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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. Rachael Gordon
๐Ÿ“ก
MDIndividual

Rachael Gordon, M.D.

NPI: 1336197177
Beverly Hills, CA
10 years of data
Diagnostic Radiology
$5.2M
Total Payments
37.5K
Beneficiaries
38.9K
Services
9.92x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$5.2M
Specialty median$115.6K

๐Ÿ“‹ Key Findings

1Billed $5.2M over 10 years
29.92x markup ratio (above median)
399th percentile in Diagnostic Radiology by payments
420 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $5.2M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.

Their average markup ratio of 9.92x is significantly above the specialty median of 5.4x.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

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$1.0K$142.457.29x$895.31$597.7K4.2K4.0K
2015$1.1K$141.497.60x$934.29$568.9K4.2K4.0K
2016$1.1K$138.438.08x$980.43$517.4K3.7K3.6K
2017$1.1K$123.618.52x$929.86$533.5K4.2K4.0K
2018$1.1K$128.058.56x$967.66$505.4K3.9K3.8K
2019$1.2K$134.088.58x$1.0K$544.4K4.2K4.1K
2020$1.2K$135.059.21x$1.1K$446.5K3.4K3.3K
2021$1.2K$134.009.14x$1.1K$506.7K3.6K3.5K
2022$1.4K$139.549.72x$1.2K$492.5K3.8K3.7K
2023$1.3K$135.749.41x$1.1K$453.6K3.6K3.5K

Top Procedures (20)

72148MRI scan of lower spinal canalโš  10.7x markup
$1.1M
6.8K services$155.35/svc10.71x markup
70553MRI scan of brain before and after contrastโš  11.9x markup
$859.4K
2.8K services$308.67/svc11.95x markup
70551MRI scan brainโš  9.4x markup
$538.8K
2.9K services$185.98/svc9.40x markup
72141MRI scan of upper spinal canalโš  10.8x markup
$491.1K
3.2K services$154.91/svc10.82x markup
70543MRI scan bones of the eye, face, and/or neck before and after contrastโš  9.8x markup
$235.2K
631 services$372.74/svc9.77x markup
72146MRI scan of middle spinal canalโš  11.8x markup
$184.0K
1.2K services$148.84/svc11.79x markup
70486CT scan of faceโš  7.3x markup
$182.2K
1.6K services$114.80/svc7.29x markup
72131CT scan of lower spineโš  8.7x markup
$171.3K
1.5K services$114.51/svc8.74x markup
70544MRA scan of head blood vesselsโš  6.8x markup
$159.6K
640 services$249.44/svc6.84x markup
70480CT scan of cranial cavityโš  5.8x markup
$95.5K
646 services$147.91/svc5.82x markup
70450CT scan head or brainโš  8.7x markup
$95.3K
1.1K services$90.44/svc8.71x markup
72125CT scan of upper spineโš  8.1x markup
$94.0K
763 services$123.16/svc8.11x markup
72158MRI scan of lower spinal canal before and after contrastโš  12.7x markup
$87.6K
309 services$283.56/svc12.67x markup
70549MRA scan of neck blood vessels before and after contrastโš  7.8x markup
$75.6K
187 services$404.28/svc7.85x markup
72156MRI scan of upper spinal canal before and after contrastโš  13.3x markup
$74.8K
269 services$278.00/svc13.29x markup
763773D radiographic procedure with computerized image postprocessingโš  10.0x markup
$64.5K
1.0K services$61.92/svc10.04x markup
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidanceโš  6.8x markup
$63.3K
319 services$198.39/svc6.79x markup
72157MRI scan of middle spinal canal before and after contrastโš  11.6x markup
$61.9K
192 services$322.44/svc11.59x markup
72195MRI scan of pelvisโš  6.7x markup
$59.0K
235 services$250.90/svc6.72x markup
70540MRI scan bones of the eye, face, and/or neckโš  6.9x markup
$58.1K
233 services$249.36/svc6.91x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
72148MRI scan of lower spinal canal6.8K$1.1M$155.3510.71x
70553MRI scan of brain before and after contrast2.8K$859.4K$308.6711.95x
70551MRI scan brain2.9K$538.8K$185.989.40x
72141MRI scan of upper spinal canal3.2K$491.1K$154.9110.82x
70543MRI scan bones of the eye, face, and/or neck before and after contrast631$235.2K$372.749.77x
72146MRI scan of middle spinal canal1.2K$184.0K$148.8411.79x
70486CT scan of face1.6K$182.2K$114.807.29x
72131CT scan of lower spine1.5K$171.3K$114.518.74x
70544MRA scan of head blood vessels640$159.6K$249.446.84x
70480CT scan of cranial cavity646$95.5K$147.915.82x
70450CT scan head or brain1.1K$95.3K$90.448.71x
72125CT scan of upper spine763$94.0K$123.168.11x
72158MRI scan of lower spinal canal before and after contrast309$87.6K$283.5612.67x
70549MRA scan of neck blood vessels before and after contrast187$75.6K$404.287.85x
72156MRI scan of upper spinal canal before and after contrast269$74.8K$278.0013.29x
763773D radiographic procedure with computerized image postprocessing1.0K$64.5K$61.9210.04x
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance319$63.3K$198.396.79x
72157MRI scan of middle spinal canal before and after contrast192$61.9K$322.4411.59x
72195MRI scan of pelvis235$59.0K$250.906.72x
70540MRI scan bones of the eye, face, and/or neck233$58.1K$249.366.91x

Markup Analysis

Charge-to-Payment Ratio

9.92x

This provider submits charges 9.92 times higher than what Medicare actually pays.

What This Means

A markup ratio of 9.92x means for every $100 Medicare pays, this provider initially charges $992. This is higher than the national average.

Location

Beverly Hills, 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.

Rachael Gordon (you)
$5.2M
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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