This provider's $5.8M 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.
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 | $438.53 | $103.06 | 4.26x | $335.47 | $608.0K | 6.1K | 6.0K |
| 2015 | $395.86 | $98.27 | 4.03x | $297.59 | $556.0K | 5.0K | 4.9K |
| 2016 | $463.34 | $107.25 | 4.32x | $356.09 | $678.2K | 5.0K | 4.8K |
| 2017 | $502.60 | $112.92 | 4.45x | $389.68 | $660.4K | 4.9K | 4.8K |
| 2018 | $458.50 | $119.29 | 3.84x | $339.21 | $661.7K | 3.9K | 3.7K |
| 2019 | $414.75 | $115.86 | 3.58x | $298.89 | $541.9K | 3.8K | 3.7K |
| 2020 | $298.08 | $87.07 | 3.42x | $211.01 | $308.5K | 2.4K | 2.3K |
| 2021 | $461.63 | $132.04 | 3.50x | $329.59 | $414.3K | 3.2K | 3.2K |
| 2022 | $499.46 | $180.25 | 2.77x | $319.21 | $604.4K | 3.5K | 3.5K |
| 2023 | $368.80 | $112.41 | 3.28x | $256.39 | $721.9K | 3.9K | 3.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 1.7K | $1.9M | $1.1K | 2.67x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.9K | $732.9K | $375.86 | 1.34x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 3.0K | $385.9K | $127.67 | 1.62x |
| 78814 | Nuclear medicine study with CT imaging | 279 | $313.5K | $1.1K | 2.67x |
| 78816 | Nuclear medicine study with CT imaging whole body | 237 | $269.5K | $1.1K | 2.64x |
| 77067 | Mammography of both breasts | 1.2K | $134.3K | $116.62 | 1.89x |
| 78306 | Bone and/or joint imaging, whole body | 605 | $127.9K | $211.42 | 2.36x |
| 74177 | CT scan of abdomen and pelvis with contrast | 976 | $118.0K | $120.88 | 5.87x |
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 140 | $105.9K | $756.66 | 1.35x |
| 71250 | CT scan chest | 1.1K | $105.4K | $95.10 | 7.00x |
| 77063 | Screening digital tomography of both breasts | 2.0K | $105.3K | $51.73 | 2.50x |
| A9597 | Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified | 30 | $81.7K | $2.7K | 2.04x |
| 72148 | MRI scan of lower spinal canal | 495 | $77.5K | $156.50 | 8.64x |
| 74176 | CT scan of abdomen and pelvis | 742 | $66.9K | $90.12 | 7.19x |
| 70450 | CT scan head or brain | 2.0K | $66.5K | $33.62 | 5.46x |
| 77080 | Bone density measurement using dedicated X-ray machine | 1.5K | $60.6K | $39.96 | 4.38x |
| 70553 | MRI scan of brain before and after contrast | 305 | $57.9K | $189.68 | 8.11x |
| 78264 | Stomach emptying study | 226 | $57.1K | $252.64 | 2.28x |
| 71260 | CT scan chest with contrast | 499 | $50.2K | $100.51 | 6.81x |
| 78315 | Bone and/or joint imaging, 3 phase study | 179 | $47.1K | $263.35 | 2.30x |
This provider submits charges 3.01 times higher than what Medicare actually pays.
A markup ratio of 3.01x means for every $100 Medicare pays, this provider initially charges $301. 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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