This provider's $5.6M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 7.03x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 69% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 57% in 2022
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 | $556.17 | $106.89 | 5.20x | $449.28 | $503.6K | 4.5K | 4.4K |
| 2015 | $486.48 | $84.00 | 5.79x | $402.48 | $525.4K | 5.6K | 5.4K |
| 2016 | $408.35 | $72.08 | 5.67x | $336.27 | $347.8K | 4.3K | 4.1K |
| 2017 | $562.29 | $95.93 | 5.86x | $466.36 | $444.5K | 4.4K | 4.3K |
| 2018 | $569.74 | $92.46 | 6.16x | $477.28 | $400.3K | 4.0K | 3.9K |
| 2019 | $796.04 | $130.01 | 6.12x | $666.03 | $493.1K | 4.2K | 4.1K |
| 2020 | $796.61 | $127.44 | 6.25x | $669.17 | $567.9K | 4.5K | 4.4K |
| 2021 | $871.18 | $118.34 | 7.36x | $752.84 | $566.1K | 4.7K | 4.6K |
| 2022 | $717.62 | $111.82 | 6.42x | $605.80 | $890.2K | 8.3K | 8.1K |
| 2023 | $709.83 | $97.01 | 7.32x | $612.82 | $849.3K | 8.3K | 8.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 70553 | MRI scan of brain before and after contrast | 7.8K | $1.9M | $237.70 | 7.80x |
| 70551 | MRI scan brain | 3.0K | $434.7K | $143.05 | 7.09x |
| 72148 | MRI scan of lower spinal canal | 2.9K | $414.8K | $142.36 | 8.63x |
| 72156 | MRI scan of upper spinal canal before and after contrast | 1.5K | $329.6K | $216.29 | 4.68x |
| 72141 | MRI scan of upper spinal canal | 1.6K | $220.4K | $136.63 | 8.53x |
| 70543 | MRI scan bones of the eye, face, and/or neck before and after contrast | 659 | $205.3K | $311.55 | 8.61x |
| 72157 | MRI scan of middle spinal canal before and after contrast | 789 | $178.1K | $225.79 | 4.71x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 629 | $156.4K | $248.62 | 9.92x |
| 70450 | CT scan head or brain | 2.3K | $115.3K | $50.96 | 8.08x |
| 70549 | MRA scan of neck blood vessels before and after contrast | 341 | $115.2K | $337.85 | 6.80x |
| 70491 | CT scan of neck with contrast | 708 | $101.8K | $143.84 | 6.36x |
| 70544 | MRA scan of head blood vessels | 539 | $91.8K | $170.24 | 6.78x |
| 77067 | Mammography of both breasts | 736 | $87.3K | $118.62 | 2.03x |
| 72146 | MRI scan of middle spinal canal | 623 | $84.9K | $136.34 | 8.88x |
| 70486 | CT scan of face | 756 | $79.2K | $104.82 | 4.62x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 250 | $62.6K | $250.38 | 7.24x |
| 70496 | CT scan of blood vessel of head with contrast | 302 | $53.8K | $178.10 | 4.75x |
| 71250 | CT scan chest | 531 | $43.9K | $82.59 | 8.51x |
| 74177 | CT scan of abdomen and pelvis with contrast | 189 | $41.7K | $220.65 | 5.45x |
| 70470 | CT scan head or brain before and after contrast | 325 | $41.5K | $127.82 | 7.01x |
This provider submits charges 7.03 times higher than what Medicare actually pays.
A markup ratio of 7.03x means for every $100 Medicare pays, this provider initially charges $703. 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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