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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Simon Gabriel
๐Ÿ“ก
MDIndividual

Simon Gabriel, M.D.

NPI: 1326209222
Los Angeles, CA
10 years of data
Diagnostic Radiology
$5.0M
Total Payments
47.3K
Beneficiaries
51.5K
Services
5.98x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$5.0M
Specialty median$115.6K

๐Ÿ“‹ Key Findings

1Billed $5.0M over 10 years
25.98x markup ratio (above median)
399th percentile in Diagnostic Radiology by payments
4Payments surged 1874% in 2015
519 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $5.0M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.

Their average markup ratio of 5.98x is significantly above the specialty median of 5.4x.

Medicare payments to this provider grew 8306% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 1874% in 2015

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$196.92$43.264.55x$153.66$12.5K392370
2015$574.23$91.366.29x$482.87$245.8K4.6K4.2K
2016$567.19$86.416.56x$480.78$243.4K5.0K4.6K
2017$617.84$97.766.32x$520.08$291.9K5.3K4.8K
2018$731.39$118.286.18x$613.11$442.9K5.1K4.7K
2019$977.42$164.135.96x$813.29$588.1K5.5K5.1K
2020$985.52$159.226.19x$826.30$587.9K5.4K4.9K
2021$997.46$172.945.77x$824.52$801.8K6.0K5.5K
2022$841.86$140.705.98x$701.16$786.4K7.0K6.3K
2023$844.67$136.916.17x$707.76$1.0M7.2K6.7K

Top Procedures (20)

78815Nuclear medicine study with CT imaging skull base to mid-thighโš  6.0x markup
$1.1M
717 services$1.5K/svc6.01x markup
70553MRI scan of brain before and after contrastโš  7.1x markup
$579.8K
2.8K services$207.72/svc7.12x markup
78816Nuclear medicine study with CT imaging whole bodyโš  6.0x markup
$501.2K
341 services$1.5K/svc6.00x markup
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
$270.4K
1.1K services$254.40/svc2.36x markup
70551MRI scan brainโš  8.2x markup
$256.7K
2.3K services$113.98/svc8.21x markup
70450CT scan head or brainโš  5.3x markup
$179.7K
4.6K services$39.46/svc5.35x markup
78608Nuclear medicine study brain with metabolic evaluationโš  5.8x markup
$174.5K
122 services$1.4K/svc5.85x markup
74177CT scan of abdomen and pelvis with contrastโš  5.0x markup
$173.3K
1.3K services$134.73/svc4.99x markup
72148MRI scan of lower spinal canalโš  8.7x markup
$141.3K
933 services$151.49/svc8.68x markup
71275CT scan of blood vessels in chest with contrastโš  6.3x markup
$112.1K
1.0K services$107.40/svc6.29x markup
75574CT scan of heart blood vessels and grafts with contrast dyeโš  5.4x markup
$84.3K
548 services$153.84/svc5.41x markup
75561MRI of heart before and after contrastโš  5.8x markup
$82.8K
269 services$307.86/svc5.85x markup
70544MRA scan of head blood vesselsโš  6.5x markup
$73.4K
534 services$137.43/svc6.55x markup
72141MRI scan of upper spinal canalโš  9.4x markup
$70.2K
489 services$143.51/svc9.45x markup
74174CT scan of abdominal and pelvic blood vessels with contrastโš  5.5x markup
$69.6K
437 services$159.26/svc5.46x markup
74176CT scan of abdomen and pelvisโš  4.8x markup
$67.9K
878 services$77.38/svc4.78x markup
71555MRI scan of blood vessels of chestโš  6.1x markup
$64.1K
194 services$330.62/svc6.06x markup
70498CT scan of neck blood vessels with contrastโš  6.3x markup
$62.1K
621 services$100.02/svc6.32x markup
71250CT scan chestโš  5.5x markup
$60.5K
976 services$61.96/svc5.54x markup
71046X-ray of chest, 2 viewsโš  4.8x markup
$59.5K
3.6K services$16.33/svc4.81x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78815Nuclear medicine study with CT imaging skull base to mid-thigh717$1.1M$1.5K6.01x
70553MRI scan of brain before and after contrast2.8K$579.8K$207.727.12x
78816Nuclear medicine study with CT imaging whole body341$501.2K$1.5K6.00x
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries1.1K$270.4K$254.402.36x
70551MRI scan brain2.3K$256.7K$113.988.21x
70450CT scan head or brain4.6K$179.7K$39.465.35x
78608Nuclear medicine study brain with metabolic evaluation122$174.5K$1.4K5.85x
74177CT scan of abdomen and pelvis with contrast1.3K$173.3K$134.734.99x
72148MRI scan of lower spinal canal933$141.3K$151.498.68x
71275CT scan of blood vessels in chest with contrast1.0K$112.1K$107.406.29x
75574CT scan of heart blood vessels and grafts with contrast dye548$84.3K$153.845.41x
75561MRI of heart before and after contrast269$82.8K$307.865.85x
70544MRA scan of head blood vessels534$73.4K$137.436.55x
72141MRI scan of upper spinal canal489$70.2K$143.519.45x
74174CT scan of abdominal and pelvic blood vessels with contrast437$69.6K$159.265.46x
74176CT scan of abdomen and pelvis878$67.9K$77.384.78x
71555MRI scan of blood vessels of chest194$64.1K$330.626.06x
70498CT scan of neck blood vessels with contrast621$62.1K$100.026.32x
71250CT scan chest976$60.5K$61.965.54x
71046X-ray of chest, 2 views3.6K$59.5K$16.334.81x

Markup Analysis

Charge-to-Payment Ratio

5.98x

This provider submits charges 5.98 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5.98x means for every $100 Medicare pays, this provider initially charges $598. This is higher than the national average.

Location

Los Angeles, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Diagnostic Radiology providers in CA for peer comparison.

Simon Gabriel (you)
$5.0M
Stephen Liu, M.D.
$37.2M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Stephen Liu, M.D.Modesto, CA$37.2Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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