This provider's $4.2M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 321% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 496% 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 | $176.53 | $47.55 | 3.71x | $128.98 | $155.7K | 3.6K | 3.4K |
| 2015 | $180.64 | $46.51 | 3.88x | $134.13 | $135.8K | 3.8K | 3.6K |
| 2016 | $195.65 | $49.43 | 3.96x | $146.22 | $43.6K | 1.2K | 1.1K |
| 2017 | $318.95 | $79.67 | 4.00x | $239.28 | $259.9K | 3.2K | 3.2K |
| 2018 | $235.34 | $63.33 | 3.72x | $172.01 | $544.1K | 7.5K | 7.5K |
| 2019 | $270.70 | $72.13 | 3.75x | $198.57 | $595.5K | 7.8K | 7.8K |
| 2020 | $265.34 | $71.04 | 3.74x | $194.30 | $602.7K | 6.7K | 6.7K |
| 2021 | $426.79 | $111.20 | 3.84x | $315.59 | $608.4K | 6.3K | 6.3K |
| 2022 | $345.54 | $86.51 | 3.99x | $259.03 | $629.1K | 7.1K | 7.0K |
| 2023 | $394.22 | $96.32 | 4.09x | $297.90 | $655.4K | 6.9K | 6.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 11.6K | $1.7M | $145.87 | 2.03x |
| 77063 | Screening digital tomography of both breasts | 12.0K | $706.3K | $58.64 | 4.20x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.1K | $186.6K | $165.88 | 3.77x |
| 77066 | Mammography of both breasts | 1.4K | $175.3K | $127.57 | 2.79x |
| 77065 | Mammography of one breast | 1.6K | $165.1K | $102.04 | 2.79x |
| 76642 | Ultrasound of one breast | 1.8K | $137.6K | $75.78 | 2.70x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 2.6K | $117.9K | $45.55 | 3.73x |
| 19083 | Biopsy of breast accessed through the skin with ultrasound guidance | 202 | $101.0K | $499.98 | 3.99x |
| 74176 | CT scan of abdomen and pelvis | 803 | $90.2K | $112.30 | 4.28x |
| G0202 | Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed | 617 | $90.1K | $146.02 | 2.10x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 237 | $69.7K | $294.20 | 4.09x |
| 71250 | CT scan chest | 630 | $62.0K | $98.36 | 4.84x |
| 70450 | CT scan head or brain | 1.2K | $44.8K | $36.41 | 4.10x |
| 77080 | Bone density measurement using dedicated X-ray machine | 881 | $38.7K | $43.91 | 6.46x |
| 76536 | Ultrasound of head and neck | 439 | $38.4K | $87.50 | 3.03x |
| 71046 | X-ray of chest, 2 views | 2.3K | $35.8K | $15.69 | 3.84x |
| 71260 | CT scan chest with contrast | 293 | $30.8K | $105.07 | 5.93x |
| 19081 | Biopsy of breast accessed through the skin with stereotactic guidance | 67 | $30.7K | $458.69 | 4.46x |
| 76700 | Ultrasound of abdomen | 314 | $28.9K | $91.95 | 3.24x |
| 76770 | Ultrasound behind abdominal cavity | 391 | $25.1K | $64.30 | 3.66x |
This provider submits charges 3.05 times higher than what Medicare actually pays.
A markup ratio of 3.05x means for every $100 Medicare pays, this provider initially charges $305. 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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