This provider's $5.5M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 74% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $594.06 | $169.82 | 3.50x | $424.24 | $479.1K | 3.8K | 3.7K |
| 2015 | $543.19 | $140.20 | 3.87x | $402.99 | $463.1K | 4.0K | 3.9K |
| 2016 | $572.41 | $155.30 | 3.69x | $417.11 | $344.2K | 3.1K | 3.1K |
| 2017 | $577.53 | $147.11 | 3.93x | $430.42 | $371.3K | 3.1K | 3.1K |
| 2018 | $631.90 | $169.88 | 3.72x | $462.02 | $528.8K | 3.8K | 3.8K |
| 2019 | $729.59 | $202.32 | 3.61x | $527.27 | $571.9K | 4.0K | 3.9K |
| 2020 | $741.27 | $177.54 | 4.18x | $563.73 | $426.3K | 3.4K | 3.4K |
| 2021 | $848.59 | $194.02 | 4.37x | $654.57 | $622.9K | 5.0K | 5.0K |
| 2022 | $857.41 | $165.52 | 5.18x | $691.89 | $810.8K | 7.0K | 7.0K |
| 2023 | $896.05 | $167.14 | 5.36x | $728.91 | $831.7K | 6.6K | 6.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 621 | $728.5K | $1.2K | 3.36x |
| 77067 | Mammography of both breasts | 5.1K | $676.1K | $132.05 | 2.14x |
| 71250 | CT scan chest | 2.9K | $346.1K | $118.94 | 5.31x |
| 77063 | Screening digital tomography of both breasts | 5.5K | $295.7K | $54.00 | 2.98x |
| 70553 | MRI scan of brain before and after contrast | 1.1K | $285.8K | $261.51 | 5.39x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 819 | $228.7K | $279.22 | 3.65x |
| 75574 | CT scan of heart blood vessels and grafts with contrast dye | 937 | $212.0K | $226.26 | 4.76x |
| 72148 | MRI scan of lower spinal canal | 1.3K | $198.0K | $152.92 | 7.77x |
| 70551 | MRI scan brain | 1.1K | $181.4K | $162.12 | 7.19x |
| 72141 | MRI scan of upper spinal canal | 1.1K | $149.2K | $134.51 | 8.86x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 678 | $131.3K | $193.68 | 1.28x |
| 71270 | CT scan chest before and after contrast | 667 | $121.5K | $182.10 | 4.90x |
| 74177 | CT scan of abdomen and pelvis with contrast | 499 | $121.0K | $242.51 | 3.39x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 129 | $109.2K | $846.31 | 3.09x |
| 71260 | CT scan chest with contrast | 709 | $101.0K | $142.39 | 5.23x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 742 | $98.2K | $132.41 | 1.44x |
| 74176 | CT scan of abdomen and pelvis | 583 | $87.6K | $150.30 | 3.39x |
| 70498 | CT scan of neck blood vessels with contrast | 389 | $79.1K | $203.47 | 4.02x |
| 71275 | CT scan of blood vessels in chest with contrast | 347 | $73.9K | $212.90 | 3.78x |
| 70544 | MRA scan of head blood vessels | 353 | $66.9K | $189.41 | 6.11x |
This provider submits charges 4.19 times higher than what Medicare actually pays.
A markup ratio of 4.19x means for every $100 Medicare pays, this provider initially charges $419. 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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