This provider's $37.2M 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.
Notable: Payments increased 56% 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 | $1.5K | $774.27 | 1.90x | $697.11 | $3.5M | 4.5K | 3.0K |
| 2015 | $2.0K | $774.21 | 2.59x | $1.2K | $3.1M | 4.0K | 2.7K |
| 2016 | $1.3K | $774.38 | 1.64x | $494.13 | $3.3M | 4.2K | 2.9K |
| 2017 | $1.9K | $774.35 | 2.51x | $1.2K | $3.4M | 4.3K | 3.0K |
| 2018 | $2.2K | $774.24 | 2.83x | $1.4K | $3.8M | 4.9K | 3.3K |
| 2019 | $1.4K | $774.31 | 1.83x | $639.06 | $4.1M | 5.3K | 3.6K |
| 2020 | $1.4K | $774.34 | 1.78x | $600.96 | $2.8M | 3.6K | 2.4K |
| 2021 | $1.4K | $774.37 | 1.81x | $630.01 | $4.3M | 5.6K | 3.8K |
| 2022 | $1.4K | $774.24 | 1.83x | $643.50 | $4.4M | 5.6K | 3.8K |
| 2023 | $1.5K | $774.31 | 1.96x | $744.67 | $4.6M | 6.0K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 74177 | CT abdomen and pelvis with contrast | 7.8K | $6.6M | $844.40 | 2.52x |
| 70553 | MRI brain with and without contrast | 3.6K | $4.3M | $1.2K | 2.72x |
| 71260 | CT chest with contrast | 7.0K | $4.2M | $603.24 | 2.60x |
| 72148 | MRI lumbar spine without contrast | 4.0K | $3.2M | $816.57 | 3.08x |
| 74176 | CT abdomen and pelvis without contrast | 2.0K | $3.1M | $1.5K | 2.37x |
| 73721 | MRI lower extremity joint | 1.8K | $2.1M | $1.2K | 2.71x |
| 71250 | CT chest without contrast | 2.4K | $1.9M | $813.75 | 3.65x |
| 70551 | MRI brain without contrast | 1.9K | $1.5M | $830.17 | 3.08x |
| 76830 | Ultrasound, transvaginal | 1.9K | $1.4M | $714.58 | 2.51x |
| 77067 | Screening mammography, bilateral | 891 | $1.3M | $1.5K | 2.36x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. 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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