This provider's $4.5M 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 | $133.78 | $40.33 | 3.32x | $93.45 | $457.8K | 7.4K | 7.1K |
| 2015 | $126.61 | $37.25 | 3.40x | $89.36 | $440.2K | 6.9K | 6.7K |
| 2016 | $126.67 | $42.50 | 2.98x | $84.17 | $394.1K | 5.9K | 5.7K |
| 2017 | $161.37 | $55.10 | 2.93x | $106.27 | $475.5K | 5.5K | 5.3K |
| 2018 | $173.28 | $60.41 | 2.87x | $112.87 | $441.7K | 4.4K | 4.3K |
| 2019 | $193.59 | $68.23 | 2.84x | $125.36 | $532.0K | 4.8K | 4.7K |
| 2020 | $256.59 | $80.59 | 3.18x | $176.00 | $483.0K | 4.1K | 4.0K |
| 2021 | $278.91 | $90.27 | 3.09x | $188.64 | $448.5K | 3.3K | 3.2K |
| 2022 | $772.88 | $92.80 | 8.33x | $680.08 | $427.2K | 3.2K | 3.1K |
| 2023 | $1.1K | $97.67 | 11.31x | $1.0K | $443.8K | 3.4K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 73721 | MRI scan of leg joint | 14.7K | $1.9M | $129.97 | 5.17x |
| 73221 | MRI scan of arm joint | 10.3K | $1.1M | $104.14 | 4.92x |
| 73718 | MRI scan of leg | 3.5K | $461.6K | $132.48 | 4.11x |
| 73218 | MRI scan of arm | 2.8K | $230.9K | $81.04 | 3.63x |
| 72195 | MRI scan of pelvis | 1.5K | $217.1K | $148.58 | 4.13x |
| 73700 | CT scan leg | 2.0K | $192.8K | $95.71 | 4.34x |
| 73200 | CT scan of arm | 1.1K | $118.1K | $106.29 | 4.89x |
| 73720 | MRI scan of leg before and after contrast | 139 | $37.8K | $271.84 | 4.00x |
| 73723 | MRI scan of leg joint before and after contrast | 92 | $31.4K | $341.40 | 4.24x |
| 70450 | CT scan head or brain | 797 | $24.6K | $30.91 | 4.21x |
| 74176 | CT scan of abdomen and pelvis | 350 | $24.4K | $69.72 | 2.58x |
| 72192 | CT scan pelvis | 288 | $20.2K | $70.26 | 4.69x |
| 71010 | X-ray of chest, 1 view, front | 2.3K | $16.9K | $7.39 | 3.65x |
| 73223 | MRI scan of arm joint before and after contrast | 49 | $14.8K | $302.11 | 6.30x |
| 71020 | X-ray of chest, 2 views, front and side | 1.6K | $13.9K | $8.57 | 3.53x |
| 74177 | CT scan of abdomen and pelvis with contrast | 184 | $13.6K | $74.04 | 2.57x |
| 72148 | MRI scan of lower spinal canal | 122 | $12.6K | $102.89 | 4.11x |
| 71250 | CT scan chest | 264 | $10.4K | $39.37 | 3.81x |
| 71275 | CT scan of blood vessels in chest with contrast | 138 | $10.1K | $73.40 | 2.79x |
| 72125 | CT scan of upper spine | 227 | $9.4K | $41.25 | 4.24x |
This provider submits charges 4.74 times higher than what Medicare actually pays.
A markup ratio of 4.74x means for every $100 Medicare pays, this provider initially charges $474. 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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