This provider's $6.1M in total Medicare payments ranks in the 97th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 8.23x is significantly above the specialty median of 6.1x.
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $556.83 | $83.75 | 6.65x | $473.08 | $1.3M | 19.6K | 18.3K |
| 2020 | $603.63 | $73.81 | 8.18x | $529.82 | $1.2M | 18.7K | 17.1K |
| 2021 | $609.66 | $75.26 | 8.10x | $534.40 | $1.2M | 19.1K | 17.4K |
| 2022 | $640.22 | $71.84 | 8.91x | $568.38 | $1.2M | 19.8K | 18.1K |
| 2023 | $627.51 | $66.70 | 9.41x | $560.81 | $1.1M | 19.6K | 18.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 74177 | CT scan of abdomen and pelvis with contrast | 4.8K | $820.0K | $170.09 | 5.70x |
| 70553 | MRI scan of brain before and after contrast | 2.3K | $387.3K | $168.09 | 10.06x |
| 71250 | CT scan chest | 6.2K | $387.2K | $62.76 | 9.48x |
| 74183 | MRI scan of abdomen before and after contrast | 1.6K | $310.4K | $194.72 | 10.25x |
| 72197 | MRI scan of pelvis before and after contrast | 1.6K | $286.5K | $184.57 | 10.78x |
| 71260 | CT scan chest with contrast | 3.9K | $244.0K | $61.80 | 11.44x |
| 77049 | MRI of both breasts with and without contrast | 1.1K | $202.3K | $192.11 | 13.53x |
| 74174 | CT scan of abdominal and pelvic blood vessels with contrast | 889 | $188.9K | $212.44 | 6.45x |
| 77080 | Bone density measurement using dedicated X-ray machine | 6.8K | $179.1K | $26.46 | 8.87x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 912 | $177.1K | $194.21 | 6.44x |
| 72148 | MRI scan of lower spinal canal | 1.5K | $143.0K | $95.11 | 12.86x |
| 71275 | CT scan of blood vessels in chest with contrast | 1.2K | $141.1K | $119.61 | 8.74x |
| 77067 | Mammography of both breasts | 1.5K | $131.4K | $88.55 | 2.68x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.2K | $127.1K | $108.32 | 4.55x |
| 70551 | MRI scan brain | 1.2K | $122.1K | $99.78 | 10.97x |
| 73721 | MRI scan of leg joint | 962 | $104.4K | $108.53 | 11.04x |
| 73221 | MRI scan of arm joint | 936 | $103.4K | $110.43 | 10.02x |
| 74176 | CT scan of abdomen and pelvis | 1.3K | $102.9K | $77.92 | 8.93x |
| 71046 | X-ray of chest, 2 views | 6.1K | $88.6K | $14.48 | 4.68x |
| 73222 | MRI scan of arm joint with contrast | 435 | $88.0K | $202.40 | 6.38x |
This provider submits charges 8.23 times higher than what Medicare actually pays.
A markup ratio of 8.23x means for every $100 Medicare pays, this provider initially charges $823. 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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