This provider's $6.7M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 5.41x is significantly above the specialty median of 5.4x.
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 | $621.02 | $121.28 | 5.12x | $499.74 | $737.0K | 9.3K | 8.3K |
| 2015 | $663.42 | $116.30 | 5.70x | $547.12 | $629.9K | 8.8K | 7.9K |
| 2016 | $555.66 | $99.46 | 5.59x | $456.20 | $665.0K | 8.8K | 8.0K |
| 2017 | $531.32 | $93.74 | 5.67x | $437.58 | $667.5K | 8.5K | 7.7K |
| 2018 | $571.48 | $102.84 | 5.56x | $468.64 | $730.4K | 9.0K | 8.0K |
| 2019 | $556.02 | $101.52 | 5.48x | $454.50 | $701.6K | 8.9K | 8.0K |
| 2020 | $589.23 | $106.17 | 5.55x | $483.06 | $533.4K | 6.2K | 5.7K |
| 2021 | $628.30 | $105.62 | 5.95x | $522.68 | $554.1K | 6.8K | 6.2K |
| 2022 | $762.44 | $135.30 | 5.64x | $627.14 | $770.1K | 8.3K | 7.5K |
| 2023 | $690.53 | $118.36 | 5.83x | $572.17 | $715.2K | 8.0K | 7.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 1.5K | $1.5M | $1.0K | 6.06x |
| 74177 | CT scan of abdomen and pelvis with contrast | 3.7K | $803.9K | $214.72 | 4.12x |
| 74176 | CT scan of abdomen and pelvis | 3.1K | $402.5K | $128.59 | 4.56x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 1.6K | $397.8K | $244.80 | 4.31x |
| 71250 | CT scan chest | 3.5K | $352.4K | $99.58 | 6.51x |
| 71260 | CT scan chest with contrast | 2.8K | $298.7K | $108.23 | 8.06x |
| G0297 | Low dose ct scan (ldct) for lung cancer screening | 1.3K | $246.5K | $194.74 | 2.07x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.4K | $192.1K | $135.19 | 6.77x |
| 76536 | Ultrasound of head and neck | 2.3K | $171.5K | $73.52 | 3.90x |
| 71046 | X-ray of chest, 2 views | 8.1K | $154.2K | $19.01 | 8.06x |
| 71020 | X-ray of chest, 2 views, front and side | 8.5K | $145.6K | $17.09 | 5.64x |
| 74170 | CT scan abdomen before and after contrast | 741 | $128.0K | $172.73 | 4.93x |
| 71271 | Low dose ct scan of chest for lung cancer screening | 921 | $118.0K | $128.16 | 4.21x |
| 70491 | CT scan of neck with contrast | 927 | $116.3K | $125.41 | 5.57x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 4.8K | $110.2K | $22.91 | 4.56x |
| 74183 | MRI scan of abdomen before and after contrast | 322 | $96.7K | $300.40 | 7.88x |
| 76705 | Ultrasound of abdomen | 1.6K | $95.0K | $57.88 | 4.09x |
| 76775 | Ultrasound behind abdominal cavity, limited | 2.4K | $89.7K | $36.99 | 8.75x |
| 71275 | CT scan of blood vessels in chest with contrast | 398 | $78.9K | $198.34 | 6.41x |
| 76706 | Ultrasound evaluation of abdominal aorta to detect bulging (aneurysm) | 787 | $73.7K | $93.65 | 3.46x |
This provider submits charges 5.41 times higher than what Medicare actually pays.
A markup ratio of 5.41x means for every $100 Medicare pays, this provider initially charges $541. This is higher 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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