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Methodology•Download Data
  1. Home
  2. Providers
  3. Penny Vandestreek
⚕️
DOIndividual

Penny Vandestreek, D.O.

NPI: 1164463402
Roseville, CA
10 years of data
Nuclear Medicine
$5.4M
Total Payments
57.9K
Beneficiaries
58.3K
Services
4.18x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$5.4M
Specialty median$185.4K

📋 Key Findings

1Billed $5.4M over 10 years
24.18x markup ratio (above median)
398th percentile in Nuclear Medicine by payments
4Payments surged 54% in 2016
516 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $5.4M in total Medicare payments ranks in the 98th percentile of Nuclear Medicine providers nationally.

Medicare payments to this provider grew 239% 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 54% in 2016

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$321.63$73.594.37x$248.04$252.8K4.6K4.5K
2015$419.21$94.304.45x$324.91$361.6K5.6K5.6K
2016$788.31$208.733.78x$579.58$556.8K5.9K5.8K
2017$590.04$174.503.38x$415.54$447.2K5.3K5.2K
2018$622.43$163.283.81x$459.15$477.8K5.4K5.4K
2019$640.94$181.453.53x$459.49$575.6K6.3K6.3K
2020$720.59$203.783.54x$516.81$485.4K4.6K4.5K
2021$756.36$201.263.76x$555.10$686.1K6.5K6.5K
2022$797.38$203.113.93x$594.27$673.3K6.2K6.2K
2023$829.70$221.573.74x$608.13$856.8K7.9K7.9K

Top Procedures (20)

78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies⚠ 4.7x markup
$1.2M
8.2K services$146.30/svc4.67x markup
77080Bone density measurement using dedicated X-ray machine⚠ 4.7x markup
$912.7K
21.5K services$42.54/svc4.69x markup
A9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
$865.1K
395 services$2.2K/svc2.39x markup
78306Bone and/or joint imaging, whole body⚠ 5.2x markup
$255.9K
1.4K services$185.01/svc5.18x markup
A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose⚠ 3.3x markup
$183.5K
2.1K services$86.13/svc3.30x markup
78315Bone and/or joint imaging, 3 phase study⚠ 4.9x markup
$163.5K
747 services$218.90/svc4.88x markup
78832Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in multiple areas, or in single area with imaging over multiple days, with concurrently acquired ct transmission scan, 1 day of imaging⚠ 4.4x markup
$158.2K
286 services$553.31/svc4.38x markup
78830Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, with concurrently acquired ct transmission scan, 1 day of imaging⚠ 4.3x markup
$148.2K
875 services$169.33/svc4.35x markup
A9562Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries
$129.8K
236 services$550.16/svc2.32x markup
78803Nuclear medicine study of radioactive material distribution⚠ 5.4x markup
$112.4K
444 services$253.11/svc5.41x markup
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report⚠ 5.6x markup
$110.7K
2.0K services$54.09/svc5.61x markup
78072Imaging of parathyroid with CT and nuclear medicine study⚠ 3.9x markup
$84.2K
258 services$326.34/svc3.85x markup
J2785Injection, regadenoson, 0.1 mg⚠ 3.2x markup
$84.0K
1.9K services$44.78/svc3.18x markup
A9520Technetium tc-99m, tilmanocept, diagnostic, up to 0.5 millicuries
$74.5K
203 services$367.05/svc1.33x markup
78227Imaging of liver and bile duct system with use of drugs⚠ 5.1x markup
$71.8K
338 services$212.49/svc5.11x markup
78582Nuclear medicine study of lung ventilation and blood circulation in the lungs⚠ 5.5x markup
$70.5K
1.7K services$42.30/svc5.50x markup
78264Stomach emptying study⚠ 5.2x markup
$57.9K
315 services$183.86/svc5.17x markup
93018Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report⚠ 4.8x markup
$56.6K
4.8K services$11.70/svc4.83x markup
A9570Indium in-111 labeled autologous white blood cells, diagnostic, per study dose
$48.0K
42 services$1.1K/svc1.30x markup
78226Imaging of liver and bile duct system⚠ 5.5x markup
$47.0K
675 services$69.57/svc5.53x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies8.2K$1.2M$146.304.67x
77080Bone density measurement using dedicated X-ray machine21.5K$912.7K$42.544.69x
A9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries395$865.1K$2.2K2.39x
78306Bone and/or joint imaging, whole body1.4K$255.9K$185.015.18x
A9502Technetium tc-99m tetrofosmin, diagnostic, per study dose2.1K$183.5K$86.133.30x
78315Bone and/or joint imaging, 3 phase study747$163.5K$218.904.88x
78832Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in multiple areas, or in single area with imaging over multiple days, with concurrently acquired ct transmission scan, 1 day of imaging286$158.2K$553.314.38x
78830Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, with concurrently acquired ct transmission scan, 1 day of imaging875$148.2K$169.334.35x
A9562Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries236$129.8K$550.162.32x
78803Nuclear medicine study of radioactive material distribution444$112.4K$253.115.41x
93015Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report2.0K$110.7K$54.095.61x
78072Imaging of parathyroid with CT and nuclear medicine study258$84.2K$326.343.85x
J2785Injection, regadenoson, 0.1 mg1.9K$84.0K$44.783.18x
A9520Technetium tc-99m, tilmanocept, diagnostic, up to 0.5 millicuries203$74.5K$367.051.33x
78227Imaging of liver and bile duct system with use of drugs338$71.8K$212.495.11x
78582Nuclear medicine study of lung ventilation and blood circulation in the lungs1.7K$70.5K$42.305.50x
78264Stomach emptying study315$57.9K$183.865.17x
93018Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report4.8K$56.6K$11.704.83x
A9570Indium in-111 labeled autologous white blood cells, diagnostic, per study dose42$48.0K$1.1K1.30x
78226Imaging of liver and bile duct system675$47.0K$69.575.53x

Markup Analysis

Charge-to-Payment Ratio

4.18x

This provider submits charges 4.18 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.18x means for every $100 Medicare pays, this provider initially charges $418. This is higher than the national average.

Location

Roseville, CA

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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