This provider's $5.8M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 9.81x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 267% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 78% in 2015
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 | $219.27 | $48.43 | 4.53x | $170.84 | $252.0K | 5.5K | 5.5K |
| 2015 | $382.26 | $75.27 | 5.08x | $306.99 | $449.3K | 8.0K | 7.9K |
| 2016 | $876.65 | $91.25 | 9.61x | $785.40 | $557.9K | 9.2K | 9.1K |
| 2017 | $890.94 | $90.24 | 9.87x | $800.70 | $575.8K | 8.7K | 8.6K |
| 2018 | $821.66 | $91.60 | 8.97x | $730.06 | $541.3K | 7.5K | 7.4K |
| 2019 | $901.76 | $91.53 | 9.85x | $810.23 | $544.6K | 6.9K | 6.8K |
| 2020 | $914.19 | $95.39 | 9.58x | $818.80 | $517.3K | 5.9K | 5.8K |
| 2021 | $1.0K | $104.93 | 9.64x | $906.76 | $724.5K | 8.4K | 8.2K |
| 2022 | $1.0K | $101.95 | 9.87x | $904.69 | $707.1K | 8.3K | 8.1K |
| 2023 | $865.00 | $102.92 | 8.40x | $762.08 | $925.6K | 10.7K | 10.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 72148 | MRI scan of lower spinal canal | 7.0K | $931.6K | $133.21 | 14.23x |
| 72141 | MRI scan of upper spinal canal | 3.3K | $398.9K | $122.55 | 15.06x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 7.2K | $379.3K | $52.62 | 3.39x |
| 70553 | MRI scan of brain before and after contrast | 1.6K | $360.1K | $223.82 | 9.74x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 1.3K | $291.3K | $223.07 | 9.04x |
| 70551 | MRI scan brain | 2.0K | $269.1K | $136.13 | 14.28x |
| 73721 | MRI scan of leg joint | 1.9K | $267.5K | $143.65 | 13.46x |
| 73221 | MRI scan of arm joint | 1.8K | $267.0K | $145.85 | 13.02x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 5.8K | $214.3K | $37.07 | 3.56x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.8K | $165.8K | $92.59 | 12.01x |
| 72146 | MRI scan of middle spinal canal | 1.0K | $125.0K | $119.87 | 15.34x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 466 | $118.7K | $254.67 | 4.95x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 2.0K | $107.8K | $52.71 | 3.81x |
| 74176 | CT scan of abdomen and pelvis | 716 | $98.1K | $136.94 | 7.25x |
| 76700 | Ultrasound of abdomen | 2.7K | $97.7K | $36.33 | 3.93x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 2.5K | $86.4K | $34.04 | 4.48x |
| 76770 | Ultrasound behind abdominal cavity | 2.1K | $75.0K | $35.97 | 3.69x |
| 76536 | Ultrasound of head and neck | 1.9K | $72.7K | $37.50 | 4.08x |
| 70543 | MRI scan bones of the eye, face, and/or neck before and after contrast | 261 | $69.8K | $267.39 | 8.46x |
| 74177 | CT scan of abdomen and pelvis with contrast | 270 | $60.2K | $222.87 | 6.26x |
This provider submits charges 9.81 times higher than what Medicare actually pays.
A markup ratio of 9.81x means for every $100 Medicare pays, this provider initially charges $981. 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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