This provider's $10.7M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 207% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 109% in 2019
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 | $352.51 | $95.77 | 3.68x | $256.74 | $516.4K | 6.3K | 6.3K |
| 2015 | $395.68 | $103.51 | 3.82x | $292.17 | $466.5K | 5.6K | 5.6K |
| 2016 | $420.43 | $106.54 | 3.95x | $313.89 | $509.3K | 6.1K | 6.1K |
| 2017 | $437.22 | $109.99 | 3.98x | $327.23 | $564.9K | 5.9K | 5.8K |
| 2018 | $430.83 | $111.25 | 3.87x | $319.58 | $598.5K | 6.2K | 6.2K |
| 2019 | $480.23 | $144.04 | 3.33x | $336.19 | $1.3M | 11.0K | 10.9K |
| 2020 | $403.17 | $137.79 | 2.93x | $265.38 | $1.5M | 12.3K | 12.2K |
| 2021 | $417.59 | $145.83 | 2.86x | $271.76 | $1.6M | 13.9K | 13.8K |
| 2022 | $453.19 | $165.48 | 2.74x | $287.71 | $2.1M | 17.3K | 17.3K |
| 2023 | $341.66 | $107.51 | 3.18x | $234.15 | $1.6M | 15.6K | 15.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 23.5K | $3.6M | $154.03 | 1.92x |
| 77063 | Screening digital tomography of both breasts | 25.0K | $1.5M | $61.33 | 3.97x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 734 | $1.1M | $1.4K | 2.17x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 4.6K | $722.0K | $155.50 | 1.53x |
| 77080 | Bone density measurement using dedicated X-ray machine | 5.5K | $260.8K | $47.78 | 5.48x |
| 74177 | CT scan of abdomen and pelvis with contrast | 761 | $226.0K | $296.94 | 3.77x |
| 77066 | Mammography of both breasts | 1.5K | $222.7K | $145.76 | 2.44x |
| 71250 | CT scan chest | 1.4K | $179.7K | $131.35 | 4.83x |
| 76642 | Ultrasound of one breast | 2.0K | $166.3K | $84.01 | 2.33x |
| 77065 | Mammography of one breast | 1.4K | $151.5K | $111.86 | 2.54x |
| 76700 | Ultrasound of abdomen | 1.4K | $145.7K | $104.98 | 2.77x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 412 | $137.8K | $334.42 | 4.87x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 2.7K | $134.8K | $50.33 | 3.37x |
| 74176 | CT scan of abdomen and pelvis | 695 | $119.2K | $171.45 | 5.11x |
| 78816 | Nuclear medicine study with CT imaging whole body | 76 | $112.9K | $1.5K | 2.12x |
| 76536 | Ultrasound of head and neck | 1.1K | $109.9K | $100.34 | 2.40x |
| 71260 | CT scan chest with contrast | 629 | $85.5K | $135.94 | 5.56x |
| 78306 | Bone and/or joint imaging, whole body | 300 | $83.2K | $277.28 | 2.44x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 757 | $80.8K | $106.75 | 2.70x |
| 76770 | Ultrasound behind abdominal cavity | 687 | $67.3K | $97.94 | 2.81x |
This provider submits charges 2.81 times higher than what Medicare actually pays.
A markup ratio of 2.81x means for every $100 Medicare pays, this provider initially charges $281. 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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