This provider's $6.8M in total Medicare payments ranks in the 97th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Medicare payments to this provider grew 87% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 140% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $885.03 | $515.12 | 1.72x | $369.91 | $936.2K | 1.6K | 1.1K |
| 2021 | $804.10 | $440.57 | 1.83x | $363.53 | $2.3M | 4.7K | 3.3K |
| 2022 | $655.88 | $368.67 | 1.78x | $287.21 | $1.9M | 4.1K | 2.9K |
| 2023 | $747.37 | $416.96 | 1.79x | $330.41 | $1.8M | 3.7K | 2.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78431 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress, with concurrently acquired ct transmission scan | 4.0K | $3.2M | $800.96 | 2.55x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 2.0K | $3.1M | $1.5K | 1.26x |
| 78434 | Nuclear medicine absolute quantification of blood flow in heart muscle | 4.0K | $251.4K | $62.17 | 2.52x |
| J2785 | Injection, regadenoson, 0.1 mg | 2.0K | $94.3K | $46.82 | 2.35x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician supervision, interpretation, and report | 1.7K | $86.9K | $50.86 | 3.93x |
| 78816 | Nuclear medicine study with ct imaging whole body | 13 | $12.0K | $924.45 | 2.01x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 31 | $2.8K | $91.73 | 1.25x |
| J0280 | Injection, aminophyllin, up to 250 mg | 185 | $1.3K | $6.92 | 2.89x |
This provider submits charges 1.97 times higher than what Medicare actually pays.
A markup ratio of 1.97x means for every $100 Medicare pays, this provider initially charges $197. This is lower 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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