This provider's $5.7M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 1486% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1887% in 2017
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 | $161.05 | $37.15 | 4.34x | $123.90 | $50.4K | 2.3K | 2.2K |
| 2015 | $155.60 | $34.28 | 4.54x | $121.32 | $40.6K | 1.8K | 1.8K |
| 2016 | $205.08 | $43.75 | 4.69x | $161.33 | $35.5K | 1.5K | 1.5K |
| 2017 | $591.23 | $189.98 | 3.11x | $401.25 | $705.1K | 6.5K | 6.5K |
| 2018 | $673.97 | $191.52 | 3.52x | $482.45 | $736.6K | 7.0K | 6.9K |
| 2019 | $668.32 | $191.01 | 3.50x | $477.31 | $831.1K | 8.0K | 7.9K |
| 2020 | $680.22 | $185.39 | 3.67x | $494.83 | $711.8K | 6.8K | 6.8K |
| 2021 | $684.71 | $169.19 | 4.05x | $515.52 | $860.2K | 8.3K | 8.3K |
| 2022 | $762.40 | $190.21 | 4.01x | $572.19 | $890.6K | 8.7K | 8.7K |
| 2023 | $951.79 | $213.24 | 4.46x | $738.55 | $799.8K | 7.9K | 7.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 18.2K | $2.6M | $145.52 | 2.03x |
| 77063 | Screening digital tomography of both breasts | 20.4K | $1.2M | $58.37 | 4.12x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 4.2K | $436.9K | $104.81 | 2.30x |
| 77066 | Mammography of both breasts | 1.9K | $248.6K | $129.30 | 2.76x |
| 77065 | Mammography of one breast | 2.3K | $237.7K | $101.58 | 2.80x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 515 | $227.9K | $442.57 | 3.90x |
| 76642 | Ultrasound of one breast | 2.8K | $208.9K | $74.08 | 2.88x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 3.4K | $154.0K | $45.56 | 3.72x |
| 19081 | Biopsy of breast accessed through the skin with stereotactic guidance | 191 | $92.7K | $485.28 | 3.90x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 707 | $56.7K | $80.20 | 3.06x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 794 | $51.8K | $65.22 | 3.15x |
| 77059 | MRI scan of both breasts with contrast | 89 | $23.1K | $259.03 | 4.27x |
| 77049 | MRI of both breasts with and without contrast | 61 | $20.4K | $334.30 | 4.38x |
| 76641 | Ultrasound of one breast | 130 | $14.2K | $109.13 | 3.29x |
| 19084 | Biopsy of breast accessed throught the skin with ultrasound guidance | 46 | $13.1K | $283.80 | 4.63x |
| 19085 | Biopsy of breast and placement of locating device using mri, first growth | 11 | $7.5K | $684.57 | 4.49x |
| 10035 | Placement of soft tissue localization device accessed through the skin with imaging guidance, first lesion | 24 | $5.6K | $234.26 | 6.96x |
| 77057 | Screening mammography of both breasts | 154 | $5.6K | $36.51 | 2.77x |
| 77052 | Computer analysis of screening mammogram to assist detection of cancer | 1.7K | $5.4K | $3.21 | 3.83x |
| 76645 | Ultrasound of breasts | 176 | $3.8K | $21.80 | 4.68x |
This provider submits charges 2.8 times higher than what Medicare actually pays.
A markup ratio of 2.8x means for every $100 Medicare pays, this provider initially charges $280. 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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