This provider's $4.7M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 7.26x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 680% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 335% in 2019
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 | $163.92 | $29.30 | 5.59x | $134.62 | $142.1K | 4.1K | 3.8K |
| 2015 | $154.77 | $29.02 | 5.33x | $125.75 | $143.5K | 4.0K | 3.7K |
| 2016 | $94.63 | $27.41 | 3.45x | $67.22 | $158.7K | 4.6K | 4.2K |
| 2017 | $96.89 | $28.66 | 3.38x | $68.23 | $150.0K | 4.8K | 4.4K |
| 2018 | $925.05 | $122.82 | 7.53x | $802.23 | $132.4K | 1.1K | 1.1K |
| 2019 | $1.1K | $166.87 | 6.44x | $907.16 | $576.4K | 4.4K | 4.2K |
| 2020 | $716.10 | $115.28 | 6.21x | $600.82 | $677.6K | 6.1K | 5.8K |
| 2021 | $741.77 | $131.15 | 5.66x | $610.62 | $864.3K | 8.1K | 7.8K |
| 2022 | $660.93 | $89.88 | 7.35x | $571.05 | $765.8K | 8.7K | 8.4K |
| 2023 | $776.99 | $103.43 | 7.51x | $673.56 | $1.1M | 8.9K | 8.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 1.6K | $1.1M | $731.05 | 7.31x |
| 74177 | CT scan of abdomen and pelvis with contrast | 7.0K | $849.5K | $121.04 | 7.23x |
| 74183 | MRI scan of abdomen before and after contrast | 1.9K | $386.0K | $204.43 | 12.06x |
| 74176 | CT scan of abdomen and pelvis | 4.6K | $333.4K | $72.01 | 6.02x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 86 | $232.8K | $2.7K | 1.86x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 1.8K | $218.5K | $119.23 | 7.49x |
| 71260 | CT scan chest with contrast | 2.0K | $157.2K | $78.40 | 11.23x |
| 76536 | Ultrasound of head and neck | 2.6K | $131.1K | $50.40 | 5.52x |
| 71250 | CT scan chest | 2.3K | $126.2K | $54.88 | 8.26x |
| 72197 | MRI scan of pelvis before and after contrast | 664 | $124.2K | $187.01 | 15.27x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 162 | $115.1K | $710.55 | 2.83x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 732 | $86.8K | $118.62 | 3.67x |
| 76700 | Ultrasound of abdomen | 1.4K | $82.2K | $57.81 | 6.62x |
| 78816 | Nuclear medicine study with CT imaging whole body | 50 | $57.0K | $1.1K | 7.09x |
| 74170 | CT scan abdomen before and after contrast | 530 | $55.7K | $105.05 | 7.61x |
| 76770 | Ultrasound behind abdominal cavity | 1.2K | $48.9K | $41.16 | 5.98x |
| 71271 | Low dose ct scan of chest for lung cancer screening | 529 | $40.6K | $76.83 | 6.12x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 2.0K | $38.5K | $19.46 | 4.53x |
| 77067 | Screening mammography | 286 | $34.8K | $121.67 | 4.49x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.1K | $31.2K | $27.43 | 4.15x |
This provider submits charges 7.26 times higher than what Medicare actually pays.
A markup ratio of 7.26x means for every $100 Medicare pays, this provider initially charges $726. 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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