This provider's $4.9M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 76% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 81% in 2021
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 | $699.25 | $159.95 | 4.37x | $539.30 | $501.7K | 3.4K | 3.3K |
| 2015 | $585.76 | $126.04 | 4.65x | $459.72 | $386.7K | 3.3K | 3.2K |
| 2016 | $528.95 | $119.65 | 4.42x | $409.30 | $425.5K | 3.7K | 3.6K |
| 2017 | $599.02 | $137.00 | 4.37x | $462.02 | $474.3K | 3.7K | 3.7K |
| 2018 | $565.92 | $128.75 | 4.40x | $437.17 | $500.4K | 4.2K | 4.1K |
| 2019 | $594.78 | $128.22 | 4.64x | $466.56 | $552.5K | 4.3K | 4.2K |
| 2020 | $425.66 | $82.08 | 5.19x | $343.58 | $252.2K | 3.4K | 3.3K |
| 2021 | $538.64 | $105.16 | 5.12x | $433.48 | $456.2K | 4.0K | 3.8K |
| 2022 | $579.34 | $119.24 | 4.86x | $460.10 | $513.7K | 3.7K | 3.4K |
| 2023 | $524.38 | $108.03 | 4.85x | $416.35 | $885.1K | 5.0K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 1.6K | $1.2M | $773.09 | 3.76x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.6K | $273.2K | $175.36 | 3.90x |
| 72148 | MRI scan of lower spinal canal | 2.3K | $263.9K | $114.91 | 7.41x |
| 74183 | MRI scan of abdomen before and after contrast | 1.1K | $228.6K | $215.83 | 6.33x |
| 74176 | CT scan of abdomen and pelvis | 1.8K | $210.4K | $117.01 | 3.75x |
| 78816 | Nuclear medicine study with CT imaging whole body | 269 | $197.8K | $735.14 | 3.97x |
| 73721 | MRI scan of leg joint | 1.3K | $181.4K | $135.35 | 6.46x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 738 | $165.5K | $224.28 | 3.80x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.4K | $164.8K | $116.23 | 4.30x |
| 71250 | CT scan chest | 1.8K | $148.9K | $83.54 | 5.32x |
| 72141 | MRI scan of upper spinal canal | 1.2K | $136.1K | $114.77 | 7.37x |
| 73221 | MRI scan of arm joint | 812 | $114.1K | $140.54 | 6.23x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 144 | $102.3K | $710.37 | 1.48x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 1.9K | $95.9K | $49.18 | 4.85x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 167 | $88.3K | $528.89 | 1.34x |
| 71260 | CT scan chest with contrast | 1.1K | $86.3K | $75.13 | 6.53x |
| 72197 | MRI scan of pelvis before and after contrast | 404 | $77.3K | $191.22 | 7.20x |
| 74261 | Diagnostic CT scan of large bowel | 571 | $76.8K | $134.44 | 7.02x |
| 73718 | MRI scan of leg | 399 | $72.8K | $182.57 | 4.85x |
| 72195 | MRI scan of pelvis | 412 | $66.3K | $160.87 | 4.93x |
This provider submits charges 4.78 times higher than what Medicare actually pays.
A markup ratio of 4.78x means for every $100 Medicare pays, this provider initially charges $478. 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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