Statistical flag only — not an accusation of fraud
This provider's $35.7M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 12.16x is significantly above the specialty median of 6.1x.
This provider has been statistically flagged with a risk score of 68/100. Statistical flags are not accusations of fraud.
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 | $870.25 | $90.89 | 9.57x | $779.36 | $4.4M | 48.2K | 103 |
| 2015 | $972.68 | $86.64 | 11.23x | $886.04 | $4.1M | 47.3K | 104 |
| 2016 | $936.91 | $79.08 | 11.85x | $857.83 | $4.0M | 50.7K | 99 |
| 2017 | $1.2K | $92.24 | 13.11x | $1.1K | $3.8M | 40.8K | 101 |
| 2018 | $1.2K | $88.48 | 13.00x | $1.1K | $3.8M | 43.3K | 97 |
| 2019 | $1.1K | $80.92 | 13.02x | $972.89 | $3.4M | 42.6K | 94 |
| 2020 | $1.0K | $81.87 | 12.76x | $962.84 | $2.7M | 32.9K | 84 |
| 2021 | $976.08 | $81.27 | 12.01x | $894.81 | $3.4M | 42.3K | 91 |
| 2022 | $1.0K | $79.65 | 12.93x | $950.60 | $3.0M | 37.5K | 83 |
| 2023 | $1.0K | $78.69 | 13.24x | $962.87 | $3.1M | 39.2K | 86 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 4.3K | $5.5M | $1.3K | 7.26x |
| 77067 | Screening mammography | 33.1K | $3.7M | $113.12 | 4.38x |
| G0202 | Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed | 30.7K | $3.5M | $114.26 | 3.56x |
| 76641 | Complete ultrasound scan of 1 breast | 14.5K | $1.3M | $87.87 | 6.78x |
| 74177 | Ct scan of abdomen and pelvis with contrast | 5.8K | $1.2M | $206.88 | 22.26x |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 31.6K | $1.1M | $36.27 | 15.02x |
| 70553 | Mri scan of brain before and after contrast | 4.3K | $898.7K | $210.61 | 20.42x |
| 72148 | Mri scan of lower spinal canal without contrast | 6.8K | $835.6K | $122.60 | 28.40x |
| 77059 | MRI scan of both breasts with contrast | 2.0K | $832.5K | $411.54 | 12.36x |
| 74183 | Mri scan of abdomen before and after contrast | 2.6K | $760.8K | $290.61 | 14.47x |
| 70551 | Mri scan of brain without contrast | 5.4K | $704.0K | $131.56 | 22.35x |
| 77063 | Screening 3d breast mammography | 23.6K | $678.9K | $28.75 | 11.44x |
| 77049 | Mri scan of both breasts | 2.0K | $656.0K | $335.03 | 15.12x |
| 71250 | Ct scan of chest without contrast | 7.6K | $639.1K | $84.26 | 24.83x |
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 308 | $546.1K | $1.8K | 2.53x |
| 74178 | Ct scan of abdomen and pelvis before and after contrast | 2.3K | $545.6K | $236.69 | 22.62x |
| 78816 | Nuclear medicine study whole body with ct scan | 393 | $511.4K | $1.3K | 7.19x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 4.4K | $510.5K | $115.13 | 2.25x |
| 78306 | Nuclear medicine study of bone and/or joint whole body | 2.0K | $439.4K | $220.23 | 9.93x |
| 76700 | Complete ultrasound scan of abdomen | 6.0K | $433.4K | $72.43 | 14.21x |
This provider submits charges 12.16 times higher than what Medicare actually pays.
A markup ratio of 12.16x means for every $100 Medicare pays, this provider initially charges $1216. 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 NJ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Bdx Solutions, Inc. | New Providence, NJ | $33.6M | ✓ 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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