This provider's $3.3M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 231% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 277% in 2023
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 | $220.16 | $52.04 | 4.23x | $168.12 | $267.8K | 4.4K | 4.2K |
| 2015 | $167.99 | $39.21 | 4.28x | $128.78 | $215.9K | 4.1K | 3.9K |
| 2016 | $177.64 | $41.78 | 4.25x | $135.86 | $212.0K | 3.5K | 3.4K |
| 2017 | $190.54 | $45.61 | 4.18x | $144.93 | $268.3K | 3.5K | 3.4K |
| 2018 | $192.13 | $47.64 | 4.03x | $144.49 | $263.7K | 3.2K | 3.1K |
| 2019 | $257.89 | $54.42 | 4.74x | $203.47 | $298.4K | 3.1K | 3.1K |
| 2020 | $562.30 | $128.10 | 4.39x | $434.20 | $297.4K | 2.7K | 2.6K |
| 2021 | $681.48 | $166.92 | 4.08x | $514.56 | $403.6K | 2.4K | 2.3K |
| 2022 | $409.11 | $55.91 | 7.32x | $353.20 | $235.3K | 2.3K | 2.2K |
| 2023 | $522.77 | $94.05 | 5.56x | $428.72 | $885.8K | 3.9K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 5.4K | $1.7M | $312.29 | 3.99x |
| 74177 | CT scan of abdomen and pelvis with contrast | 3.5K | $273.9K | $78.93 | 6.18x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 44 | $167.0K | $3.8K | 2.82x |
| 78816 | Nuclear medicine study with CT imaging whole body | 467 | $163.3K | $349.67 | 3.82x |
| 74176 | CT scan of abdomen and pelvis | 1.9K | $134.2K | $69.49 | 6.39x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.2K | $114.5K | $96.67 | 4.13x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 1.3K | $113.3K | $90.40 | 5.37x |
| 71260 | CT scan chest with contrast | 2.3K | $111.5K | $47.83 | 4.00x |
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 139 | $107.2K | $771.36 | 3.55x |
| 78306 | Bone and/or joint imaging, whole body | 1.6K | $87.9K | $55.31 | 4.43x |
| 71250 | CT scan chest | 1.8K | $81.2K | $45.24 | 4.03x |
| 71275 | CT scan of blood vessels in chest with contrast | 528 | $40.0K | $75.67 | 7.12x |
| 78072 | Imaging of parathyroid with CT and nuclear medicine study | 228 | $21.7K | $95.01 | 4.79x |
| 78315 | Bone and/or joint imaging, 3 phase study | 293 | $18.8K | $64.15 | 3.33x |
| 71045 | X-ray of chest, 1 view | 2.4K | $16.6K | $6.89 | 12.25x |
| 71010 | X-ray of chest, 1 view, front | 2.3K | $16.3K | $7.01 | 5.28x |
| 74170 | CT scan abdomen before and after contrast | 247 | $15.8K | $63.89 | 4.45x |
| 78607 | Nuclear medicine study of brain | 184 | $15.3K | $83.40 | 3.74x |
| G0297 | Low dose ct scan (ldct) for lung cancer screening | 173 | $12.5K | $72.05 | 2.16x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 22 | $12.4K | $564.35 | 3.16x |
This provider submits charges 4.37 times higher than what Medicare actually pays.
A markup ratio of 4.37x means for every $100 Medicare pays, this provider initially charges $437. 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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