This provider's $7.4M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $266.56 | $69.13 | 3.86x | $197.43 | $597.1K | 8.8K | 8.7K |
| 2015 | $282.01 | $66.45 | 4.24x | $215.56 | $574.3K | 9.2K | 9.1K |
| 2016 | $277.17 | $64.81 | 4.28x | $212.36 | $713.0K | 11.0K | 11.0K |
| 2017 | $260.99 | $62.90 | 4.15x | $198.09 | $732.4K | 8.2K | 8.2K |
| 2018 | $240.90 | $62.45 | 3.86x | $178.45 | $731.2K | 8.3K | 8.2K |
| 2019 | $264.53 | $70.83 | 3.73x | $193.70 | $769.5K | 8.7K | 8.7K |
| 2020 | $248.11 | $67.70 | 3.66x | $180.41 | $728.7K | 8.0K | 8.0K |
| 2021 | $388.80 | $93.42 | 4.16x | $295.38 | $864.8K | 8.8K | 8.8K |
| 2022 | $392.54 | $89.14 | 4.40x | $303.40 | $873.1K | 9.3K | 9.2K |
| 2023 | $398.81 | $90.25 | 4.42x | $308.56 | $798.2K | 8.7K | 8.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 19.0K | $2.7M | $144.64 | 2.05x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 10.9K | $1.6M | $142.90 | 2.00x |
| 77063 | Screening digital tomography of both breasts | 22.5K | $1.3M | $58.22 | 4.06x |
| 76642 | Ultrasound of one breast | 2.2K | $169.6K | $76.01 | 2.85x |
| 77066 | Mammography of both breasts | 1.2K | $159.4K | $130.03 | 2.74x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 286 | $150.1K | $524.76 | 3.52x |
| 77065 | Mammography of one breast | 1.3K | $130.4K | $99.53 | 2.85x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 2.3K | $104.1K | $45.50 | 3.74x |
| 74177 | CT scan of abdomen and pelvis with contrast | 706 | $93.0K | $131.72 | 5.12x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 855 | $86.1K | $100.70 | 2.48x |
| 77049 | MRI of both breasts with and without contrast | 268 | $84.0K | $313.62 | 4.76x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 647 | $82.9K | $128.15 | 2.44x |
| 77052 | Computer analysis of screening mammogram to assist detection of cancer | 7.8K | $75.6K | $9.72 | 3.71x |
| 71250 | CT scan chest | 794 | $66.5K | $83.80 | 5.10x |
| 77059 | MRI scan of both breasts with contrast | 136 | $60.9K | $447.77 | 4.28x |
| 70450 | CT scan head or brain | 1.7K | $60.4K | $34.76 | 4.69x |
| 74176 | CT scan of abdomen and pelvis | 535 | $48.8K | $91.24 | 6.02x |
| 71020 | X-ray of chest, 2 views, front and side | 2.4K | $33.3K | $13.85 | 3.99x |
| 77080 | Bone density measurement using dedicated X-ray machine | 708 | $32.2K | $45.45 | 5.27x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 372 | $24.5K | $65.85 | 3.87x |
This provider submits charges 2.79 times higher than what Medicare actually pays.
A markup ratio of 2.79x means for every $100 Medicare pays, this provider initially charges $279. 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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