This provider's $9.0M in total Medicare payments ranks in the 99th percentile of Nuclear Medicine providers nationally.
Medicare payments to this provider grew 884% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 298% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $94.30 | $64.04 | 1.47x | $30.26 | $201.9K | 2.9K | 2.6K |
| 2018 | $96.73 | $59.45 | 1.63x | $37.28 | $345.7K | 5.1K | 4.0K |
| 2019 | $101.79 | $63.02 | 1.62x | $38.77 | $379.6K | 5.5K | 4.1K |
| 2020 | $561.31 | $173.52 | 3.23x | $387.79 | $1.5M | 6.4K | 5.1K |
| 2021 | $1.2K | $307.70 | 3.79x | $856.99 | $2.6M | 6.3K | 5.2K |
| 2022 | $1.2K | $310.29 | 3.85x | $884.10 | $1.9M | 5.3K | 4.1K |
| 2023 | $1.2K | $305.83 | 4.08x | $941.52 | $2.0M | 5.5K | 4.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 8.0K | $4.8M | $593.92 | 2.92x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 3.9K | $1.6M | $407.43 | 1.67x |
| 74177 | CT scan of abdomen and pelvis with contrast | 5.9K | $928.8K | $156.60 | 2.98x |
| 78816 | Nuclear medicine study with CT imaging whole body | 921 | $588.9K | $639.46 | 3.23x |
| 71260 | CT scan chest with contrast | 8.0K | $564.6K | $70.52 | 3.98x |
| 74176 | CT scan of abdomen and pelvis | 1.4K | $141.6K | $104.88 | 2.95x |
| 71250 | CT scan chest | 2.2K | $138.1K | $63.28 | 5.21x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 678 | $83.2K | $122.70 | 2.63x |
| 70491 | CT scan of neck with contrast | 844 | $65.2K | $77.30 | 5.13x |
| 74160 | CT scan abdomen with contrast | 227 | $22.2K | $97.59 | 4.07x |
| 70470 | CT scan head or brain before and after contrast | 243 | $21.3K | $87.51 | 5.09x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 42 | $17.1K | $407.80 | 2.57x |
| 71270 | CT scan chest before and after contrast | 190 | $15.4K | $81.30 | 5.68x |
| 74170 | CT scan abdomen before and after contrast | 91 | $12.5K | $137.13 | 4.92x |
| 70490 | CT scan of neck | 116 | $7.4K | $64.16 | 3.64x |
| 70450 | CT scan head or brain | 57 | $3.8K | $65.83 | 6.23x |
| 71275 | Ct scan of blood vessels of chest with contrast | 15 | $3.0K | $202.41 | 6.15x |
| 70460 | CT scan head or brain with contrast | 14 | $628.30 | $44.88 | 1.63x |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 4.1K | $408.29 | $0.10 | 10.09x |
This provider submits charges 2.86 times higher than what Medicare actually pays.
A markup ratio of 2.86x means for every $100 Medicare pays, this provider initially charges $286. 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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