This provider's $10.4M in total Medicare payments ranks in the 98th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
Their average markup ratio of 7.71x 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $5.1K | $805.09 | 6.37x | $4.3K | $1.0M | 1.1K | 818 |
| 2015 | $5.1K | $803.64 | 6.37x | $4.3K | $1.2M | 1.2K | 862 |
| 2016 | $3.5K | $604.82 | 5.80x | $2.9K | $1.0M | 1.4K | 1.2K |
| 2017 | $4.0K | $651.15 | 6.16x | $3.4K | $1.3M | 1.7K | 1.3K |
| 2018 | $4.0K | $666.79 | 6.01x | $3.3K | $1.5M | 2.0K | 1.6K |
| 2019 | $4.0K | $644.21 | 6.22x | $3.4K | $1.5M | 2.1K | 1.6K |
| 2020 | $3.5K | $339.94 | 10.22x | $3.1K | $504.2K | 1.3K | 1.0K |
| 2021 | $3.5K | $372.79 | 9.33x | $3.1K | $748.5K | 1.7K | 1.4K |
| 2022 | $4.6K | $411.11 | 11.09x | $4.1K | $760.8K | 1.6K | 1.2K |
| 2023 | $5.0K | $433.99 | 11.61x | $4.6K | $828.3K | 1.6K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 95951 | Monitoring and localization of seizure activity over 24-hour period using 16-channel electroencephalograph (EEG) | 3.3K | $4.6M | $1.4K | 3.44x |
| 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 4.4K | $2.2M | $498.79 | 13.12x |
| 95810 | Sleep monitoring of patient (6 years or older) in sleep lab | 4.2K | $2.0M | $472.78 | 10.22x |
| 95715 | Measurement of brain wave activity with video (veeg), 12-26 hours, with intermittent monitoring and maintenance | 2.3K | $1.3M | $558.83 | 10.12x |
| 95700 | Continuous measurement of brain wave activity (eeg), administered in person by eeg technologist | 985 | $183.2K | $186.00 | 11.90x |
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 582 | $172.2K | $295.83 | 2.88x |
| 95712 | Measurement of brain wave activity with video (veeg), 2-12 hours with intermittent monitoring and maintenance | 65 | $19.8K | $305.37 | 9.17x |
| 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 24 | $8.0K | $332.03 | 4.52x |
This provider submits charges 7.71 times higher than what Medicare actually pays.
A markup ratio of 7.71x means for every $100 Medicare pays, this provider initially charges $771. 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 NY for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Mdinr, Llc | Middletown, NY | $51.0M | ✓ Clear |
| Rhythm Management Group Corp | Brooklyn, NY | $35.5M | ✓ Clear |
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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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