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.
Notable: Payments increased 54% in 2016
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 | $321.63 | $73.59 | 4.37x | $248.04 | $252.8K | 4.6K | 4.5K |
| 2015 | $419.21 | $94.30 | 4.45x | $324.91 | $361.6K | 5.6K | 5.6K |
| 2016 | $788.31 | $208.73 | 3.78x | $579.58 | $556.8K | 5.9K | 5.8K |
| 2017 | $590.04 | $174.50 | 3.38x | $415.54 | $447.2K | 5.3K | 5.2K |
| 2018 | $622.43 | $163.28 | 3.81x | $459.15 | $477.8K | 5.4K | 5.4K |
| 2019 | $640.94 | $181.45 | 3.53x | $459.49 | $575.6K | 6.3K | 6.3K |
| 2020 | $720.59 | $203.78 | 3.54x | $516.81 | $485.4K | 4.6K | 4.5K |
| 2021 | $756.36 | $201.26 | 3.76x | $555.10 | $686.1K | 6.5K | 6.5K |
| 2022 | $797.38 | $203.11 | 3.93x | $594.27 | $673.3K | 6.2K | 6.2K |
| 2023 | $829.70 | $221.57 | 3.74x | $608.13 | $856.8K | 7.9K | 7.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 8.2K | $1.2M | $146.30 | 4.67x |
| 77080 | Bone density measurement using dedicated X-ray machine | 21.5K | $912.7K | $42.54 | 4.69x |
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 395 | $865.1K | $2.2K | 2.39x |
| 78306 | Bone and/or joint imaging, whole body | 1.4K | $255.9K | $185.01 | 5.18x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 2.1K | $183.5K | $86.13 | 3.30x |
| 78315 | Bone and/or joint imaging, 3 phase study | 747 | $163.5K | $218.90 | 4.88x |
| 78832 | Spect 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 | 286 | $158.2K | $553.31 | 4.38x |
| 78830 | Spect 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 | 875 | $148.2K | $169.33 | 4.35x |
| A9562 | Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries | 236 | $129.8K | $550.16 | 2.32x |
| 78803 | Nuclear medicine study of radioactive material distribution | 444 | $112.4K | $253.11 | 5.41x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 2.0K | $110.7K | $54.09 | 5.61x |
| 78072 | Imaging of parathyroid with CT and nuclear medicine study | 258 | $84.2K | $326.34 | 3.85x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.9K | $84.0K | $44.78 | 3.18x |
| A9520 | Technetium tc-99m, tilmanocept, diagnostic, up to 0.5 millicuries | 203 | $74.5K | $367.05 | 1.33x |
| 78227 | Imaging of liver and bile duct system with use of drugs | 338 | $71.8K | $212.49 | 5.11x |
| 78582 | Nuclear medicine study of lung ventilation and blood circulation in the lungs | 1.7K | $70.5K | $42.30 | 5.50x |
| 78264 | Stomach emptying study | 315 | $57.9K | $183.86 | 5.17x |
| 93018 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician interpretation and report | 4.8K | $56.6K | $11.70 | 4.83x |
| A9570 | Indium in-111 labeled autologous white blood cells, diagnostic, per study dose | 42 | $48.0K | $1.1K | 1.30x |
| 78226 | Imaging of liver and bile duct system | 675 | $47.0K | $69.57 | 5.53x |
This provider submits charges 4.18 times higher than what Medicare actually pays.
A markup ratio of 4.18x means for every $100 Medicare pays, this provider initially charges $418. 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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