This provider's $3.9M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 1228% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 733% in 2015
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 | $328.32 | $93.20 | 3.52x | $235.12 | $40.2K | 642 | 607 |
| 2015 | $569.74 | $153.13 | 3.72x | $416.61 | $334.8K | 2.8K | 2.7K |
| 2016 | $479.11 | $130.56 | 3.67x | $348.55 | $345.7K | 3.1K | 3.0K |
| 2017 | $552.10 | $153.05 | 3.61x | $399.05 | $410.3K | 3.2K | 3.1K |
| 2018 | $583.60 | $158.81 | 3.67x | $424.79 | $423.9K | 3.2K | 3.2K |
| 2019 | $580.08 | $158.57 | 3.66x | $421.51 | $515.2K | 3.4K | 3.4K |
| 2020 | $629.62 | $154.15 | 4.08x | $475.47 | $375.8K | 2.5K | 2.5K |
| 2021 | $631.70 | $162.78 | 3.88x | $468.92 | $466.2K | 3.0K | 2.9K |
| 2022 | $761.15 | $174.99 | 4.35x | $586.16 | $424.7K | 3.3K | 3.3K |
| 2023 | $646.02 | $140.21 | 4.61x | $505.81 | $533.7K | 4.3K | 4.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 592 | $695.2K | $1.2K | 3.39x |
| 71250 | CT scan chest | 3.4K | $384.2K | $113.57 | 5.68x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 1.2K | $340.1K | $277.16 | 3.80x |
| 72148 | MRI scan of lower spinal canal | 1.9K | $298.5K | $155.98 | 7.29x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.1K | $273.7K | $242.41 | 3.61x |
| 77067 | Mammography of both breasts | 1.4K | $185.8K | $129.90 | 2.30x |
| 74176 | CT scan of abdomen and pelvis | 1.2K | $184.4K | $149.58 | 3.53x |
| 74183 | MRI scan of abdomen before and after contrast | 485 | $161.8K | $333.53 | 4.44x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 169 | $144.1K | $852.79 | 3.23x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 634 | $123.0K | $193.98 | 1.28x |
| 71260 | CT scan chest with contrast | 746 | $99.0K | $132.71 | 5.71x |
| 77063 | Screening digital tomography of both breasts | 1.7K | $92.5K | $53.40 | 2.96x |
| 76536 | Ultrasound of head and neck | 825 | $69.8K | $84.62 | 3.16x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 496 | $65.2K | $131.52 | 1.45x |
| 71270 | CT scan chest before and after contrast | 287 | $48.7K | $169.85 | 5.13x |
| 72197 | MRI scan of pelvis before and after contrast | 126 | $43.4K | $344.41 | 3.86x |
| 76770 | Ultrasound behind abdominal cavity | 525 | $42.8K | $81.58 | 3.85x |
| 74181 | MRI scan of abdomen | 206 | $40.7K | $197.38 | 5.68x |
| 74170 | CT scan abdomen before and after contrast | 209 | $39.9K | $190.83 | 4.67x |
| 76700 | Ultrasound of abdomen | 442 | $38.4K | $86.84 | 3.51x |
This provider submits charges 4.07 times higher than what Medicare actually pays.
A markup ratio of 4.07x means for every $100 Medicare pays, this provider initially charges $407. 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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