This provider's $4.3M 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $577.98 | $108.40 | 5.33x | $469.58 | $462.3K | 4.4K | 4.4K |
| 2015 | $551.32 | $107.35 | 5.14x | $443.97 | $507.3K | 4.6K | 4.6K |
| 2016 | $549.41 | $104.33 | 5.27x | $445.08 | $611.4K | 5.6K | 5.6K |
| 2017 | $571.73 | $96.99 | 5.89x | $474.74 | $547.7K | 4.1K | 4.0K |
| 2018 | $524.74 | $128.56 | 4.08x | $396.18 | $531.4K | 3.8K | 3.8K |
| 2019 | $437.34 | $111.55 | 3.92x | $325.79 | $445.4K | 3.4K | 3.4K |
| 2020 | $479.60 | $128.95 | 3.72x | $350.65 | $382.0K | 2.8K | 2.8K |
| 2021 | $366.80 | $100.37 | 3.65x | $266.43 | $336.9K | 2.7K | 2.7K |
| 2022 | $414.87 | $91.51 | 4.53x | $323.36 | $230.8K | 2.1K | 2.1K |
| 2023 | $541.98 | $111.10 | 4.88x | $430.88 | $239.8K | 2.1K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 72197 | MRI scan of pelvis before and after contrast | 6.6K | $2.4M | $361.64 | 4.62x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 5.4K | $803.0K | $149.62 | 1.46x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 4.6K | $280.0K | $60.43 | 3.82x |
| 77067 | Mammography of both breasts | 916 | $142.2K | $155.26 | 1.88x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 301 | $94.0K | $312.35 | 6.17x |
| 72195 | MRI scan of pelvis | 263 | $63.6K | $241.65 | 5.25x |
| 77080 | Bone density measurement using dedicated X-ray machine | 979 | $46.2K | $47.19 | 8.11x |
| 77063 | Screening digital tomography of both breasts | 710 | $42.2K | $59.50 | 3.87x |
| 71250 | CT scan chest | 297 | $40.5K | $136.45 | 5.49x |
| 77052 | Computer analysis of screening mammogram to assist detection of cancer | 4.0K | $39.8K | $10.05 | 4.54x |
| 77059 | MRI scan of both breasts with contrast | 81 | $38.7K | $478.21 | 5.36x |
| 77021 | Radiological supervision and interpretation of MRI guidance for insertion of needle | 75 | $30.1K | $400.88 | 2.97x |
| 72148 | MRI scan of lower spinal canal | 152 | $23.8K | $156.73 | 9.58x |
| 76700 | Ultrasound of abdomen | 211 | $20.6K | $97.83 | 3.21x |
| 74176 | CT scan of abdomen and pelvis | 121 | $20.0K | $165.11 | 8.63x |
| 76770 | Ultrasound behind abdominal cavity | 205 | $19.8K | $96.68 | 3.16x |
| 76830 | Ultrasound pelvis through vagina | 180 | $18.0K | $99.78 | 2.67x |
| 71020 | X-ray of chest, 2 views, front and side | 772 | $16.6K | $21.56 | 4.84x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 122 | $15.6K | $127.76 | 3.77x |
| 55700 | Biopsy of prostate gland | 64 | $14.3K | $222.67 | 2.83x |
This provider submits charges 3.98 times higher than what Medicare actually pays.
A markup ratio of 3.98x means for every $100 Medicare pays, this provider initially charges $398. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Diagnostic Radiology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Stephen Liu, M.D. | Modesto, CA | $37.2M | โ Clear |
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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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