This provider's $7.3M in total Medicare payments ranks in the 98th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 133% in 2017
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 | $867.08 | $182.49 | 4.75x | $684.59 | $535.7K | 2.0K | 1.6K |
| 2015 | $831.07 | $164.10 | 5.06x | $666.97 | $413.3K | 2.0K | 1.5K |
| 2016 | $1.1K | $213.41 | 5.01x | $855.99 | $469.8K | 2.1K | 1.6K |
| 2017 | $1.3K | $358.27 | 3.71x | $969.56 | $1.1M | 2.8K | 2.3K |
| 2018 | $1.2K | $243.84 | 5.01x | $977.27 | $850.2K | 2.7K | 2.3K |
| 2019 | $1.1K | $227.61 | 5.04x | $919.43 | $713.3K | 2.7K | 2.2K |
| 2020 | $1.2K | $240.66 | 4.84x | $924.13 | $793.2K | 2.6K | 2.1K |
| 2021 | $1.2K | $249.30 | 4.80x | $947.44 | $816.0K | 2.4K | 2.0K |
| 2022 | $1.1K | $326.44 | 3.46x | $802.32 | $868.5K | 2.2K | 1.9K |
| 2023 | $1.3K | $267.57 | 4.78x | $1.0K | $740.9K | 1.9K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 3.7K | $3.7M | $983.96 | 4.82x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 4.0K | $987.2K | $249.60 | 2.40x |
| 78608 | Nuclear medicine study brain with metabolic evaluation | 906 | $762.5K | $841.65 | 4.86x |
| 74177 | CT scan of abdomen and pelvis with contrast | 2.3K | $362.7K | $160.19 | 5.27x |
| A9586 | Florbetapir f18, diagnostic, per study dose, up to 10 millicuries | 126 | $300.1K | $2.4K | 1.27x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 441 | $248.8K | $564.28 | 1.61x |
| 71260 | CT scan chest with contrast | 2.8K | $226.5K | $81.91 | 7.81x |
| 71250 | CT scan chest | 1.9K | $128.3K | $66.13 | 6.82x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 333 | $126.2K | $379.03 | 1.56x |
| 78814 | Nuclear medicine study with CT imaging | 149 | $126.0K | $845.61 | 4.82x |
| 78816 | Nuclear medicine study with CT imaging whole body | 72 | $72.7K | $1.0K | 4.73x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 282 | $51.1K | $181.10 | 5.55x |
| 70491 | CT scan of neck with contrast | 520 | $50.9K | $97.80 | 6.59x |
| 74176 | CT scan of abdomen and pelvis | 426 | $31.3K | $73.52 | 6.37x |
| 74160 | CT scan abdomen with contrast | 262 | $29.2K | $111.34 | 5.76x |
| 71270 | CT scan chest before and after contrast | 240 | $26.0K | $108.16 | 7.44x |
| 73200 | CT scan of arm | 263 | $19.6K | $74.57 | 6.00x |
| 70450 | CT scan head or brain | 225 | $10.9K | $48.66 | 6.06x |
| 70492 | CT scan of neck before and after contrast | 80 | $8.9K | $111.09 | 7.16x |
| 74170 | Ct scan abdomen before and after contrast | 56 | $6.5K | $115.55 | 6.36x |
This provider submits charges 4.39 times higher than what Medicare actually pays.
A markup ratio of 4.39x means for every $100 Medicare pays, this provider initially charges $439. 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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