This provider's $3.7M in total Medicare payments ranks in the 95th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Medicare payments to this provider grew 122% from 2014 to 2023.
70% of their billing comes from a single procedure code (78815 — Nuclear medicine study with CT imaging skull base to mid-thigh).
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 | $1.6K | $715.52 | 2.23x | $881.98 | $251.8K | 354 | 310 |
| 2015 | $1.6K | $706.91 | 2.26x | $890.59 | $291.6K | 417 | 364 |
| 2016 | $1.9K | $815.91 | 2.35x | $1.1K | $316.4K | 449 | 393 |
| 2017 | $1.9K | $844.64 | 2.27x | $1.1K | $339.8K | 473 | 399 |
| 2018 | $1.9K | $872.72 | 2.20x | $1.0K | $371.7K | 500 | 429 |
| 2019 | $1.9K | $870.38 | 2.20x | $1.0K | $369.7K | 496 | 417 |
| 2020 | $1.6K | $772.13 | 2.03x | $796.87 | $328.3K | 422 | 358 |
| 2021 | $1.6K | $794.42 | 1.98x | $777.34 | $407.6K | 507 | 404 |
| 2022 | $1.6K | $822.63 | 1.93x | $766.10 | $431.8K | 537 | 461 |
| 2023 | $1.8K | $860.55 | 2.08x | $932.92 | $558.1K | 685 | 577 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 2.2K | $2.5M | $1.1K | 2.23x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2.3K | $833.0K | $366.95 | 1.76x |
| 78816 | Nuclear medicine study with CT imaging whole body | 171 | $199.0K | $1.2K | 2.19x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 127 | $60.3K | $475.06 | 1.32x |
| 78608 | Nuclear medicine study of brain with metabolic evaluation | 15 | $15.2K | $1.0K | 2.54x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 29 | $9.8K | $338.35 | 1.59x |
This provider submits charges 2.11 times higher than what Medicare actually pays.
A markup ratio of 2.11x means for every $100 Medicare pays, this provider initially charges $211. 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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