This provider's $5.3M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 61% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
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 | $703.24 | $184.92 | 3.80x | $518.32 | $393.4K | 2.7K | 2.6K |
| 2015 | $701.13 | $172.49 | 4.06x | $528.64 | $334.1K | 2.5K | 2.5K |
| 2016 | $616.31 | $145.31 | 4.24x | $471.00 | $424.1K | 4.3K | 4.3K |
| 2017 | $697.63 | $162.51 | 4.29x | $535.12 | $583.6K | 4.5K | 4.5K |
| 2018 | $765.89 | $160.65 | 4.77x | $605.24 | $493.1K | 3.2K | 3.2K |
| 2019 | $836.90 | $171.74 | 4.87x | $665.16 | $584.8K | 3.6K | 3.5K |
| 2020 | $758.30 | $150.19 | 5.05x | $608.11 | $574.2K | 3.7K | 3.6K |
| 2021 | $789.25 | $157.38 | 5.01x | $631.87 | $577.6K | 3.5K | 3.5K |
| 2022 | $733.40 | $139.48 | 5.26x | $593.92 | $703.9K | 4.8K | 4.8K |
| 2023 | $746.01 | $140.75 | 5.30x | $605.26 | $632.2K | 4.4K | 4.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 70553 | MRI scan of brain before and after contrast | 2.7K | $828.3K | $310.59 | 5.29x |
| 70551 | MRI scan brain | 4.2K | $823.2K | $197.80 | 6.10x |
| 72148 | MRI scan of lower spinal canal | 4.2K | $783.1K | $186.19 | 5.83x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 3.5K | $539.8K | $154.46 | 1.55x |
| 72141 | MRI scan of upper spinal canal | 3.2K | $531.8K | $168.73 | 6.56x |
| 77063 | Screening digital tomography of both breasts | 3.0K | $187.5K | $61.98 | 3.15x |
| 77067 | Mammography of both breasts | 1.1K | $169.1K | $156.27 | 1.89x |
| 70543 | MRI scan bones of the eye, face, and/or neck before and after contrast | 407 | $151.3K | $371.82 | 4.56x |
| 70544 | MRA scan of head blood vessels | 668 | $147.4K | $220.66 | 5.11x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 441 | $136.6K | $309.68 | 5.25x |
| 70450 | CT scan head or brain | 1.4K | $136.5K | $95.29 | 5.00x |
| 72146 | MRI scan of middle spinal canal | 692 | $113.8K | $164.48 | 6.70x |
| 70547 | MRA scan of neck blood vessels | 404 | $99.8K | $246.96 | 4.61x |
| 72156 | MRI scan of upper spinal canal before and after contrast | 252 | $76.5K | $303.50 | 5.44x |
| 70486 | CT scan of face | 597 | $73.0K | $122.21 | 5.16x |
| 72131 | CT scan of lower spine | 509 | $59.7K | $117.25 | 5.35x |
| 72125 | CT scan of upper spine | 403 | $54.6K | $135.56 | 4.52x |
| 72157 | MRI scan of middle spinal canal before and after contrast | 117 | $37.4K | $319.46 | 4.86x |
| 70496 | CT scan of blood vessel of head with contrast | 135 | $32.7K | $242.35 | 5.28x |
| 70549 | MRA scan of neck blood vessels before and after contrast | 67 | $30.0K | $447.83 | 3.86x |
This provider submits charges 4.95 times higher than what Medicare actually pays.
A markup ratio of 4.95x means for every $100 Medicare pays, this provider initially charges $495. 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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