This provider's $10.4M 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.
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 | $1.5K | $301.83 | 4.96x | $1.2K | $1.2M | 3.0K | 2.5K |
| 2015 | $1.6K | $306.95 | 5.12x | $1.3K | $1.1M | 2.9K | 2.4K |
| 2016 | $1.6K | $298.61 | 5.25x | $1.3K | $1.1M | 2.9K | 2.4K |
| 2017 | $1.6K | $307.97 | 5.24x | $1.3K | $1.1M | 2.8K | 2.3K |
| 2018 | $1.5K | $290.58 | 5.27x | $1.2K | $1.2M | 2.9K | 2.4K |
| 2019 | $1.4K | $245.53 | 5.64x | $1.1K | $907.4K | 3.2K | 2.5K |
| 2020 | $1.3K | $248.48 | 5.38x | $1.1K | $900.3K | 3.2K | 2.4K |
| 2021 | $1.3K | $230.37 | 5.63x | $1.1K | $993.8K | 3.5K | 2.6K |
| 2022 | $1.4K | $239.53 | 5.69x | $1.1K | $935.3K | 3.4K | 2.6K |
| 2023 | $1.4K | $275.92 | 5.11x | $1.1K | $1.1M | 3.6K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 3.1K | $4.3M | $1.4K | 3.30x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 3.7K | $1.2M | $331.82 | 4.57x |
| 71270 | CT scan chest before and after contrast | 3.7K | $793.1K | $215.70 | 6.94x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2.9K | $645.0K | $221.79 | 3.16x |
| 78816 | Nuclear medicine study with CT imaging whole body | 326 | $432.4K | $1.3K | 3.46x |
| 70553 | MRI scan of brain before and after contrast | 1.2K | $398.5K | $330.95 | 5.23x |
| 72148 | MRI scan of lower spinal canal | 1.8K | $342.5K | $192.84 | 8.00x |
| 73718 | MRI scan of leg | 813 | $225.6K | $277.43 | 5.55x |
| 71250 | CT scan chest | 1.5K | $194.9K | $128.12 | 7.92x |
| 72141 | MRI scan of upper spinal canal | 839 | $163.9K | $195.40 | 7.89x |
| 70551 | MRI scan brain | 717 | $141.4K | $197.25 | 7.78x |
| 70492 | CT scan of neck before and after contrast | 579 | $136.2K | $235.22 | 6.35x |
| 73721 | MRI scan of leg joint | 616 | $121.6K | $197.46 | 7.74x |
| 74183 | MRI scan of abdomen before and after contrast | 290 | $113.4K | $390.99 | 4.88x |
| 70543 | MRI scan bones of the eye, face, and/or neck before and after contrast | 262 | $102.7K | $391.93 | 4.53x |
| 73221 | MRI scan of arm joint | 436 | $86.3K | $197.87 | 7.78x |
| 78306 | Bone and/or joint imaging, whole body | 395 | $83.9K | $212.47 | 2.83x |
| A9580 | Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries | 375 | $75.9K | $202.48 | 3.46x |
| 74176 | CT scan of abdomen and pelvis | 431 | $74.4K | $172.68 | 8.68x |
| 73218 | MRI scan of arm | 208 | $66.6K | $320.00 | 4.84x |
This provider submits charges 4.59 times higher than what Medicare actually pays.
A markup ratio of 4.59x means for every $100 Medicare pays, this provider initially charges $459. 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 |
| Irhythm Technologies, Inc. | San Francisco, CA | $393.0M | ⚠️ 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 |
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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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