This provider's $7.8M 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 122% in 2017
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $281.81 | $179.35 | 1.57x | $102.46 | $936.7K | 6.1K | 5.7K |
| 2015 | $270.73 | $178.90 | 1.51x | $91.83 | $824.0K | 5.8K | 5.5K |
| 2016 | $240.73 | $157.77 | 1.53x | $82.96 | $675.2K | 5.4K | 5.0K |
| 2017 | $359.51 | $246.25 | 1.46x | $113.26 | $1.5M | 9.3K | 8.9K |
| 2018 | $226.77 | $142.71 | 1.59x | $84.06 | $720.7K | 6.5K | 6.0K |
| 2019 | $406.38 | $138.23 | 2.94x | $268.15 | $709.4K | 6.5K | 6.1K |
| 2020 | $579.36 | $135.63 | 4.27x | $443.73 | $644.3K | 5.8K | 5.4K |
| 2021 | $594.73 | $146.67 | 4.05x | $448.06 | $551.4K | 4.8K | 4.5K |
| 2022 | $589.21 | $137.00 | 4.30x | $452.21 | $589.9K | 5.4K | 5.1K |
| 2023 | $627.05 | $138.93 | 4.51x | $488.12 | $636.7K | 6.3K | 5.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 73721 | MRI scan of leg joint | 11.0K | $1.3M | $114.16 | 3.22x |
| 73221 | MRI scan of arm joint | 9.7K | $1.1M | $117.28 | 3.14x |
| 72148 | MRI scan of lower spinal canal | 6.7K | $599.0K | $89.11 | 4.15x |
| 73200 | CT scan of arm | 2.9K | $344.3K | $119.06 | 2.72x |
| 72195 | MRI scan of pelvis | 1.8K | $339.3K | $187.47 | 2.55x |
| 73718 | MRI scan of leg | 2.2K | $335.6K | $154.10 | 2.67x |
| 73700 | CT scan leg | 2.9K | $333.2K | $113.00 | 2.69x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 275 | $292.9K | $1.1K | 1.30x |
| 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 2.4K | $251.8K | $105.79 | 2.40x |
| 78306 | Bone and/or joint imaging, whole body | 1.0K | $224.5K | $216.50 | 2.33x |
| 72197 | MRI scan of pelvis before and after contrast | 564 | $190.7K | $338.07 | 1.59x |
| 72141 | MRI scan of upper spinal canal | 2.0K | $177.2K | $90.38 | 4.12x |
| 73218 | MRI scan of arm | 1.7K | $175.9K | $100.96 | 4.54x |
| 73720 | MRI scan of leg before and after contrast | 524 | $161.9K | $308.89 | 2.12x |
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 80 | $156.3K | $2.0K | 1.34x |
| 72131 | CT scan of lower spine | 1.2K | $148.0K | $118.78 | 2.29x |
| 73223 | MRI scan of arm joint before and after contrast | 522 | $138.0K | $264.41 | 2.16x |
| 73723 | MRI scan of leg joint before and after contrast | 492 | $126.0K | $256.12 | 2.47x |
| 78315 | Bone and/or joint imaging, 3 phase study | 470 | $124.2K | $264.24 | 2.70x |
| 73202 | CT scan of arm before and after contrast | 585 | $113.4K | $193.85 | 2.36x |
This provider submits charges 2.78 times higher than what Medicare actually pays.
A markup ratio of 2.78x means for every $100 Medicare pays, this provider initially charges $278. 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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