Medicare spending analysis for Independent Diagnostic Testing Facility (IDTF) providers
Independent Diagnostic Testing Facility (IDTF) accounts for $6.3B in Medicare payments across 18.0K providers.
The specialty's average markup of 6.1x is above the overall Medicare average of 3.77x.
This high markup suggests significant gaps between what providers charge and what Medicare pays.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | Providers | YoY Change |
|---|---|---|---|---|
| 2016 | $758.6M | 18.7M | 2.6K | — |
| 2017 | $781.1M | 20.2M | 2.5K | +3.0% |
| 2018 | $789.1M | 21.1M | 2.4K | +1.0% |
| 2019 | $788.3M | 23.0M | 2.3K | -0.1% |
| 2020 | $722.7M | 22.2M | 2.1K | -8.3% |
| 2021 | $741.5M | 24.9M | 2.1K | +2.6% |
| 2022 | $870.1M | 24.9M | 2.0K | +17.3% |
| 2023 | $881.3M | 27.8M | 1.9K | +1.3% |
| Code | Description | Payments | Services | Avg/Service |
|---|---|---|---|---|
| 93229 | Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional | $232.0M | 261.0K | $889.09 |
| 93247 | Heart rhythm analysis and report of continous external ekg over 8-15 days | $73.9M | 335.9K | $220.05 |
| G0249 | Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the | $57.3M | 869.5K | $65.92 |
| 93243 | Heart rhythm analysis and report of continous external ekg over more than 48 hours up to 7 days | $48.3M | 236.2K | $204.64 |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | $45.3M | 38.3K | $1.2K |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | $29.5M | 18.3K | $1.6K |
| G2066 | Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec | $24.5M | 376.7K | $65.15 |
| 77067 | Screening mammography | $18.3M | 166.5K | $109.61 |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | $17.6M | 34.1K | $517.86 |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | $17.6M | 30.6K | $575.96 |
| 72148 | Mri scan of lower spinal canal without contrast | $17.2M | 128.7K | $133.33 |
| 70553 | Mri scan of brain before and after contrast | $10.8M | 50.2K | $214.73 |
| 93925 | Ultrasound of leg arteries or artery grafts | $10.6M | 70.0K | $151.37 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | $9.9M | 96.0K | $103.61 |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | $9.6M | 34.9K | $274.94 |
| 74177 | Ct scan of abdomen and pelvis with contrast | $9.6M | 46.3K | $207.30 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | $9.0M | 21.1K | $427.91 |
| 73721 | Mri scan of leg joint without contrast | $8.9M | 62.4K | $142.34 |
| 95810 | Sleep study in sleep lab (6 years or older) | $8.1M | 19.9K | $409.40 |
| 95800 | Sleep study including heart rate, breathing, and sleep time | $8.1M | 67.0K | $121.25 |
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.