This provider's $58.5M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Medicare payments to this provider grew 113% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 63% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $2.2K | $745.39 | 2.90x | $1.4K | $4.7M | 6.4K | 3.1K |
| 2017 | $1.9K | $745.35 | 2.54x | $1.1K | $6.3M | 8.5K | 4.1K |
| 2018 | $1.3K | $745.37 | 1.74x | $552.54 | $5.1M | 6.8K | 3.3K |
| 2019 | $1.5K | $745.31 | 1.99x | $738.55 | $5.1M | 6.9K | 3.3K |
| 2020 | $2.0K | $745.36 | 2.64x | $1.2K | $8.3M | 11.2K | 5.4K |
| 2021 | $1.4K | $745.36 | 1.89x | $663.07 | $8.7M | 11.7K | 5.7K |
| 2022 | $1.5K | $745.33 | 2.06x | $788.82 | $10.1M | 13.5K | 6.5K |
| 2023 | $2.4K | $745.38 | 3.26x | $1.7K | $10.1M | 13.6K | 6.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Office/outpatient visit, low complexity | 31.6K | $18.8M | $595.37 | 1.72x |
| 99214 | Office/outpatient visit, moderate complexity | 11.4K | $8.8M | $770.82 | 2.52x |
| 99215 | Office/outpatient visit, high complexity | 6.6K | $4.8M | $725.61 | 2.77x |
| 80053 | Comprehensive metabolic panel | 4.1K | $2.7M | $664.65 | 3.84x |
| 36415 | Insertion of needle into vein for blood collection | 4.1K | $2.6M | $633.57 | 2.90x |
| 71046 | Chest X-ray, 2 views | 3.4K | $2.3M | $668.20 | 3.13x |
| 99203 | Office/outpatient visit, new patient | 3.6K | $2.0M | $553.27 | 2.31x |
| 85025 | Complete blood cell count | 3.7K | $2.0M | $535.20 | 4.75x |
| 96372 | Therapeutic injection | 1.6K | $1.5M | $972.83 | 2.43x |
| 93000 | Electrocardiogram with interpretation | 2.7K | $1.3M | $501.55 | 2.77x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. This is lower 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Boston Scientific Cardiac Diagnostic Services, Llc | Houston, TX | $454.8M | ⚠️ 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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