This provider's $4.8M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 251% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 198% in 2023
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 | $178.42 | $79.13 | 2.25x | $99.29 | $395.2K | 7.6K | 7.4K |
| 2015 | $320.83 | $56.05 | 5.72x | $264.78 | $381.3K | 8.1K | 7.8K |
| 2016 | $302.22 | $65.62 | 4.61x | $236.60 | $312.0K | 6.8K | 6.6K |
| 2017 | $277.78 | $57.14 | 4.86x | $220.64 | $245.2K | 4.7K | 4.6K |
| 2018 | $267.16 | $57.29 | 4.66x | $209.87 | $317.7K | 5.4K | 5.2K |
| 2019 | $343.46 | $75.17 | 4.57x | $268.29 | $459.2K | 5.4K | 5.3K |
| 2020 | $356.07 | $77.90 | 4.57x | $278.17 | $390.6K | 4.5K | 4.5K |
| 2021 | $383.79 | $80.45 | 4.77x | $303.34 | $466.9K | 5.7K | 5.6K |
| 2022 | $484.15 | $88.51 | 5.47x | $395.64 | $465.4K | 5.4K | 5.3K |
| 2023 | $700.04 | $108.86 | 6.43x | $591.18 | $1.4M | 18.8K | 18.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 10.2K | $1.3M | $124.48 | 3.83x |
| 77063 | Screening digital tomography of both breasts | 9.9K | $484.2K | $48.72 | 3.80x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 3.5K | $430.4K | $123.58 | 2.33x |
| 76641 | Ultrasound of one breast | 2.3K | $187.6K | $81.46 | 4.50x |
| 77066 | Mammography of both breasts | 1.2K | $153.5K | $125.89 | 4.70x |
| 71250 | CT scan chest | 2.1K | $150.4K | $71.17 | 8.03x |
| 77065 | Mammography of one breast | 1.5K | $144.5K | $97.85 | 4.76x |
| 74176 | CT scan of abdomen and pelvis | 1.2K | $94.5K | $79.13 | 6.48x |
| 77080 | Bone density measurement using dedicated X-ray machine | 2.5K | $90.7K | $36.40 | 5.42x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 687 | $80.4K | $116.96 | 3.14x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 888 | $80.2K | $90.29 | 2.93x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 2.0K | $79.9K | $39.75 | 4.90x |
| 77049 | MRI of both breasts with and without contrast | 247 | $73.3K | $296.96 | 6.00x |
| 74177 | CT scan of abdomen and pelvis with contrast | 333 | $61.1K | $183.47 | 4.57x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 131 | $61.0K | $465.32 | 4.68x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 704 | $60.4K | $85.80 | 4.53x |
| 77059 | MRI scan of both breasts with contrast | 140 | $59.5K | $425.33 | 4.43x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 418 | $59.3K | $141.91 | 5.37x |
| 70553 | MRI scan of brain before and after contrast | 374 | $57.3K | $153.33 | 10.03x |
| 70450 | CT scan head or brain | 1.6K | $52.5K | $33.79 | 6.88x |
This provider submits charges 4.66 times higher than what Medicare actually pays.
A markup ratio of 4.66x means for every $100 Medicare pays, this provider initially charges $466. 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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