This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 6.11x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 15433% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 20898% in 2023
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 | $1.2K | $70.73 | 17.64x | $1.2K | $24.8K | 351 | 6 |
| 2015 | $1.4K | $89.18 | 16.02x | $1.3K | $55.3K | 620 | 12 |
| 2016 | $1.7K | $98.41 | 17.22x | $1.6K | $47.7K | 485 | 11 |
| 2017 | $1.8K | $96.18 | 18.51x | $1.7K | $54.1K | 563 | 13 |
| 2018 | $1.7K | $97.06 | 17.58x | $1.6K | $63.3K | 652 | 13 |
| 2019 | $1.8K | $102.76 | 17.38x | $1.7K | $62.3K | 606 | 12 |
| 2020 | $1.6K | $91.44 | 17.77x | $1.5K | $46.4K | 507 | 10 |
| 2021 | $1.7K | $103.13 | 16.68x | $1.6K | $45.6K | 442 | 9 |
| 2022 | $1.4K | $74.35 | 18.85x | $1.3K | $18.4K | 247 | 6 |
| 2023 | $445.42 | $91.22 | 4.88x | $354.20 | $3.9M | 42.3K | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37243 | Occlusion of growths or obstructed vessels with review by radiologist | 470 | $2.3M | $4.8K | 3.85x |
| 37242 | Occlusion of artery with review by radiologist | 364 | $951.0K | $2.6K | 7.69x |
| 36247 | Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch | 755 | $350.5K | $464.23 | 13.77x |
| 36248 | Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond | 2.1K | $184.8K | $89.43 | 4.52x |
| 75774 | Review by radiologist of additional artery image | 4.7K | $183.4K | $38.64 | 3.60x |
| 75726 | Review by radiologist of abdominal artery image | 1.0K | $66.8K | $64.25 | 4.02x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older, tunneled | 214 | $46.5K | $217.39 | 17.29x |
| 37244 | Occlusion of arterial or venous hemorrhage with radiological supervision and interpretation, roadmapping, and imaging guidance | 79 | $40.5K | $512.45 | 6.47x |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 555 | $39.2K | $70.57 | 5.31x |
| 37182 | Insertion of shunts to bypass blood flow to liver using imaging guidance | 55 | $37.2K | $676.88 | 6.06x |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 950 | $20.3K | $21.33 | 10.36x |
| 76937 | Ultrasonic guidance for blood vessel access | 1.1K | $16.1K | $14.27 | 4.34x |
| 36245 | Insertion of catheter into abdominal pelvic or leg artery | 132 | $13.5K | $102.43 | 53.15x |
| 36569 | Insertion of central venous catheter for infusion, patient 5 years or older | 116 | $8.5K | $72.98 | 19.76x |
| 99153 | Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 885 | $8.2K | $9.23 | 3.79x |
| 36011 | Insertion of catheter into vein | 108 | $7.4K | $68.15 | 67.95x |
| 37191 | Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation | 35 | $6.2K | $177.64 | 6.57x |
| 77001 | Fluoroscopic guidance for insertion, replacement or removal of central venous access device | 352 | $5.3K | $15.09 | 5.50x |
| 37200 | Biopsy of blood vessel via catheter | 25 | $4.3K | $170.35 | 6.13x |
| 47534 | Placement of drainage catheter of biliary duct, accessed through the skin with imaging including radiological supervision and interpretation | 15 | $4.2K | $283.21 | 6.86x |
This provider submits charges 6.11 times higher than what Medicare actually pays.
A markup ratio of 6.11x means for every $100 Medicare pays, this provider initially charges $611. 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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