This provider's $3.2M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 501% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 242% in 2021
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 | $214.93 | $29.84 | 7.20x | $185.09 | $150.3K | 7.0K | 6.5K |
| 2015 | $179.90 | $24.87 | 7.23x | $155.03 | $134.8K | 6.8K | 6.3K |
| 2016 | $194.20 | $26.12 | 7.43x | $168.08 | $146.1K | 7.1K | 6.6K |
| 2017 | $196.59 | $26.51 | 7.42x | $170.08 | $149.9K | 6.5K | 6.0K |
| 2018 | $201.80 | $28.48 | 7.09x | $173.32 | $146.8K | 5.8K | 5.3K |
| 2019 | $203.91 | $29.50 | 6.91x | $174.41 | $207.1K | 7.2K | 6.8K |
| 2020 | $210.27 | $30.10 | 6.99x | $180.17 | $147.2K | 5.2K | 4.8K |
| 2021 | $218.04 | $57.06 | 3.82x | $160.98 | $502.9K | 7.5K | 7.3K |
| 2022 | $197.00 | $71.00 | 2.77x | $126.00 | $735.3K | 9.7K | 9.6K |
| 2023 | $180.90 | $65.27 | 2.77x | $115.63 | $903.5K | 13.1K | 12.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 7.7K | $853.2K | $111.34 | 2.25x |
| 77063 | Screening digital tomography of both breasts | 6.9K | $348.3K | $50.78 | 2.18x |
| 70450 | CT scan head or brain | 3.8K | $113.1K | $30.16 | 7.94x |
| 77065 | Mammography of one breast | 1.1K | $89.3K | $83.47 | 3.08x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.3K | $88.0K | $65.24 | 7.58x |
| 77066 | Mammography of both breasts | 716 | $80.9K | $112.94 | 2.88x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 548 | $77.1K | $140.70 | 2.84x |
| 71046 | X-ray of chest, 2 views | 4.3K | $76.5K | $17.60 | 3.72x |
| 76700 | Ultrasound of abdomen | 1.6K | $75.1K | $47.70 | 4.70x |
| 76536 | Ultrasound of head and neck | 959 | $67.5K | $70.43 | 3.16x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 1.7K | $67.3K | $40.04 | 2.76x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 1.5K | $65.9K | $45.39 | 3.87x |
| 74176 | CT scan of abdomen and pelvis | 944 | $60.9K | $64.46 | 7.20x |
| 71275 | CT scan of blood vessels in chest with contrast | 872 | $57.3K | $65.76 | 7.87x |
| 76642 | Ultrasound of one breast, limited | 843 | $53.6K | $63.59 | 2.81x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.1K | $53.5K | $47.63 | 4.88x |
| 71250 | CT scan chest | 1.2K | $46.4K | $39.56 | 7.85x |
| 70553 | MRI scan of brain before and after contrast | 553 | $45.5K | $82.27 | 7.52x |
| 70551 | MRI scan brain | 793 | $41.3K | $52.12 | 7.46x |
| 72148 | MRI scan of lower spinal canal | 777 | $40.3K | $51.92 | 7.49x |
This provider submits charges 4.13 times higher than what Medicare actually pays.
A markup ratio of 4.13x means for every $100 Medicare pays, this provider initially charges $413. 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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