 30 days | 1.5K | $217.0K | $140.63 | 1.79x |
This provider submits charges 4.43 times higher than what Medicare actually pays.
A markup ratio of 4.43x means for every $100 Medicare pays, this provider initially charges $443. 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 |
| 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 |
| Modern Nuclear, Inc. | La Habra, CA | $50.0M | ✓ 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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