This provider's $14.5M in total Medicare payments ranks in the 99th percentile of Nuclear Medicine providers nationally.
Medicare payments to this provider grew 68% 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 | $592.90 | $198.39 | 2.99x | $394.51 | $1.1M | 4.0K | 3.7K |
| 2015 | $618.40 | $182.37 | 3.39x | $436.03 | $1.1M | 3.7K | 3.4K |
| 2016 | $823.86 | $250.25 | 3.29x | $573.61 | $1.3M | 4.1K | 3.8K |
| 2017 | $794.79 | $217.02 | 3.66x | $577.77 | $1.2M | 3.9K | 3.7K |
| 2018 | $817.17 | $224.22 | 3.64x | $592.95 | $1.4M | 4.2K | 3.9K |
| 2019 | $805.09 | $226.29 | 3.56x | $578.80 | $1.4M | 4.4K | 4.2K |
| 2020 | $866.20 | $249.65 | 3.47x | $616.55 | $1.4M | 4.0K | 3.8K |
| 2021 | $862.88 | $255.78 | 3.37x | $607.10 | $1.8M | 4.0K | 3.8K |
| 2022 | $844.20 | $244.25 | 3.46x | $599.95 | $1.7M | 4.0K | 3.7K |
| 2023 | $960.81 | $269.14 | 3.57x | $691.67 | $1.9M | 3.7K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 7.6K | $6.7M | $875.92 | 3.82x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 6.3K | $2.4M | $381.87 | 2.68x |
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 1.1K | $2.2M | $2.1K | 2.92x |
| 78306 | Bone and/or joint imaging, whole body | 3.5K | $435.5K | $123.22 | 3.37x |
| 78227 | Imaging of liver and bile duct system with use of drugs | 1.9K | $408.1K | $209.94 | 3.33x |
| 78816 | Nuclear medicine study with CT imaging whole body | 391 | $383.9K | $981.79 | 3.77x |
| 78264 | Stomach emptying study | 1.5K | $243.9K | $159.28 | 3.49x |
| 78608 | Nuclear medicine study brain with metabolic evaluation | 467 | $221.0K | $473.30 | 2.92x |
| A9562 | Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries | 432 | $191.6K | $443.48 | 3.09x |
| 78315 | Bone and/or joint imaging, 3 phase study | 1.3K | $187.5K | $141.42 | 3.65x |
| 78607 | Nuclear medicine study of brain | 647 | $172.8K | $267.12 | 3.28x |
| 78803 | Nuclear medicine study of radioactive material distribution | 698 | $140.1K | $200.69 | 3.21x |
| 77080 | Bone density measurement using dedicated X-ray machine | 3.3K | $104.2K | $31.97 | 7.50x |
| 78708 | Nuclear medicine study of kidney with assessment of blood flow and function | 1.1K | $89.8K | $84.55 | 4.12x |
| A9586 | Florbetapir f18, diagnostic, per study dose, up to 10 millicuries | 37 | $80.5K | $2.2K | 1.91x |
| 78582 | Nuclear medicine study of lung ventilation and blood circulation in the lungs | 1.8K | $74.2K | $40.78 | 5.68x |
| 78226 | Imaging of liver and bile duct system | 1.2K | $69.7K | $57.35 | 4.42x |
| A9537 | Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries | 1.3K | $50.3K | $37.39 | 4.25x |
| 78195 | Imaging of lymphatic tissue and lymph node | 1.0K | $47.4K | $45.36 | 6.19x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 317 | $46.6K | $147.10 | 4.59x |
This provider submits charges 3.47 times higher than what Medicare actually pays.
A markup ratio of 3.47x means for every $100 Medicare pays, this provider initially charges $347. 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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