This provider's $3.3M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 11.98x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 1433% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 509% 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 |
|---|---|---|---|---|---|---|---|
| 2019 | $990.04 | $70.77 | 13.99x | $919.27 | $73.3K | 1.3K | 1.2K |
| 2020 | $1.1K | $89.79 | 12.58x | $1.0K | $446.7K | 5.7K | 5.5K |
| 2021 | $1.0K | $84.18 | 11.96x | $922.99 | $793.1K | 9.4K | 9.3K |
| 2022 | $1.3K | $95.09 | 13.35x | $1.2K | $857.4K | 10.1K | 9.8K |
| 2023 | $1.3K | $87.81 | 14.44x | $1.2K | $1.1M | 14.6K | 14.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 74177 | CT scan of abdomen and pelvis with contrast | 7.3K | $717.4K | $98.28 | 13.44x |
| 74176 | CT scan of abdomen and pelvis | 7.2K | $602.8K | $83.81 | 13.99x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 2.5K | $491.6K | $198.17 | 9.10x |
| 71250 | CT scan chest | 3.1K | $193.2K | $62.23 | 10.52x |
| 74174 | CT scan of abdominal and pelvic blood vessels with contrast | 1.3K | $160.0K | $123.75 | 13.39x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 851 | $112.9K | $132.63 | 3.94x |
| 71275 | CT scan of blood vessels in chest with contrast | 1.1K | $97.7K | $88.76 | 14.00x |
| 71260 | CT scan chest with contrast | 1.9K | $90.1K | $48.51 | 13.99x |
| 76770 | Ultrasound behind abdominal cavity | 851 | $63.8K | $75.01 | 4.32x |
| 74170 | Ct scan abdomen before and after contrast | 504 | $61.2K | $121.37 | 7.49x |
| 36558 | Insertion of central venous catheter for infusion, patient 5 years or older | 233 | $49.6K | $212.73 | 19.06x |
| 71271 | Low dose ct scan of chest for lung cancer screening | 453 | $35.9K | $79.33 | 9.22x |
| 74183 | MRI scan of abdomen before and after contrast | 284 | $34.5K | $121.37 | 12.59x |
| 75635 | Ct scan of abdominal aorta and both leg arteries with contrast | 245 | $32.7K | $133.54 | 12.18x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 422 | $32.2K | $76.37 | 5.11x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 228 | $31.0K | $135.82 | 3.92x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 104 | $29.3K | $281.61 | 17.90x |
| 72192 | Ct scan pelvis | 580 | $29.1K | $50.09 | 12.66x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 159 | $26.0K | $163.33 | 10.30x |
| 74150 | Ct scan abdomen | 337 | $24.4K | $72.26 | 9.91x |
This provider submits charges 11.98 times higher than what Medicare actually pays.
A markup ratio of 11.98x means for every $100 Medicare pays, this provider initially charges $1198. 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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