This provider's $33.6M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 5.21x is significantly above the specialty median of 6.1x.
Medicare payments to this provider grew 3346% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 607% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $895.00 | $243.16 | 3.68x | $651.84 | $270.9K | 1.1K | 1 |
| 2019 | $885.60 | $239.25 | 3.70x | $646.35 | $1.9M | 8.0K | 2 |
| 2020 | $878.39 | $269.49 | 3.26x | $608.90 | $6.1M | 22.8K | 2 |
| 2021 | $954.13 | $94.89 | 10.06x | $859.24 | $4.6M | 48.8K | 3 |
| 2022 | $955.94 | $195.53 | 4.89x | $760.41 | $11.3M | 58.0K | 3 |
| 2023 | $955.22 | $198.05 | 4.82x | $757.17 | $9.3M | 47.1K | 3 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93243 | Heart rhythm analysis and report of continous external ekg over more than 48 hours up to 7 days | 80.0K | $13.4M | $167.64 | 5.34x |
| 93247 | Heart rhythm analysis and report of continous external ekg over 8-15 days | 65.7K | $11.6M | $176.73 | 6.20x |
| 0297T | Analysis and report of external ekg recording for more than 48 hours up to 21 days | 31.0K | $8.3M | $268.15 | 3.34x |
| 93226 | Electrocardiogram (ecg) 2-day continuous with report | 9.2K | $318.4K | $34.47 | 12.33x |
This provider submits charges 5.21 times higher than what Medicare actually pays.
A markup ratio of 5.21x means for every $100 Medicare pays, this provider initially charges $521. 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 |
|---|---|---|---|
| Saint Barnabas Outpatient Centers | Livingston, NJ | $35.7M | ⚠️ 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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