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. Gregory Applegate
๐Ÿ“ก
MDIndividual

Gregory Applegate, M.D.

NPI: 1386751741
Van Nuys, CA
10 years of data
Diagnostic Radiology
$3.4M
Total Payments
36.0K
Beneficiaries
37.1K
Services
7.61x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$3.4M
Specialty median$115.6K

๐Ÿ“‹ Key Findings

1Billed $3.4M over 10 years
27.61x markup ratio (above median)
398th percentile in Diagnostic Radiology by payments
419 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $3.4M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.

Their average markup ratio of 7.61x is significantly above the specialty median of 5.4x.

Medicare payments to this provider grew 220% from 2014 to 2023.

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$560.40$93.605.99x$466.80$152.4K1.8K1.8K
2015$418.60$85.944.87x$332.66$219.7K2.9K2.9K
2016$413.54$91.904.50x$321.64$236.8K3.8K3.7K
2017$444.96$85.825.18x$359.14$271.1K4.1K4.0K
2018$388.19$94.414.11x$293.78$309.7K4.6K4.5K
2019$476.44$79.016.03x$397.43$297.7K4.0K3.9K
2020$993.70$137.387.23x$856.32$422.1K3.4K3.3K
2021$977.13$123.127.94x$854.01$518.7K4.5K4.4K
2022$914.15$106.888.55x$807.27$447.6K3.7K3.6K
2023$683.19$101.826.71x$581.37$488.4K4.2K4.1K

Top Procedures (20)

73721MRI scan of leg jointโš  8.6x markup
$1.1M
11.3K services$100.08/svc8.61x markup
73221MRI scan of arm jointโš  8.5x markup
$976.0K
9.6K services$101.53/svc8.50x markup
73700CT scan legโš  5.5x markup
$225.0K
1.9K services$116.87/svc5.55x markup
73718MRI scan of legโš  7.8x markup
$177.9K
1.4K services$128.73/svc7.80x markup
72148MRI scan of lower spinal canalโš  4.8x markup
$157.8K
2.3K services$69.48/svc4.76x markup
73200CT scan of armโš  4.8x markup
$115.6K
938 services$123.25/svc4.76x markup
73722MRI scan of leg joint with contrastโš  7.0x markup
$104.9K
632 services$165.91/svc7.02x markup
73222MRI scan of arm joint with contrastโš  6.4x markup
$79.4K
527 services$150.61/svc6.41x markup
73218MRI scan of armโš  7.7x markup
$69.5K
455 services$152.72/svc7.65x markup
72141MRI scan of upper spinal canalโš  4.9x markup
$54.6K
782 services$69.83/svc4.93x markup
72195MRI scan of pelvisโš  7.2x markup
$53.5K
452 services$118.38/svc7.24x markup
71046X-ray of chest, 2 viewsโš  8.5x markup
$35.3K
3.1K services$11.49/svc8.53x markup
77067Mammography of both breasts
$33.1K
228 services$145.31/svc2.04x markup
73723MRI scan of leg joint before and after contrastโš  8.0x markup
$20.9K
73 services$286.04/svc8.01x markup
72146MRI scan of middle spinal canalโš  4.5x markup
$15.0K
223 services$67.22/svc4.48x markup
71020X-ray of chest, 2 views, front and sideโš  6.0x markup
$14.0K
1.7K services$8.44/svc5.98x markup
73201CT scan of arm with contrastโš  4.2x markup
$12.6K
65 services$194.21/svc4.22x markup
72158MRI scan of lower spinal canal before and after contrastโš  6.5x markup
$12.1K
97 services$124.37/svc6.52x markup
77063Screening digital tomography of both breastsโš  4.3x markup
$11.7K
201 services$58.44/svc4.28x markup
74178Ct scan of abdomen and pelvis before and after contrastโš  4.3x markup
$11.1K
37 services$299.32/svc4.31x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
73721MRI scan of leg joint11.3K$1.1M$100.088.61x
73221MRI scan of arm joint9.6K$976.0K$101.538.50x
73700CT scan leg1.9K$225.0K$116.875.55x
73718MRI scan of leg1.4K$177.9K$128.737.80x
72148MRI scan of lower spinal canal2.3K$157.8K$69.484.76x
73200CT scan of arm938$115.6K$123.254.76x
73722MRI scan of leg joint with contrast632$104.9K$165.917.02x
73222MRI scan of arm joint with contrast527$79.4K$150.616.41x
73218MRI scan of arm455$69.5K$152.727.65x
72141MRI scan of upper spinal canal782$54.6K$69.834.93x
72195MRI scan of pelvis452$53.5K$118.387.24x
71046X-ray of chest, 2 views3.1K$35.3K$11.498.53x
77067Mammography of both breasts228$33.1K$145.312.04x
73723MRI scan of leg joint before and after contrast73$20.9K$286.048.01x
72146MRI scan of middle spinal canal223$15.0K$67.224.48x
71020X-ray of chest, 2 views, front and side1.7K$14.0K$8.445.98x
73201CT scan of arm with contrast65$12.6K$194.214.22x
72158MRI scan of lower spinal canal before and after contrast97$12.1K$124.376.52x
77063Screening digital tomography of both breasts201$11.7K$58.444.28x
74178Ct scan of abdomen and pelvis before and after contrast37$11.1K$299.324.31x

Markup Analysis

Charge-to-Payment Ratio

7.61x

This provider submits charges 7.61 times higher than what Medicare actually pays.

What This Means

A markup ratio of 7.61x means for every $100 Medicare pays, this provider initially charges $761. This is higher than the national average.

Location

Van Nuys, 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.

Gregory Applegate (you)
$3.4M
Stephen Liu, M.D.
$37.2M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Stephen Liu, M.D.Modesto, CA$37.2Mโœ“ Clear

Related

Browse
โ† Back to Provider Directory
State
All providers in CA 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