This provider's $3.3M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $259.64 | $59.34 | 4.38x | $200.30 | $360.6K | 7.6K | 7.4K |
| 2015 | $281.86 | $58.38 | 4.83x | $223.48 | $349.1K | 6.9K | 6.8K |
| 2016 | $304.30 | $66.23 | 4.59x | $238.07 | $354.1K | 6.2K | 6.1K |
| 2017 | $288.03 | $59.74 | 4.82x | $228.29 | $315.1K | 5.7K | 5.6K |
| 2018 | $267.09 | $63.75 | 4.19x | $203.34 | $315.7K | 5.9K | 5.8K |
| 2019 | $246.90 | $62.53 | 3.95x | $184.37 | $337.7K | 6.1K | 6.0K |
| 2020 | $250.30 | $63.07 | 3.97x | $187.23 | $317.4K | 5.1K | 5.0K |
| 2021 | $279.88 | $67.30 | 4.16x | $212.58 | $306.4K | 5.3K | 5.2K |
| 2022 | $258.12 | $59.15 | 4.36x | $198.97 | $339.0K | 5.9K | 5.9K |
| 2023 | $284.81 | $62.04 | 4.59x | $222.77 | $309.7K | 5.6K | 5.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 74177 | CT scan of abdomen and pelvis with contrast | 2.7K | $480.3K | $175.35 | 4.75x |
| 71250 | CT scan chest | 2.9K | $282.4K | $97.85 | 5.13x |
| 74176 | CT scan of abdomen and pelvis | 2.0K | $213.7K | $104.28 | 5.63x |
| G0297 | Low dose ct scan (ldct) for lung cancer screening | 687 | $180.9K | $263.34 | 2.70x |
| 71271 | Low dose ct scan of chest for lung cancer screening | 1.0K | $151.7K | $145.19 | 3.07x |
| 70450 | CT scan head or brain | 3.8K | $151.1K | $39.53 | 4.67x |
| 77080 | Bone density measurement using dedicated X-ray machine | 3.3K | $144.0K | $44.26 | 5.89x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 551 | $141.3K | $256.53 | 5.42x |
| 71260 | CT scan chest with contrast | 1.3K | $135.0K | $105.03 | 5.98x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 981 | $91.7K | $93.44 | 3.11x |
| 71275 | CT scan of blood vessels in chest with contrast | 1.0K | $90.7K | $89.15 | 4.02x |
| 72148 | MRI scan of lower spinal canal | 483 | $84.5K | $174.94 | 6.25x |
| 76700 | Ultrasound of abdomen | 1.0K | $80.0K | $76.89 | 2.97x |
| 76536 | Ultrasound of head and neck | 862 | $76.1K | $88.28 | 2.57x |
| 71020 | X-ray of chest, 2 views, front and side | 4.6K | $66.7K | $14.64 | 3.96x |
| 71046 | X-ray of chest, 2 views | 4.0K | $63.3K | $15.72 | 3.89x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 915 | $46.6K | $50.91 | 3.57x |
| 76856 | Ultrasound of pelvis | 528 | $46.5K | $88.01 | 2.74x |
| 76830 | Ultrasound pelvis through vagina | 490 | $46.4K | $94.75 | 2.56x |
| 72197 | MRI scan of pelvis before and after contrast | 126 | $40.5K | $321.67 | 5.25x |
This provider submits charges 4.41 times higher than what Medicare actually pays.
A markup ratio of 4.41x means for every $100 Medicare pays, this provider initially charges $441. 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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