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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Specialties
  3. Independent Diagnostic Testing Facility (IDTF)
  4. Fraud Risk

Medicare Fraud Risk in Independent Diagnostic Testing Facility (IDTF)

9 flagged Independent Diagnostic Testing Facility (IDTF) providers identified through statistical anomaly detection.

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Flagged Providers

9

of 18.0K total

Average Risk Score

75/100

Specialty Markup

6.1x

Total Payments

$6.3B

Most Common Fraud Flags

Types of billing anomalies most frequently detected among flagged Independent Diagnostic Testing Facility (IDTF) providers.

💰 Outlier Spending9 providers
👥 Beneficiary Stuffing9 providers
📊 Volume Anomaly9 providers
📈 High Markup5 providers

Top Flagged Independent Diagnostic Testing Facility (IDTF) Providers

ProviderLocationRisk ScoreTotal PaymentsMarkupFlags
Cardionet, Llc.Pleasanton, CA88$112.2M23.7xoutlier spending, high markup
Boston Scientific Cardiac Diagnostic Services, LlcHouston, TX83$84.2M14.6xoutlier spending, high markup
Cardionet, LlcMalvern, PA79$11.0M26.4xoutlier spending, high markup
Irhythm Technologies, Inc.San Francisco, CA75$94.0M7.7xoutlier spending, beneficiary stuffing
Lifewatch Services, IncRosemont, IL74$6.3M24.6xoutlier spending, high markup
Cardiac Imaging IncOak Brook Terrace, IL70$31.1M8.3xoutlier spending, beneficiary stuffing
Mdinr, LlcSan Jose, CA68$25.2M4.1xoutlier spending, beneficiary stuffing
Alere Home Monitoring, Inc.Livermore, CA68$20.7M3.8xoutlier spending, beneficiary stuffing
Saint Barnabas Outpatient CentersLivingston, NJ68$3.1M26.9xoutlier spending, high markup

Markup by Specialty

How Independent Diagnostic Testing Facility (IDTF) markup compares to other specialties.

Anesthesiology Assistant
12.2x
Dental Anesthesiology
12.2x
Certified Registered Nurse Anesthetist (CRNA)
9.7x
Anesthesiologist Assistants
9.6x
Anesthesiology
8.8x
CRNA
7.4x
Emergency Medicine
7.1x
Radiation Therapy Center
7.1x
Radiation Therapy
6.1x
Ambulatory Surgical Center
6.1x
Independent Diagnostic Testing Facility (IDTF)
6.1x
Neurosurgery
5.9x
Independent Diagnostic Testing Facility
5.5x
Diagnostic Radiology
5.4x
Interventional Radiology
5.1x

⚠️ Disclaimer: Being flagged does not imply fraud. These providers were identified through statistical analysis of billing patterns that deviate significantly from peers. Unusual billing may have legitimate explanations. This data is provided for transparency and public accountability purposes only.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • OpenMedicare Statistical Anomaly Detection

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.