This provider's $3.8M in total Medicare payments ranks in the 99th percentile of Undefined Physician type providers nationally.
Their average markup ratio of 12.17x is significantly above the specialty median of 4.0x.
Medicare payments to this provider grew 285740% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 160583% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $37.08 | $7.83 | 4.74x | $29.25 | $274.05 | 35 | 35 |
| 2018 | $87.54 | $6.77 | 12.93x | $80.77 | $419.68 | 62 | 60 |
| 2019 | $3.4K | $178.98 | 18.76x | $3.2K | $674.4K | 5.8K | 5.1K |
| 2020 | $3.3K | $183.23 | 18.08x | $3.1K | $934.0K | 7.6K | 6.4K |
| 2021 | $724.08 | $159.46 | 4.54x | $564.62 | $753.5K | 6.1K | 5.2K |
| 2022 | $779.69 | $207.78 | 3.75x | $571.91 | $691.7K | 5.0K | 4.5K |
| 2023 | $729.88 | $157.94 | 4.62x | $571.94 | $783.3K | 5.1K | 4.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 1.1K | $1.1M | $990.67 | 6.83x |
| 74177 | CT scan of abdomen and pelvis with contrast | 4.9K | $907.7K | $186.93 | 16.56x |
| 71260 | CT scan chest with contrast | 5.8K | $440.7K | $75.95 | 21.19x |
| 70553 | MRI scan of brain before and after contrast | 902 | $224.0K | $248.36 | 14.11x |
| 78816 | Nuclear medicine study with CT imaging whole body | 226 | $211.4K | $935.49 | 7.06x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 998 | $196.2K | $196.56 | 4.25x |
| 70491 | CT scan of neck with contrast | 1.0K | $97.4K | $96.03 | 16.49x |
| 74160 | CT scan abdomen with contrast | 557 | $84.3K | $151.43 | 12.90x |
| 74176 | CT scan of abdomen and pelvis | 553 | $60.3K | $108.98 | 18.17x |
| 71250 | CT scan chest | 864 | $56.1K | $64.89 | 16.77x |
| 78306 | Bone and/or joint imaging, whole body | 236 | $49.5K | $209.72 | 4.20x |
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 56 | $44.9K | $802.11 | 1.61x |
| 72197 | MRI scan of pelvis before and after contrast | 143 | $37.3K | $260.92 | 10.39x |
| 74183 | MRI scan of abdomen before and after contrast | 127 | $33.6K | $264.79 | 10.99x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 308 | $26.1K | $84.84 | 8.94x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 110 | $24.0K | $218.63 | 16.27x |
| A9592 | Copper cu-64, dotatate, diagnostic, 1 millicurie | 14 | $23.5K | $1.7K | 1.91x |
| 70543 | MRI scan bones of the eye, face, and/or neck before and after contrast | 89 | $23.5K | $263.92 | 13.28x |
| 72148 | MRI scan of lower spinal canal | 157 | $20.5K | $130.88 | 21.79x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 137 | $19.1K | $139.11 | 6.37x |
This provider submits charges 12.17 times higher than what Medicare actually pays.
A markup ratio of 12.17x means for every $100 Medicare pays, this provider initially charges $1217. 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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