This provider's $3.5M 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 | $160.96 | $58.62 | 2.75x | $102.34 | $364.3K | 6.7K | 6.5K |
| 2015 | $166.10 | $61.20 | 2.71x | $104.90 | $350.1K | 6.5K | 6.3K |
| 2016 | $191.41 | $69.96 | 2.74x | $121.45 | $328.2K | 6.4K | 6.0K |
| 2017 | $265.18 | $71.26 | 3.72x | $193.92 | $308.5K | 6.1K | 5.7K |
| 2018 | $370.22 | $76.69 | 4.83x | $293.53 | $362.3K | 7.2K | 6.7K |
| 2019 | $359.95 | $78.02 | 4.61x | $281.93 | $371.0K | 6.9K | 6.5K |
| 2020 | $384.70 | $84.15 | 4.57x | $300.55 | $415.7K | 6.2K | 5.9K |
| 2021 | $380.22 | $85.99 | 4.42x | $294.23 | $359.0K | 5.3K | 5.1K |
| 2022 | $371.86 | $75.71 | 4.91x | $296.15 | $293.7K | 5.5K | 5.2K |
| 2023 | $392.03 | $77.46 | 5.06x | $314.57 | $348.9K | 4.3K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 74178 | CT scan of abdomen and pelvis before and after contrast | 2.7K | $648.8K | $240.46 | 5.56x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.9K | $322.6K | $171.70 | 4.64x |
| 74174 | CT scan of abdominal and pelvic blood vessels with contrast | 813 | $206.3K | $253.76 | 3.21x |
| 74176 | CT scan of abdomen and pelvis | 1.7K | $170.1K | $98.62 | 5.00x |
| 71275 | CT scan of blood vessels in chest with contrast | 1.0K | $128.0K | $126.09 | 4.68x |
| 70450 | CT scan head or brain | 2.7K | $96.2K | $35.55 | 5.32x |
| 74183 | MRI scan of abdomen before and after contrast | 296 | $92.6K | $312.71 | 8.49x |
| 75635 | CT scan of abdominal aorta and both leg arteries with contrast | 372 | $89.2K | $239.88 | 3.92x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 805 | $83.1K | $103.23 | 2.88x |
| 77067 | Mammography of both breasts | 641 | $79.6K | $124.19 | 2.01x |
| 36569 | Insertion of central venous catheter for infusion, patient 5 years or older | 973 | $74.9K | $76.98 | 2.61x |
| 71250 | CT scan chest | 957 | $74.5K | $77.82 | 6.58x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 519 | $66.0K | $127.07 | 2.58x |
| 71260 | CT scan chest with contrast | 520 | $56.7K | $109.01 | 7.36x |
| 71045 | X-ray of chest, 1 view | 7.0K | $52.7K | $7.48 | 4.55x |
| 76536 | Ultrasound of head and neck | 669 | $52.7K | $78.71 | 2.85x |
| 76700 | Ultrasound of abdomen | 582 | $50.1K | $86.11 | 2.99x |
| 71020 | X-ray of chest, 2 views, front and side | 3.0K | $47.1K | $15.70 | 3.01x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 849 | $45.3K | $53.32 | 3.21x |
| 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 703 | $39.8K | $56.58 | 3.42x |
This provider submits charges 4.27 times higher than what Medicare actually pays.
A markup ratio of 4.27x means for every $100 Medicare pays, this provider initially charges $427. 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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