This provider's $8.6M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 5.38x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 1127% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1253% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $684.89 | $140.97 | 4.86x | $543.92 | $83.8K | 646 | 646 |
| 2017 | $780.17 | $166.82 | 4.68x | $613.35 | $1.1M | 6.8K | 6.2K |
| 2018 | $745.25 | $156.95 | 4.75x | $588.30 | $1.1M | 7.0K | 6.4K |
| 2019 | $857.81 | $194.89 | 4.40x | $662.92 | $1.3M | 7.8K | 7.2K |
| 2020 | $965.14 | $199.25 | 4.84x | $765.89 | $1.4M | 8.7K | 7.9K |
| 2021 | $1.0K | $174.86 | 5.78x | $835.53 | $1.3M | 8.3K | 7.5K |
| 2022 | $1.1K | $208.26 | 5.07x | $846.58 | $1.2M | 7.5K | 6.9K |
| 2023 | $990.82 | $168.66 | 5.87x | $822.16 | $1.0M | 6.5K | 6.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 3.1K | $3.3M | $1.1K | 4.75x |
| 74177 | CT scan of abdomen and pelvis with contrast | 6.1K | $1.3M | $215.68 | 4.57x |
| 71260 | CT scan chest with contrast | 7.7K | $705.7K | $91.80 | 8.81x |
| 78306 | Bone and/or joint imaging, whole body | 2.8K | $556.7K | $202.44 | 4.15x |
| 70553 | MRI scan of brain before and after contrast | 1.6K | $406.1K | $247.33 | 6.21x |
| 78816 | Nuclear medicine study with CT imaging whole body | 345 | $357.3K | $1.0K | 4.69x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 3.2K | $271.5K | $84.86 | 7.51x |
| 72197 | MRI scan of pelvis before and after contrast | 1.0K | $261.1K | $261.11 | 7.52x |
| 70491 | CT scan of neck with contrast | 1.3K | $137.2K | $102.14 | 7.38x |
| 74183 | MRI scan of abdomen before and after contrast | 505 | $136.3K | $269.97 | 5.85x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 533 | $133.1K | $249.80 | 4.06x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 82 | $120.1K | $1.5K | 2.92x |
| 71250 | CT scan chest | 1.2K | $105.5K | $85.28 | 7.74x |
| 74176 | CT scan of abdomen and pelvis | 729 | $95.5K | $130.99 | 4.42x |
| A9503 | Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries | 2.7K | $58.9K | $21.48 | 4.87x |
| 70460 | CT scan head or brain with contrast | 760 | $56.3K | $74.08 | 7.89x |
| 74160 | CT scan abdomen with contrast | 252 | $38.6K | $153.34 | 4.60x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 705 | $36.8K | $52.25 | 4.98x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 13 | $35.8K | $2.8K | 1.81x |
| 70470 | CT scan head or brain before and after contrast | 334 | $34.7K | $103.86 | 6.84x |
This provider submits charges 5.38 times higher than what Medicare actually pays.
A markup ratio of 5.38x means for every $100 Medicare pays, this provider initially charges $538. 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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