This provider's $13.4M in total Medicare payments ranks in the 99th 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 | $880.00 | $179.33 | 4.91x | $700.67 | $1.2M | 5.5K | 3.5K |
| 2015 | $1.1K | $245.86 | 4.43x | $843.45 | $1.1M | 5.4K | 3.5K |
| 2016 | $883.94 | $192.67 | 4.59x | $691.27 | $1.4M | 6.2K | 3.9K |
| 2017 | $1.1K | $248.61 | 4.42x | $849.32 | $1.6M | 6.7K | 4.1K |
| 2018 | $1.1K | $275.18 | 4.15x | $867.74 | $1.5M | 6.3K | 4.0K |
| 2019 | $1.3K | $326.48 | 4.01x | $984.07 | $1.5M | 6.8K | 4.3K |
| 2020 | $1.3K | $319.28 | 4.05x | $975.32 | $1.4M | 6.5K | 4.1K |
| 2021 | $1.2K | $303.43 | 4.08x | $935.51 | $1.3M | 6.0K | 3.7K |
| 2022 | $1.4K | $361.49 | 3.89x | $1.0K | $1.2M | 5.7K | 3.6K |
| 2023 | $1.4K | $324.90 | 4.33x | $1.1K | $1.2M | 5.8K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 6.7K | $7.0M | $1.0K | 3.48x |
| 74177 | CT scan of abdomen and pelvis with contrast | 10.6K | $2.4M | $222.81 | 4.32x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 6.8K | $1.4M | $209.01 | 2.01x |
| 71260 | CT scan chest with contrast | 12.9K | $1.2M | $95.62 | 8.10x |
| 74176 | CT scan of abdomen and pelvis | 2.3K | $281.5K | $124.93 | 7.34x |
| 71250 | CT scan chest | 2.9K | $248.6K | $85.23 | 7.91x |
| 78816 | Nuclear medicine study with CT imaging whole body | 171 | $183.7K | $1.1K | 3.42x |
| 70491 | CT scan of neck with contrast | 1.6K | $167.0K | $105.78 | 7.80x |
| 74160 | CT scan abdomen with contrast | 849 | $134.4K | $158.30 | 5.02x |
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 127 | $102.8K | $809.74 | 3.08x |
| 78812 | Nuclear medicine imaging from skull base to mid-thigh | 91 | $98.6K | $1.1K | 3.27x |
| 70470 | CT scan head or brain before and after contrast | 377 | $41.4K | $109.77 | 7.70x |
| 70490 | CT scan of neck | 307 | $28.2K | $91.88 | 7.87x |
| 78814 | Nuclear medicine study with CT imaging | 31 | $27.1K | $872.78 | 4.06x |
| 71275 | CT scan of blood vessels in chest with contrast | 54 | $11.0K | $203.67 | 2.37x |
| 74150 | CT scan abdomen | 130 | $10.2K | $78.66 | 8.77x |
| 72193 | CT scan pelvis with contrast | 37 | $5.7K | $153.92 | 5.23x |
| 70450 | CT scan head or brain | 57 | $3.8K | $66.44 | 8.95x |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 14.8K | $1.5K | $0.10 | 9.86x |
| 72131 | Ct scan of lower spine | 18 | $1.3K | $70.83 | 10.02x |
This provider submits charges 4.15 times higher than what Medicare actually pays.
A markup ratio of 4.15x means for every $100 Medicare pays, this provider initially charges $415. 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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