This provider's $60.4M in total Medicare payments ranks in the 99th percentile of Independent Diagnostic Testing Facility (IDTF) providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 55% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $181.54 | $72.55 | 2.50x | $108.99 | $6.3M | 86.4K | 10.3K |
| 2015 | $175.20 | $72.55 | 2.41x | $102.65 | $4.8M | 66.4K | 7.9K |
| 2016 | $214.03 | $72.55 | 2.95x | $141.48 | $6.5M | 89.6K | 10.7K |
| 2017 | $124.80 | $72.55 | 1.72x | $52.25 | $4.4M | 61.2K | 7.3K |
| 2018 | $214.80 | $72.55 | 2.96x | $142.25 | $5.3M | 73.0K | 8.7K |
| 2019 | $240.41 | $72.55 | 3.31x | $167.86 | $7.8M | 107.0K | 12.8K |
| 2020 | $141.12 | $72.55 | 1.95x | $68.57 | $6.8M | 94.2K | 11.2K |
| 2021 | $138.59 | $72.55 | 1.91x | $66.04 | $5.7M | 78.7K | 9.4K |
| 2022 | $260.94 | $72.55 | 3.60x | $188.39 | $5.0M | 69.2K | 8.3K |
| 2023 | $186.76 | $72.55 | 2.57x | $114.21 | $7.8M | 107.1K | 12.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Office/outpatient visit, low complexity | 160.6K | $20.3M | $126.20 | 2.29x |
| 99214 | Office/outpatient visit, moderate complexity | 123.2K | $8.6M | $69.79 | 2.61x |
| 36415 | Insertion of needle into vein for blood collection | 73.8K | $3.7M | $50.10 | 2.44x |
| 85025 | Complete blood cell count | 47.3K | $3.1M | $64.90 | 4.20x |
| 99215 | Office/outpatient visit, high complexity | 34.3K | $2.9M | $83.84 | 2.81x |
| 99203 | Office/outpatient visit, new patient | 40.1K | $2.3M | $58.16 | 2.50x |
| 80053 | Comprehensive metabolic panel | 36.2K | $2.0M | $54.69 | 3.18x |
| 71046 | Chest X-ray, 2 views | 38.7K | $2.0M | $50.78 | 3.55x |
| 96372 | Therapeutic injection | 36.1K | $1.9M | $52.29 | 3.07x |
| 93000 | Electrocardiogram with interpretation | 22.8K | $1.7M | $72.33 | 3.21x |
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.
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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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