Statistical flag only — not an accusation of fraud
This provider's $223.4M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 5.08x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 1498% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 70/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 234% 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 | $1.2K | $302.63 | 4.04x | $918.78 | $1.9M | 6.4K | 4 |
| 2015 | $1.3K | $290.24 | 4.42x | $992.78 | $6.5M | 22.3K | 4 |
| 2016 | $1.4K | $346.98 | 3.97x | $1.0K | $16.1M | 46.4K | 4 |
| 2017 | $1.8K | $370.03 | 4.83x | $1.4K | $26.0M | 70.2K | 4 |
| 2018 | $1.1K | $306.96 | 3.72x | $835.42 | $24.9M | 81.0K | 5 |
| 2019 | $1.8K | $322.59 | 5.52x | $1.5K | $30.9M | 95.7K | 4 |
| 2020 | $1.8K | $329.57 | 5.43x | $1.5K | $26.0M | 78.9K | 5 |
| 2021 | $1.8K | $338.83 | 5.35x | $1.5K | $29.8M | 87.8K | 7 |
| 2022 | $1.9K | $352.19 | 5.53x | $1.6K | $30.3M | 86.1K | 5 |
| 2023 | $2.0K | $353.70 | 5.76x | $1.7K | $31.1M | 87.8K | 5 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 130.1K | $104.0M | $798.95 | 2.29x |
| 78492 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress | 64.0K | $65.2M | $1.0K | 8.32x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 21.4K | $34.2M | $1.6K | 7.18x |
| J2785 | Injection, regadenoson, 0.1 mg | 342.4K | $15.5M | $45.25 | 4.12x |
| 93017 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) | 83.7K | $2.3M | $27.59 | 12.37x |
| 78434 | Nuclear medicine study of heart muscle blood flow by pet | 21.1K | $2.1M | $101.62 | 7.76x |
| 78491 | Single nuclear medicine study of blood flow in heart muscle | 48 | $39.1K | $813.67 | 10.84x |
| 78430 | Nuclear medicine study of blood flow in heart muscle at rest and with stress with concurrent ct scan | 11 | $9.9K | $901.64 | 12.75x |
This provider submits charges 5.08 times higher than what Medicare actually pays.
A markup ratio of 5.08x means for every $100 Medicare pays, this provider initially charges $508. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Lifewatch Services, Inc | Rosemont, IL | $281.1M | ⚠️ Flagged |
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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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