This provider's $7.4M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 104314% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1200% in 2018
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 | $64.17 | $14.22 | 4.51x | $49.95 | $2.0K | 167 | 162 |
| 2015 | $152.00 | $31.41 | 4.84x | $120.59 | $3.0K | 157 | 144 |
| 2016 | $201.07 | $42.15 | 4.77x | $158.92 | $11.7K | 321 | 314 |
| 2017 | $257.86 | $68.88 | 3.74x | $188.98 | $52.9K | 830 | 824 |
| 2018 | $389.04 | $113.80 | 3.42x | $275.24 | $687.4K | 7.4K | 7.4K |
| 2019 | $408.03 | $128.12 | 3.18x | $279.91 | $784.8K | 7.6K | 7.6K |
| 2020 | $358.62 | $111.72 | 3.21x | $246.90 | $849.5K | 7.4K | 7.3K |
| 2021 | $414.26 | $142.81 | 2.90x | $271.45 | $996.2K | 8.4K | 8.4K |
| 2022 | $424.05 | $168.29 | 2.52x | $255.76 | $1.9M | 16.0K | 16.0K |
| 2023 | $401.73 | $145.19 | 2.77x | $256.54 | $2.1M | 17.0K | 16.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 17.0K | $2.6M | $154.60 | 1.91x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 829 | $1.2M | $1.4K | 2.19x |
| 77063 | Screening digital tomography of both breasts | 17.0K | $1.0M | $61.55 | 4.06x |
| 77080 | Bone density measurement using dedicated X-ray machine | 4.4K | $205.3K | $46.74 | 6.21x |
| 76700 | Ultrasound of abdomen | 1.8K | $178.1K | $99.15 | 2.75x |
| 74177 | CT scan of abdomen and pelvis with contrast | 601 | $157.5K | $262.02 | 3.55x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 443 | $149.9K | $338.30 | 3.82x |
| 77066 | Mammography of both breasts | 834 | $119.1K | $142.85 | 2.49x |
| 71250 | CT scan chest | 952 | $117.5K | $123.43 | 4.94x |
| 74176 | CT scan of abdomen and pelvis | 661 | $105.8K | $160.07 | 4.32x |
| 76536 | Ultrasound of head and neck | 1.1K | $104.7K | $96.70 | 2.44x |
| 78816 | Nuclear medicine study with CT imaging whole body | 67 | $95.6K | $1.4K | 2.21x |
| 77065 | Mammography of one breast | 756 | $83.6K | $110.53 | 2.58x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 1.4K | $69.0K | $49.60 | 3.42x |
| 76856 | Ultrasound of pelvis | 770 | $68.2K | $88.61 | 2.75x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 283 | $65.6K | $231.81 | 1.64x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 80 | $65.2K | $815.55 | 1.40x |
| 76830 | Ultrasound pelvis through vagina | 615 | $64.6K | $105.03 | 2.33x |
| 71046 | X-ray of chest, 2 views | 2.3K | $59.9K | $25.95 | 3.58x |
| 76770 | Ultrasound behind abdominal cavity | 624 | $58.5K | $93.70 | 2.76x |
This provider submits charges 2.82 times higher than what Medicare actually pays.
A markup ratio of 2.82x means for every $100 Medicare pays, this provider initially charges $282. 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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