This provider averages 136 services per working day
Based on 339.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $25.2M in total Medicare payments ranks in the 99th percentile of Nuclear Medicine providers nationally.
Averaging 136 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 74% in 2016
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 | $198.63 | $59.30 | 3.35x | $139.33 | $2.1M | 35.4K | 44 |
| 2015 | $290.32 | $104.14 | 2.79x | $186.18 | $1.1M | 10.8K | 32 |
| 2016 | $325.54 | $119.98 | 2.71x | $205.56 | $2.0M | 16.3K | 37 |
| 2017 | $340.70 | $128.03 | 2.66x | $212.67 | $2.1M | 16.1K | 35 |
| 2018 | $318.84 | $126.37 | 2.52x | $192.47 | $2.5M | 20.1K | 30 |
| 2019 | $261.56 | $104.90 | 2.49x | $156.66 | $2.8M | 26.6K | 45 |
| 2020 | $175.26 | $68.87 | 2.54x | $106.39 | $3.3M | 47.9K | 63 |
| 2021 | $178.41 | $69.81 | 2.56x | $108.60 | $3.4M | 48.9K | 66 |
| 2022 | $127.33 | $49.24 | 2.59x | $78.09 | $2.8M | 56.1K | 56 |
| 2023 | $133.43 | $50.99 | 2.62x | $82.44 | $3.1M | 61.3K | 59 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress | 2.8K | $4.0M | $1.4K | 2.47x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 1.9K | $2.8M | $1.5K | 1.82x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 7.2K | $2.4M | $335.46 | 3.73x |
| 78608 | Nuclear medicine study of brain with metabolic evaluation | 1.7K | $2.4M | $1.4K | 1.90x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 834 | $1.4M | $1.7K | 1.88x |
| 78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 2.2K | $990.8K | $449.15 | 2.77x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 4.1K | $858.3K | $211.67 | 4.16x |
| A9586 | Florbetapir f18, diagnostic, per study dose, up to 10 millicuries | 310 | $746.8K | $2.4K | 1.58x |
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 333 | $740.4K | $2.2K | 1.64x |
| 78814 | Nuclear medicine study limited area with ct scan | 440 | $690.1K | $1.6K | 3.19x |
| 78459 | Single nuclear medicine study of heart muscle with metabolic evaluation | 474 | $617.5K | $1.3K | 2.20x |
| 96375 | Injection of additional new drug or substance into vein | 34.0K | $586.5K | $17.25 | 2.91x |
| 96374 | Injection of drug or substance into vein | 12.2K | $526.9K | $43.14 | 2.32x |
| Q9983 | Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries | 152 | $402.2K | $2.6K | 1.56x |
| J2785 | Injection, regadenoson, 0.1 mg | 8.7K | $400.8K | $46.10 | 2.06x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 4.5K | $382.9K | $85.36 | 2.40x |
| 93015 | Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician | 4.9K | $303.4K | $61.98 | 3.23x |
| 74178 | Ct scan of abdomen and pelvis before and after contrast | 852 | $282.5K | $331.56 | 2.41x |
| 93925 | Ultrasound of leg arteries or artery grafts | 1.0K | $221.9K | $217.77 | 2.29x |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 1.1K | $197.6K | $171.95 | 3.13x |
This provider submits charges 2.65 times higher than what Medicare actually pays.
A markup ratio of 2.65x means for every $100 Medicare pays, this provider initially charges $265. 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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