This provider's $4.5M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 235% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 53% in 2021
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 | $435.07 | $124.04 | 3.51x | $311.03 | $198.8K | 1.5K | 1.4K |
| 2015 | $505.33 | $159.25 | 3.17x | $346.08 | $262.5K | 1.9K | 1.9K |
| 2016 | $372.46 | $135.63 | 2.75x | $236.83 | $301.0K | 2.2K | 2.2K |
| 2017 | $405.91 | $152.04 | 2.67x | $253.87 | $401.9K | 3.2K | 3.1K |
| 2018 | $395.55 | $149.35 | 2.65x | $246.20 | $477.4K | 4.4K | 4.3K |
| 2019 | $348.56 | $127.04 | 2.74x | $221.52 | $449.2K | 4.7K | 4.7K |
| 2020 | $333.45 | $127.82 | 2.61x | $205.63 | $433.9K | 4.2K | 4.1K |
| 2021 | $378.74 | $127.40 | 2.97x | $251.34 | $661.9K | 6.0K | 6.0K |
| 2022 | $689.67 | $121.88 | 5.66x | $567.79 | $695.5K | 6.6K | 6.5K |
| 2023 | $813.43 | $117.43 | 6.93x | $696.00 | $665.4K | 6.4K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 75574 | CT scan of heart blood vessels and grafts with contrast dye | 10.2K | $2.6M | $251.30 | 4.09x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 5.9K | $903.9K | $152.33 | 3.11x |
| 71275 | CT scan of blood vessels in chest with contrast | 3.0K | $626.9K | $210.09 | 3.64x |
| 75571 | CT scan of heart with evaluation of blood vessel calcium | 4.5K | $338.8K | $75.67 | 3.44x |
| 75572 | CT scan of heart structure with contrast | 482 | $98.5K | $204.44 | 3.66x |
| 82565 | Blood creatinine level | 3.8K | $21.6K | $5.74 | 2.65x |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 13.2K | $1.3K | $0.09 | 8.80x |
This provider submits charges 3.77 times higher than what Medicare actually pays.
A markup ratio of 3.77x means for every $100 Medicare pays, this provider initially charges $377. 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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