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Methodology•Download Data
  1. Home
  2. Providers
  3. Ethan Spiegler
⚕️
MDIndividual

Ethan Spiegler, MD

NPI: 1265475024
Baltimore, MD
10 years of data
Nuclear Medicine
$19.9M
Total Payments
331
Beneficiaries
56.7K
Services
2.61x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$19.9M
Specialty median$185.4K

📋 Key Findings

1Billed $19.9M over 10 years
22.61x markup ratio (above median)
399th percentile in Nuclear Medicine by payments
47 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $19.9M in total Medicare payments ranks in the 99th percentile of Nuclear Medicine providers nationally.

Medicare payments to this provider grew 84% from 2014 to 2023.

65% of their billing comes from a single procedure code (78815 — Nuclear medicine study from skull base to mid-thigh with ct scan).

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$708.76$260.802.72x$447.96$1.6M6.1K34
2015$681.31$246.222.77x$435.09$1.5M6.2K35
2016$802.22$286.202.80x$516.02$1.4M4.9K32
2017$819.64$294.242.79x$525.40$1.7M5.7K33
2018$865.66$314.732.75x$550.93$1.9M6.2K34
2019$951.31$353.312.69x$598.00$2.2M6.2K40
2020$1.0K$388.812.58x$615.25$1.9M4.9K32
2021$1.1K$429.342.54x$659.36$2.2M5.1K31
2022$1.2K$489.072.43x$699.91$2.5M5.2K31
2023$1.1K$475.932.36x$646.78$2.9M6.1K29

Top Procedures (20)

78815Nuclear medicine study from skull base to mid-thigh with ct scan
$12.5M
11.4K services$1.1K/svc2.51x markup
A9595Piflufolastat f-18, diagnostic, 1 millicurie
$1.1M
1.7K services$649.40/svc1.40x markup
78816Nuclear medicine study whole body with ct scan
$1.1M
933 services$1.2K/svc2.50x markup
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries⚠ 6.2x markup
$716.1K
9.5K services$75.66/svc6.22x markup
A9588Fluciclovine f-18, diagnostic, 1 millicurie
$682.9K
388 services$1.8K/svc1.41x markup
78306Nuclear medicine study of bone and/or joint whole body
$668.5K
3.6K services$187.83/svc2.69x markup
78452Nuclear medicine studies of heart muscle at rest and with stress and spect⚠ 3.8x markup
$522.7K
8.0K services$65.73/svc3.79x markup
78315Nuclear medicine study of bone taken at different times
$442.6K
1.9K services$237.21/svc2.51x markup
78227Nuclear medicine study of liver and bile duct system with use of drugs
$265.5K
1.4K services$192.93/svc2.93x markup
78264Nuclear medicine study of stomach to assess emptying
$228.0K
1.1K services$208.99/svc2.52x markup
78582Nuclear medicine study of lung ventilation and circulation⚠ 3.5x markup
$149.5K
2.4K services$62.87/svc3.52x markup
78608Nuclear medicine study of brain with metabolic evaluation
$149.2K
121 services$1.2K/svc2.38x markup
78226Nuclear medicine study of liver and bile duct system⚠ 3.2x markup
$115.7K
917 services$126.14/svc3.18x markup
A9562Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries⚠ 3.9x markup
$106.5K
443 services$240.49/svc3.91x markup
78014Nuclear medicine study of thyroid and thyroid function
$91.4K
534 services$171.11/svc2.77x markup
78708Nuclear medicine study of kidney, blood, flow, and function with drug administration⚠ 3.4x markup
$90.9K
701 services$129.67/svc3.37x markup
78071Nuclear medicine study of parathyroid with spect⚠ 3.6x markup
$86.0K
298 services$288.58/svc3.59x markup
A9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
$85.2K
44 services$1.9K/svc1.55x markup
A9503Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
$84.7K
3.1K services$26.98/svc1.53x markup
A9587Gallium ga-68, dotatate, diagnostic, 0.1 millicurie
$77.0K
560 services$137.57/svc1.58x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78815Nuclear medicine study from skull base to mid-thigh with ct scan11.4K$12.5M$1.1K2.51x
A9595Piflufolastat f-18, diagnostic, 1 millicurie1.7K$1.1M$649.401.40x
78816Nuclear medicine study whole body with ct scan933$1.1M$1.2K2.50x
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries9.5K$716.1K$75.666.22x
A9588Fluciclovine f-18, diagnostic, 1 millicurie388$682.9K$1.8K1.41x
78306Nuclear medicine study of bone and/or joint whole body3.6K$668.5K$187.832.69x
78452Nuclear medicine studies of heart muscle at rest and with stress and spect8.0K$522.7K$65.733.79x
78315Nuclear medicine study of bone taken at different times1.9K$442.6K$237.212.51x
78227Nuclear medicine study of liver and bile duct system with use of drugs1.4K$265.5K$192.932.93x
78264Nuclear medicine study of stomach to assess emptying1.1K$228.0K$208.992.52x
78582Nuclear medicine study of lung ventilation and circulation2.4K$149.5K$62.873.52x
78608Nuclear medicine study of brain with metabolic evaluation121$149.2K$1.2K2.38x
78226Nuclear medicine study of liver and bile duct system917$115.7K$126.143.18x
A9562Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries443$106.5K$240.493.91x
78014Nuclear medicine study of thyroid and thyroid function534$91.4K$171.112.77x
78708Nuclear medicine study of kidney, blood, flow, and function with drug administration701$90.9K$129.673.37x
78071Nuclear medicine study of parathyroid with spect298$86.0K$288.583.59x
A9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries44$85.2K$1.9K1.55x
A9503Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries3.1K$84.7K$26.981.53x
A9587Gallium ga-68, dotatate, diagnostic, 0.1 millicurie560$77.0K$137.571.58x

Markup Analysis

Charge-to-Payment Ratio

2.61x

This provider submits charges 2.61 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.61x means for every $100 Medicare pays, this provider initially charges $261. This is higher than the national average.

Location

Baltimore, MD

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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