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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.
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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Edward Lubat
๐Ÿ“ก
MDIndividual

Edward Lubat, M.D.

NPI: 1396732624
Waldwick, NJ
10 years of data
Diagnostic Radiology
$3.4M
Total Payments
46.1K
Beneficiaries
47.7K
Services
5.12x
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
25.12x markup ratio (above median)
398th percentile in Diagnostic Radiology by payments
418 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 5.12x 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$450.61$95.334.73x$355.28$315.4K4.1K4.0K
2015$405.84$80.705.03x$325.14$283.4K4.2K4.1K
2016$461.87$94.714.88x$367.16$296.1K4.1K4.0K
2017$421.84$84.974.96x$336.87$333.6K4.5K4.4K
2018$423.37$87.224.85x$336.15$376.8K5.3K5.1K
2019$402.09$80.245.01x$321.85$426.6K6.1K5.9K
2020$411.02$84.154.88x$326.87$310.7K4.4K4.2K
2021$405.44$81.254.99x$324.19$388.7K5.3K5.1K
2022$407.07$90.154.52x$316.92$343.3K4.8K4.6K
2023$398.65$89.614.45x$309.04$364.2K5.0K4.8K

Top Procedures (20)

74177CT scan of abdomen and pelvis with contrastโš  5.9x markup
$537.7K
3.4K services$160.08/svc5.86x markup
71250CT scan chestโš  5.1x markup
$356.4K
3.5K services$102.59/svc5.14x markup
72197MRI scan of pelvis before and after contrastโš  4.4x markup
$335.0K
969 services$345.75/svc4.40x markup
71275CT scan of blood vessels in chest with contrastโš  4.1x markup
$257.8K
2.5K services$104.08/svc4.10x markup
74178CT scan of abdomen and pelvis before and after contrastโš  5.8x markup
$254.3K
854 services$297.79/svc5.83x markup
74176CT scan of abdomen and pelvisโš  7.3x markup
$235.4K
2.1K services$109.98/svc7.26x markup
74174CT scan of abdominal and pelvic blood vessels with contrastโš  6.4x markup
$203.3K
1.6K services$130.43/svc6.43x markup
71260CT scan chest with contrastโš  5.5x markup
$184.4K
2.3K services$80.80/svc5.50x markup
75574CT scan of heart blood vessels and grafts with contrast dyeโš  4.9x markup
$177.7K
972 services$182.83/svc4.91x markup
74183MRI scan of abdomen before and after contrastโš  4.3x markup
$175.2K
680 services$257.71/svc4.34x markup
78815Nuclear medicine study with CT imaging skull base to mid-thighโš  3.2x markup
$115.5K
1.2K services$98.85/svc3.21x markup
73721MRI scan of leg jointโš  5.9x markup
$66.2K
342 services$193.53/svc5.89x markup
73221MRI scan of arm jointโš  5.8x markup
$45.6K
221 services$206.15/svc5.77x markup
0501TAnalysis of data from ct study of heart blood vessels to assess severity of heart artery disease, with interpretation and report
$44.0K
43 services$1.0K/svc1.56x markup
71045X-ray of chest, 1 viewโš  4.7x markup
$39.0K
5.2K services$7.53/svc4.65x markup
71555MRI scan of blood vessels of chestโš  4.6x markup
$34.4K
279 services$123.38/svc4.62x markup
71046X-ray of chest, 2 viewsโš  4.1x markup
$25.9K
1.9K services$13.51/svc4.06x markup
71010X-ray of chest, 1 view, frontโš  4.6x markup
$22.3K
2.9K services$7.62/svc4.59x markup
73700CT scan legโš  5.3x markup
$21.8K
443 services$49.12/svc5.26x markup
75571CT scan of heart with evaluation of blood vessel calcium
$21.1K
518 services$40.64/svc2.90x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
74177CT scan of abdomen and pelvis with contrast3.4K$537.7K$160.085.86x
71250CT scan chest3.5K$356.4K$102.595.14x
72197MRI scan of pelvis before and after contrast969$335.0K$345.754.40x
71275CT scan of blood vessels in chest with contrast2.5K$257.8K$104.084.10x
74178CT scan of abdomen and pelvis before and after contrast854$254.3K$297.795.83x
74176CT scan of abdomen and pelvis2.1K$235.4K$109.987.26x
74174CT scan of abdominal and pelvic blood vessels with contrast1.6K$203.3K$130.436.43x
71260CT scan chest with contrast2.3K$184.4K$80.805.50x
75574CT scan of heart blood vessels and grafts with contrast dye972$177.7K$182.834.91x
74183MRI scan of abdomen before and after contrast680$175.2K$257.714.34x
78815Nuclear medicine study with CT imaging skull base to mid-thigh1.2K$115.5K$98.853.21x
73721MRI scan of leg joint342$66.2K$193.535.89x
73221MRI scan of arm joint221$45.6K$206.155.77x
0501TAnalysis of data from ct study of heart blood vessels to assess severity of heart artery disease, with interpretation and report43$44.0K$1.0K1.56x
71045X-ray of chest, 1 view5.2K$39.0K$7.534.65x
71555MRI scan of blood vessels of chest279$34.4K$123.384.62x
71046X-ray of chest, 2 views1.9K$25.9K$13.514.06x
71010X-ray of chest, 1 view, front2.9K$22.3K$7.624.59x
73700CT scan leg443$21.8K$49.125.26x
75571CT scan of heart with evaluation of blood vessel calcium518$21.1K$40.642.90x

Markup Analysis

Charge-to-Payment Ratio

5.12x

This provider submits charges 5.12 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5.12x means for every $100 Medicare pays, this provider initially charges $512. This is higher than the national average.

Location

Waldwick, NJ

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 NJ for peer comparison.

Edward Lubat (you)
$3.4M
Scott Hollander, D.O.
$34.4M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Scott Hollander, D.O.Vineland, NJ$34.4Mโœ“ Clear

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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.

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