OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
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.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Harold Tice
๐Ÿ“ก
MDIndividual

Harold Tice, M.D.

NPI: 1386634939
Lynbrook, NY
10 years of data
Diagnostic Radiology
$7.9M
Total Payments
39.6K
Beneficiaries
46.7K
Services
6.85x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$7.9M
Specialty median$115.6K

๐Ÿ“‹ Key Findings

1Billed $7.9M over 10 years
26.85x 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 $7.9M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.

Their average markup ratio of 6.85x 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$1.5K$280.755.38x$1.2K$769.6K3.7K3.2K
2015$1.5K$261.565.59x$1.2K$717.7K4.0K3.3K
2016$1.5K$259.855.70x$1.2K$778.5K4.2K3.5K
2017$1.4K$231.455.99x$1.2K$817.7K4.9K4.0K
2018$1.3K$212.566.14x$1.1K$789.8K5.0K4.0K
2019$1.3K$202.136.39x$1.1K$753.6K5.1K4.1K
2020$1.3K$202.296.52x$1.1K$694.6K4.4K3.7K
2021$1.4K$221.036.30x$1.2K$905.8K5.5K4.7K
2022$1.5K$224.236.73x$1.3K$816.8K4.8K4.4K
2023$1.5K$222.256.88x$1.3K$854.7K5.1K4.8K

Top Procedures (20)

72148MRI scan of lower spinal canalโš  7.2x markup
$2.4M
14.9K services$160.09/svc7.23x markup
70551MRI scan brainโš  6.8x markup
$1.3M
7.9K services$165.35/svc6.81x markup
72141MRI scan of upper spinal canalโš  7.7x markup
$1.1M
7.1K services$148.69/svc7.65x markup
70553MRI scan of brain before and after contrastโš  7.1x markup
$651.1K
2.2K services$289.89/svc7.06x markup
73721MRI scan of leg jointโš  6.3x markup
$465.0K
2.7K services$169.69/svc6.25x markup
73221MRI scan of arm jointโš  6.5x markup
$451.2K
2.7K services$169.95/svc6.49x markup
72146MRI scan of middle spinal canalโš  7.6x markup
$313.7K
2.1K services$152.68/svc7.59x markup
70544MRA scan of head blood vesselsโš  4.7x markup
$198.9K
858 services$231.83/svc4.72x markup
74183MRI scan of abdomen before and after contrastโš  5.8x markup
$186.2K
489 services$380.68/svc5.80x markup
72158MRI scan of lower spinal canal before and after contrastโš  7.2x markup
$134.8K
447 services$301.67/svc7.21x markup
70547MRA scan of neck blood vesselsโš  4.7x markup
$124.0K
539 services$230.01/svc4.65x markup
72195MRI scan of pelvisโš  4.9x markup
$118.7K
476 services$249.30/svc4.89x markup
72197MRI scan of pelvis before and after contrastโš  5.9x markup
$85.2K
228 services$373.69/svc5.88x markup
74181MRI scan of abdomenโš  5.4x markup
$79.0K
345 services$228.89/svc5.38x markup
73718MRI scan of legโš  5.1x markup
$76.8K
381 services$201.55/svc5.14x markup
70540MRI scan bones of the eye, face, and/or neckโš  5.4x markup
$61.2K
279 services$219.20/svc5.39x markup
73218MRI scan of armโš  4.7x markup
$59.9K
256 services$233.88/svc4.72x markup
72156MRI scan of upper spinal canal before and after contrastโš  7.3x markup
$54.8K
193 services$283.88/svc7.25x markup
70543MRI scan bones of the eye, face, and/or neck before and after contrastโš  6.2x markup
$44.2K
139 services$318.31/svc6.16x markup
72157MRI scan of middle spinal canal before and after contrastโš  6.9x markup
$42.3K
135 services$313.46/svc6.90x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
72148MRI scan of lower spinal canal14.9K$2.4M$160.097.23x
70551MRI scan brain7.9K$1.3M$165.356.81x
72141MRI scan of upper spinal canal7.1K$1.1M$148.697.65x
70553MRI scan of brain before and after contrast2.2K$651.1K$289.897.06x
73721MRI scan of leg joint2.7K$465.0K$169.696.25x
73221MRI scan of arm joint2.7K$451.2K$169.956.49x
72146MRI scan of middle spinal canal2.1K$313.7K$152.687.59x
70544MRA scan of head blood vessels858$198.9K$231.834.72x
74183MRI scan of abdomen before and after contrast489$186.2K$380.685.80x
72158MRI scan of lower spinal canal before and after contrast447$134.8K$301.677.21x
70547MRA scan of neck blood vessels539$124.0K$230.014.65x
72195MRI scan of pelvis476$118.7K$249.304.89x
72197MRI scan of pelvis before and after contrast228$85.2K$373.695.88x
74181MRI scan of abdomen345$79.0K$228.895.38x
73718MRI scan of leg381$76.8K$201.555.14x
70540MRI scan bones of the eye, face, and/or neck279$61.2K$219.205.39x
73218MRI scan of arm256$59.9K$233.884.72x
72156MRI scan of upper spinal canal before and after contrast193$54.8K$283.887.25x
70543MRI scan bones of the eye, face, and/or neck before and after contrast139$44.2K$318.316.16x
72157MRI scan of middle spinal canal before and after contrast135$42.3K$313.466.90x

Markup Analysis

Charge-to-Payment Ratio

6.85x

This provider submits charges 6.85 times higher than what Medicare actually pays.

What This Means

A markup ratio of 6.85x means for every $100 Medicare pays, this provider initially charges $685. This is higher than the national average.

Location

Lynbrook, NY

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 NY for peer comparison.

Harold Tice (you)
$7.9M
Mark Lodespoto, M.D.
$34.9M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Mark Lodespoto, M.D.Oceanside, NY$34.9Mโœ“ Clear

Related

Browse
โ† Back to Provider Directory
State
All providers in NY โ†’
Specialty
All Diagnostic Radiology providers โ†’
Tool
Compare this provider โ†’
Analysis
Fraud Watchlist โ†’
Search
Search all providers โ†’

Share This Provider

Share this provider's Medicare payment information

Share:

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.

Believe this data is inaccurate? Dispute this data