This provider's $5.6M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 107% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 52% in 2015
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 | $200.42 | $51.77 | 3.87x | $148.65 | $343.0K | 7.3K | 7.1K |
| 2015 | $230.21 | $57.44 | 4.01x | $172.77 | $520.9K | 8.8K | 8.7K |
| 2016 | $244.44 | $62.40 | 3.92x | $182.04 | $531.3K | 9.1K | 9.0K |
| 2017 | $297.01 | $77.01 | 3.86x | $220.00 | $447.1K | 5.3K | 5.3K |
| 2018 | $272.31 | $66.68 | 4.08x | $205.63 | $473.0K | 6.1K | 6.0K |
| 2019 | $415.86 | $79.49 | 5.23x | $336.37 | $572.8K | 7.2K | 7.2K |
| 2020 | $419.30 | $71.69 | 5.85x | $347.61 | $626.3K | 7.9K | 7.9K |
| 2021 | $478.02 | $101.90 | 4.69x | $376.12 | $674.7K | 8.9K | 8.9K |
| 2022 | $557.77 | $128.19 | 4.35x | $429.58 | $659.1K | 8.9K | 8.8K |
| 2023 | $643.80 | $148.68 | 4.33x | $495.12 | $711.2K | 8.6K | 8.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 13.0K | $1.6M | $123.81 | 3.39x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 7.1K | $894.4K | $125.79 | 2.69x |
| 77063 | Screening digital tomography of both breasts | 11.4K | $582.6K | $51.26 | 3.42x |
| 77080 | Bone density measurement using dedicated X-ray machine | 11.9K | $447.3K | $37.72 | 9.35x |
| 77066 | Mammography of both breasts | 2.2K | $236.4K | $109.55 | 3.99x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 471 | $219.7K | $466.46 | 2.74x |
| 76642 | Ultrasound of one breast | 2.9K | $185.5K | $64.26 | 4.05x |
| 77065 | Mammography of one breast | 1.8K | $153.1K | $87.16 | 4.36x |
| 77049 | MRI of both breasts with and without contrast | 537 | $151.1K | $281.35 | 9.43x |
| 76641 | Ultrasound of one breast | 1.7K | $138.0K | $81.56 | 4.16x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 3.2K | $122.2K | $38.76 | 4.59x |
| 77059 | MRI scan of both breasts with contrast | 294 | $115.8K | $393.91 | 4.49x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 985 | $108.2K | $109.81 | 3.21x |
| 19081 | Biopsy of breast accessed throught the skin with stereotactic guidance | 212 | $98.3K | $463.91 | 2.78x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 902 | $76.9K | $85.24 | 3.48x |
| 77052 | Computer analysis of screening mammogram to assist detection of cancer | 5.4K | $47.9K | $8.84 | 8.59x |
| 19281 | Placement of breast localization devices accessed through the skin with mammographic guidance | 233 | $43.0K | $184.43 | 3.20x |
| 74177 | CT scan of abdomen and pelvis with contrast | 463 | $31.8K | $68.64 | 10.09x |
| 70450 | CT scan head or brain | 933 | $27.6K | $29.54 | 6.51x |
| 19085 | Biopsy of breast accessed through the skin with MRI guidance | 38 | $24.9K | $654.96 | 2.81x |
This provider submits charges 4.24 times higher than what Medicare actually pays.
A markup ratio of 4.24x means for every $100 Medicare pays, this provider initially charges $424. 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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