This provider's $6.8M in total Medicare payments ranks in the 99th 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.
Notable: Payments increased 746% 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 | $206.97 | $67.66 | 3.06x | $139.31 | $861.7K | 11.0K | 4.2K |
| 2015 | $147.46 | $52.76 | 2.79x | $94.70 | $829.9K | 12.2K | 5.2K |
| 2016 | $143.44 | $50.83 | 2.82x | $92.61 | $380.5K | 6.6K | 4.5K |
| 2017 | $117.32 | $44.18 | 2.66x | $73.14 | $1.5M | 22.4K | 12.5K |
| 2018 | $137.45 | $54.30 | 2.53x | $83.15 | $882.8K | 13.2K | 6.4K |
| 2019 | $144.83 | $60.90 | 2.38x | $83.93 | $1.2M | 18.8K | 6.5K |
| 2020 | $104.60 | $47.11 | 2.22x | $57.49 | $397.1K | 8.1K | 2.7K |
| 2021 | $119.05 | $56.63 | 2.10x | $62.42 | $35.3K | 675 | 494 |
| 2022 | $99.58 | $49.79 | 2.00x | $49.79 | $298.8K | 5.1K | 2.2K |
| 2023 | $105.57 | $49.86 | 2.12x | $55.71 | $414.6K | 7.8K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77002 | Fluoroscopic guidance for insertion of needle | 20.2K | $1.5M | $75.11 | 2.35x |
| 27370 | Injection procedure for X-ray imaging of knee | 8.2K | $1.2M | $147.14 | 2.30x |
| J7321 | Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose | 16.1K | $1.1M | $66.67 | 2.28x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 17.1K | $760.1K | $44.36 | 2.28x |
| 73580 | Radiological supervision and interpretation X-ray of knee joint | 5.1K | $448.6K | $88.78 | 2.54x |
| J7324 | Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose | 1.6K | $359.7K | $226.96 | 2.12x |
| 76881 | Ultrasound of leg or arm | 4.8K | $351.4K | $72.99 | 2.50x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.7K | $155.1K | $33.25 | 2.43x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.7K | $134.5K | $77.82 | 2.39x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.2K | $116.7K | $54.19 | 2.00x |
| 73560 | X-ray of knee, 1 or 2 views | 3.9K | $89.7K | $22.74 | 2.28x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 710 | $84.3K | $118.69 | 2.18x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 1.2K | $68.3K | $56.44 | 2.88x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 743 | $65.5K | $88.12 | 2.07x |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 364 | $45.0K | $123.61 | 2.79x |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 939 | $43.1K | $45.90 | 2.17x |
| 76882 | Ultrasound of arm or leg | 1.1K | $42.2K | $36.96 | 2.09x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 2.0K | $40.1K | $20.08 | 2.82x |
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 2.6K | $33.1K | $12.87 | 1.98x |
| 64640 | Destruction of peripheral nerve or branch | 277 | $19.6K | $70.77 | 4.23x |
This provider submits charges 2.35 times higher than what Medicare actually pays.
A markup ratio of 2.35x means for every $100 Medicare pays, this provider initially charges $235. 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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