This provider averages 134 services per working day
Based on 335.3K total services over 10 years (250 working days/year). Learn about impossible service volumes โ
This provider's $20.3M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Averaging 134 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 51% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 53% in 2023
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $153.70 | $60.73 | 2.53x | $92.97 | $2.0M | 32.9K | 22 |
| 2015 | $115.91 | $44.43 | 2.61x | $71.48 | $1.9M | 43.1K | 23 |
| 2016 | $138.79 | $56.06 | 2.48x | $82.73 | $2.0M | 36.4K | 20 |
| 2017 | $176.17 | $67.34 | 2.62x | $108.83 | $2.4M | 35.0K | 20 |
| 2018 | $156.82 | $55.22 | 2.84x | $101.60 | $1.7M | 31.1K | 19 |
| 2019 | $171.69 | $63.75 | 2.69x | $107.94 | $1.7M | 27.2K | 17 |
| 2020 | $160.91 | $59.35 | 2.71x | $101.56 | $1.8M | 31.1K | 19 |
| 2021 | $155.60 | $54.36 | 2.86x | $101.24 | $1.8M | 32.2K | 18 |
| 2022 | $176.64 | $56.69 | 3.12x | $119.95 | $2.0M | 34.6K | 22 |
| 2023 | $432.63 | $95.04 | 4.55x | $337.59 | $3.0M | 31.7K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 8.7K | $9.7M | $1.1K | 2.64x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 8.9K | $3.2M | $359.34 | 1.93x |
| 78816 | Nuclear medicine study whole body with ct scan | 1.6K | $1.8M | $1.1K | 2.58x |
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 1.5K | $1.3M | $809.70 | 5.59x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 1.7K | $782.9K | $463.82 | 4.94x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 1.2K | $427.6K | $368.27 | 1.28x |
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 335 | $330.1K | $985.51 | 2.33x |
| 74177 | Ct scan of abdomen and pelvis with contrast | 1.3K | $314.4K | $239.62 | 3.67x |
| 71250 | Ct scan of chest without contrast | 2.4K | $272.3K | $112.51 | 5.56x |
| 78608 | Nuclear medicine study of brain with metabolic evaluation | 252 | $271.2K | $1.1K | 3.15x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 823 | $256.8K | $312.06 | 2.56x |
| 96374 | Injection of drug or substance into vein | 6.6K | $248.1K | $37.58 | 2.52x |
| 71260 | Ct scan of chest with contrast | 1.7K | $240.8K | $140.80 | 6.42x |
| 74178 | Ct scan of abdomen and pelvis before and after contrast | 712 | $186.1K | $261.37 | 7.72x |
| A9599 | Radiopharmaceutical, diagnostic, for beta-amyloid positron emission tomography (pet) imaging, per study dose, not otherwise specified | 78 | $170.7K | $2.2K | 1.36x |
| 74176 | Ct scan of abdomen and pelvis without contrast | 918 | $138.1K | $150.42 | 6.34x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 70 | $120.1K | $1.7K | 2.62x |
| 78814 | Nuclear medicine study limited area with ct scan | 96 | $103.5K | $1.1K | 3.15x |
| A9580 | Sodium fluoride f-18, diagnostic, per study dose, up to 30 millicuries | 709 | $77.9K | $109.94 | 2.49x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.7K | $72.0K | $43.49 | 2.48x |
This provider submits charges 2.98 times higher than what Medicare actually pays.
A markup ratio of 2.98x means for every $100 Medicare pays, this provider initially charges $298. 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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