This provider's $8.8M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 133% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 283% 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $110.27 | $38.03 | 2.90x | $72.24 | $260.8K | 9.6K | 9.1K |
| 2015 | $109.20 | $40.78 | 2.68x | $68.42 | $263.8K | 8.5K | 8.1K |
| 2016 | $96.24 | $35.04 | 2.75x | $61.20 | $251.6K | 9.2K | 8.8K |
| 2017 | $238.30 | $85.11 | 2.80x | $153.19 | $964.3K | 12.3K | 12.1K |
| 2018 | $219.67 | $78.47 | 2.80x | $141.20 | $753.0K | 11.3K | 11.1K |
| 2019 | $268.47 | $94.27 | 2.85x | $174.20 | $557.5K | 6.0K | 5.9K |
| 2020 | $616.94 | $196.98 | 3.13x | $419.96 | $1.2M | 5.7K | 5.2K |
| 2021 | $713.47 | $201.99 | 3.53x | $511.48 | $2.6M | 10.8K | 8.6K |
| 2022 | $763.33 | $153.82 | 4.96x | $609.51 | $1.4M | 8.3K | 7.6K |
| 2023 | $402.64 | $53.40 | 7.54x | $349.24 | $607.2K | 8.2K | 8.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with ct imaging skull base to mid-thigh | 1.6K | $1.8M | $1.1K | 3.00x |
| 74177 | CT scan of abdomen and pelvis with contrast | 6.3K | $1.2M | $196.66 | 3.86x |
| 74176 | CT scan of abdomen and pelvis | 6.0K | $756.5K | $126.52 | 3.75x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.7K | $707.2K | $410.23 | 1.66x |
| 71250 | CT scan chest | 6.9K | $548.1K | $79.16 | 5.89x |
| 71260 | CT scan chest with contrast | 4.7K | $396.4K | $84.65 | 5.33x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 1.5K | $321.1K | $219.16 | 3.75x |
| 72148 | MRI scan of lower spinal canal | 2.2K | $308.0K | $143.14 | 2.97x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 3.5K | $276.8K | $79.90 | 2.05x |
| 78816 | Nuclear medicine study with ct imaging whole body | 244 | $272.1K | $1.1K | 3.58x |
| 70553 | MRI scan of brain before and after contrast | 876 | $207.1K | $236.43 | 3.14x |
| 74183 | MRI scan of abdomen before and after contrast | 601 | $163.4K | $271.84 | 2.63x |
| 70551 | MRI scan brain | 942 | $148.2K | $157.33 | 4.00x |
| 70450 | CT scan head or brain | 2.6K | $140.0K | $53.55 | 6.36x |
| 72141 | MRI scan of upper spinal canal | 873 | $123.4K | $141.31 | 2.94x |
| 76700 | Ultrasound of abdomen | 1.2K | $89.9K | $74.02 | 4.21x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 1.4K | $81.6K | $57.71 | 3.72x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 938 | $76.4K | $81.42 | 3.41x |
| 71275 | CT scan of blood vessels in chest with contrast | 712 | $64.3K | $90.26 | 3.95x |
| 71020 | X-ray of chest, 2 views, front and side | 4.0K | $54.6K | $13.51 | 2.91x |
This provider submits charges 3.48 times higher than what Medicare actually pays.
A markup ratio of 3.48x means for every $100 Medicare pays, this provider initially charges $348. 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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