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Methodology•Download Data
  1. Home
  2. Providers
  3. Aaron Kistler
⚕️
MDIndividual

Aaron Kistler, MD

NPI: 1275865123
Annandale, VA
9 years of data
Nuclear Medicine
$7.8M
Total Payments
8.6K
Beneficiaries
9.5K
Services
3.39x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$7.8M
Specialty median$185.4K

📋 Key Findings

1Billed $7.8M over 9 years
23.39x markup ratio (above median)
399th percentile in Nuclear Medicine by payments
4Payments surged 252% in 2016
57 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $7.8M in total Medicare payments ranks in the 99th percentile of Nuclear Medicine providers nationally.

Medicare payments to this provider grew 976% from 2015 to 2023.

60% of their billing comes from a single procedure code (78815 — Nuclear medicine study with CT imaging skull base to mid-thigh).

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 252% in 2016

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

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
2015$2.9K$702.834.16x$2.2K$170.8K251249
2016$1.9K$469.324.00x$1.4K$600.9K1.0K894
2017$1.6K$522.813.06x$1.1K$183.3K297274
2018$2.2K$693.373.22x$1.5K$158.8K220220
2019$2.2K$645.633.44x$1.6K$338.8K484472
2020$2.2K$779.972.83x$1.4K$949.9K1.2K1.1K
2021$2.9K$1.1K2.56x$1.8K$1.7M1.8K1.6K
2022$2.3K$777.592.92x$1.5K$1.9M2.1K1.9K
2023$2.3K$785.522.89x$1.5K$1.8M2.2K2.0K

Top Procedures (20)

78815Nuclear medicine study with CT imaging skull base to mid-thigh⚠ 3.4x markup
$4.7M
3.1K services$1.5K/svc3.36x markup
A9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
$812.7K
394 services$2.1K/svc2.90x markup
78816Nuclear medicine study with CT imaging whole body⚠ 3.6x markup
$398.7K
269 services$1.5K/svc3.61x markup
78608Nuclear medicine study brain with metabolic evaluation⚠ 3.5x markup
$315.6K
223 services$1.4K/svc3.53x markup
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries⚠ 9.7x markup
$282.2K
3.2K services$87.98/svc9.66x markup
A9595Piflufolastat f-18, diagnostic, 1 millicurie
$244.3K
275 services$888.46/svc1.65x markup
A9597Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified
$167.0K
44 services$3.8K/svc1.98x markup
Q9983Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries
$166.0K
75 services$2.2K/svc2.26x markup
78814Nuclear medicine study with CT imaging⚠ 3.4x markup
$164.0K
110 services$1.5K/svc3.35x markup
A9588Fluciclovine f-18, diagnostic, 1 millicurie
$135.7K
39 services$3.5K/svc1.74x markup
78830Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, with concurrently acquired ct transmission scan, 1 day of imaging
$114.6K
253 services$452.93/svc1.99x markup
78999Diagnostic nuclear medicine procedures⚠ 4.4x markup
$51.8K
229 services$226.17/svc4.38x markup
A9587Gallium ga-68, dotatate, diagnostic, 0.1 millicurie
$48.5K
117 services$414.44/svc2.21x markup
78459Single nuclear medicine study of heart muscle with metabolic evaluation⚠ 3.8x markup
$34.4K
26 services$1.3K/svc3.78x markup
78607Nuclear medicine study of brain
$32.1K
98 services$327.79/svc2.29x markup
78306Bone and/or joint imaging, whole body
$28.9K
102 services$282.93/svc1.89x markup
J3240Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial
$27.1K
22 services$1.2K/svc2.03x markup
78803Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, 1 day of imaging
$26.6K
77 services$345.84/svc2.17x markup
A9596Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie
$26.6K
30 services$885.21/svc1.81x markup
78315Bone and/or joint imaging, 3 phase study
$22.0K
68 services$324.19/svc2.23x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78815Nuclear medicine study with CT imaging skull base to mid-thigh3.1K$4.7M$1.5K3.36x
A9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries394$812.7K$2.1K2.90x
78816Nuclear medicine study with CT imaging whole body269$398.7K$1.5K3.61x
78608Nuclear medicine study brain with metabolic evaluation223$315.6K$1.4K3.53x
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries3.2K$282.2K$87.989.66x
A9595Piflufolastat f-18, diagnostic, 1 millicurie275$244.3K$888.461.65x
A9597Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified44$167.0K$3.8K1.98x
Q9983Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries75$166.0K$2.2K2.26x
78814Nuclear medicine study with CT imaging110$164.0K$1.5K3.35x
A9588Fluciclovine f-18, diagnostic, 1 millicurie39$135.7K$3.5K1.74x
78830Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, with concurrently acquired ct transmission scan, 1 day of imaging253$114.6K$452.931.99x
78999Diagnostic nuclear medicine procedures229$51.8K$226.174.38x
A9587Gallium ga-68, dotatate, diagnostic, 0.1 millicurie117$48.5K$414.442.21x
78459Single nuclear medicine study of heart muscle with metabolic evaluation26$34.4K$1.3K3.78x
78607Nuclear medicine study of brain98$32.1K$327.792.29x
78306Bone and/or joint imaging, whole body102$28.9K$282.931.89x
J3240Injection, thyrotropin alpha, 0.9 mg, provided in 1.1 mg vial22$27.1K$1.2K2.03x
78803Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, 1 day of imaging77$26.6K$345.842.17x
A9596Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie30$26.6K$885.211.81x
78315Bone and/or joint imaging, 3 phase study68$22.0K$324.192.23x

Markup Analysis

Charge-to-Payment Ratio

3.39x

This provider submits charges 3.39 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.39x means for every $100 Medicare pays, this provider initially charges $339. This is higher than the national average.

Location

Annandale, VA

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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