This provider's $4.8M 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $116.53 | $77.83 | 1.50x | $38.70 | $387.6K | 5.2K | 4.7K |
| 2015 | $122.33 | $80.66 | 1.52x | $41.67 | $338.4K | 4.4K | 3.8K |
| 2016 | $145.67 | $97.70 | 1.49x | $47.97 | $396.2K | 4.7K | 4.0K |
| 2017 | $171.08 | $114.44 | 1.49x | $56.64 | $543.0K | 6.0K | 5.5K |
| 2018 | $165.92 | $117.03 | 1.42x | $48.89 | $624.5K | 6.9K | 6.3K |
| 2019 | $150.72 | $102.82 | 1.47x | $47.90 | $608.6K | 7.5K | 6.8K |
| 2020 | $171.71 | $88.86 | 1.93x | $82.85 | $492.6K | 8.0K | 6.9K |
| 2021 | $175.44 | $101.27 | 1.73x | $74.17 | $365.2K | 7.0K | 6.1K |
| 2022 | $193.85 | $107.73 | 1.80x | $86.12 | $519.7K | 8.8K | 7.7K |
| 2023 | $169.94 | $108.42 | 1.57x | $61.52 | $502.3K | 8.3K | 7.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 8.3K | $902.7K | $108.24 | 1.65x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.8K | $752.7K | $425.01 | 1.35x |
| 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 365 | $242.0K | $663.15 | 1.51x |
| 77067 | Mammography of both breasts | 1.6K | $220.7K | $139.80 | 1.05x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 1.3K | $184.5K | $139.60 | 1.06x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.8K | $181.1K | $101.98 | 1.89x |
| 77080 | Bone density measurement using dedicated X-ray machine | 3.4K | $145.4K | $43.11 | 1.14x |
| 77049 | MRI of both breasts with and without contrast | 355 | $115.0K | $323.87 | 1.62x |
| 93226 | Heart rhythm analysis, interpretation and report of 48-hour EKG | 3.7K | $103.6K | $27.92 | 1.70x |
| 19083 | Biopsy of breast accessed through the skin with ultrasound guidance | 181 | $95.6K | $527.96 | 1.54x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 917 | $83.7K | $91.23 | 1.39x |
| 19081 | Biopsy of breast accessed through the skin with stereotactic guidance | 146 | $79.6K | $545.29 | 1.48x |
| 32408 | Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin | 94 | $72.4K | $770.69 | 1.51x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 346 | $70.8K | $204.49 | 1.55x |
| 93017 | Exercise or drug-induced heart and blood vessel stress test with EKG tracing and monitoring | 2.8K | $70.5K | $25.18 | 1.83x |
| 78306 | Bone and/or joint imaging, whole body | 291 | $67.2K | $230.82 | 1.43x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 314 | $65.7K | $209.23 | 1.42x |
| 77065 | Mammography of one breast | 677 | $62.5K | $92.26 | 1.61x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 916 | $61.3K | $66.89 | 1.49x |
| 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 551 | $60.8K | $110.33 | 1.72x |
This provider submits charges 1.53 times higher than what Medicare actually pays.
A markup ratio of 1.53x means for every $100 Medicare pays, this provider initially charges $153. This is lower 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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