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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Robert Mcdonald
⚕️
MDIndividual

Robert Mcdonald, MD

NPI: 1124067269
Placida, FL
10 years of data
Nuclear Medicine
$23.6M
Total Payments
156
Beneficiaries
434.6K
Services
3.49x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$23.6M
Specialty median$185.4K

📋 Key Findings

1Billed $23.6M over 10 years
23.49x markup ratio (above median)
399th percentile in Nuclear Medicine by payments
4174 services/day — unusually high
5Payments surged 98% in 2023
613 procedures with >3x markup

This provider averages 174 services per working day

Based on 434.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →

🔎 Data Analysis

This provider's $23.6M in total Medicare payments ranks in the 99th percentile of Nuclear Medicine providers nationally.

Averaging 174 services per working day raises questions about billing patterns.

Medicare payments to this provider grew 726% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 98% in 2023

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$7.0K$2.1K3.32x$4.9K$902.7K43110
2015$309.26$95.263.25x$214.00$1.1M12.0K16
2016$305.30$102.952.97x$202.35$1.7M16.8K18
2017$265.78$98.322.70x$167.46$1.5M15.5K15
2018$227.85$90.262.52x$137.59$777.7K8.6K14
2019$263.83$98.072.69x$165.76$1.2M12.0K18
2020$95.07$33.822.81x$61.25$2.1M61.9K16
2021$76.12$25.632.97x$50.49$3.0M118.6K15
2022$148.73$39.653.75x$109.08$3.8M94.9K17
2023$342.94$79.304.32x$263.64$7.5M94.0K17

Top Procedures (20)

A9606Radium ra-223 dichloride, therapeutic, per microcurie⚠ 3.0x markup
$8.0M
71.9K services$111.18/svc3.04x markup
A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie⚠ 4.8x markup
$6.5M
35.0K services$186.80/svc4.82x markup
78815Nuclear medicine study from skull base to mid-thigh with ct scan
$3.5M
7.3K services$484.28/svc2.82x markup
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
$1.1M
2.7K services$405.84/svc1.66x markup
A9699Radiopharmaceutical, therapeutic, not otherwise classified⚠ 3.4x markup
$847.6K
84 services$10.1K/svc3.36x markup
74177Ct scan of abdomen and pelvis with contrast
$784.0K
5.5K services$143.51/svc2.84x markup
78816Nuclear medicine study whole body with ct scan⚠ 3.1x markup
$655.6K
1.2K services$551.82/svc3.14x markup
71260Ct scan of chest with contrast⚠ 3.8x markup
$500.0K
7.5K services$66.67/svc3.76x markup
A9595Piflufolastat f-18, diagnostic, 1 millicurie⚠ 3.8x markup
$411.6K
909 services$452.84/svc3.80x markup
A9588Fluciclovine f-18, diagnostic, 1 millicurie
$282.5K
735 services$384.29/svc2.73x markup
A9587Gallium ga-68, dotatate, diagnostic, 0.1 millicurie⚠ 3.3x markup
$181.5K
3.3K services$55.28/svc3.26x markup
A9592Copper cu-64, dotatate, diagnostic, 1 millicurie
$177.7K
143 services$1.2K/svc2.28x markup
71250Ct scan of chest without contrast⚠ 5.0x markup
$111.3K
1.7K services$64.91/svc4.98x markup
74176Ct scan of abdomen and pelvis without contrast⚠ 3.0x markup
$102.1K
979 services$104.30/svc3.04x markup
79101Radioactive drug therapy through a vein⚠ 3.6x markup
$98.7K
870 services$113.42/svc3.58x markup
70491Ct scan of soft tissue of neck with contrast⚠ 5.1x markup
$60.7K
800 services$75.84/svc5.12x markup
78812Nuclear medicine imaging from skull base to mid-thigh
$55.7K
56 services$995.46/svc1.92x markup
74178Ct scan of abdomen and pelvis before and after contrast
$37.5K
317 services$118.35/svc2.69x markup
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml⚠ 10.3x markup
$28.3K
292.2K services$0.10/svc10.34x markup
70470Ct scan of head or brain before and after contrast⚠ 4.7x markup
$27.5K
345 services$79.77/svc4.71x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
A9606Radium ra-223 dichloride, therapeutic, per microcurie71.9K$8.0M$111.183.04x
A9607Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie35.0K$6.5M$186.804.82x
78815Nuclear medicine study from skull base to mid-thigh with ct scan7.3K$3.5M$484.282.82x
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries2.7K$1.1M$405.841.66x
A9699Radiopharmaceutical, therapeutic, not otherwise classified84$847.6K$10.1K3.36x
74177Ct scan of abdomen and pelvis with contrast5.5K$784.0K$143.512.84x
78816Nuclear medicine study whole body with ct scan1.2K$655.6K$551.823.14x
71260Ct scan of chest with contrast7.5K$500.0K$66.673.76x
A9595Piflufolastat f-18, diagnostic, 1 millicurie909$411.6K$452.843.80x
A9588Fluciclovine f-18, diagnostic, 1 millicurie735$282.5K$384.292.73x
A9587Gallium ga-68, dotatate, diagnostic, 0.1 millicurie3.3K$181.5K$55.283.26x
A9592Copper cu-64, dotatate, diagnostic, 1 millicurie143$177.7K$1.2K2.28x
71250Ct scan of chest without contrast1.7K$111.3K$64.914.98x
74176Ct scan of abdomen and pelvis without contrast979$102.1K$104.303.04x
79101Radioactive drug therapy through a vein870$98.7K$113.423.58x
70491Ct scan of soft tissue of neck with contrast800$60.7K$75.845.12x
78812Nuclear medicine imaging from skull base to mid-thigh56$55.7K$995.461.92x
74178Ct scan of abdomen and pelvis before and after contrast317$37.5K$118.352.69x
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml292.2K$28.3K$0.1010.34x
70470Ct scan of head or brain before and after contrast345$27.5K$79.774.71x

Markup Analysis

Charge-to-Payment Ratio

3.49x

This provider submits charges 3.49 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.49x means for every $100 Medicare pays, this provider initially charges $349. This is higher than the national average.

Location

Placida, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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