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

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Scott Somers
๐Ÿ“ก
MDIndividual

Scott Somers, M.D.

NPI: 1407084643
Loma Linda, CA
9 years of data
Diagnostic Radiology
$4.6M
Total Payments
50.0K
Beneficiaries
50.5K
Services
5.01x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$4.6M
Specialty median$115.6K

๐Ÿ“‹ Key Findings

1Billed $4.6M over 9 years
25.01x markup ratio (above median)
399th percentile in Diagnostic Radiology by payments
4Payments surged 417% in 2017
520 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $4.6M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.

Their average markup ratio of 5.01x is significantly above the specialty median of 5.4x.

Medicare payments to this provider grew 3611% from 2015 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 417% in 2017

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

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
2015$117.54$25.294.65x$92.25$23.6K1.0K998
2016$179.59$37.524.79x$142.07$77.2K2.2K2.2K
2017$571.02$110.365.17x$460.66$399.2K3.7K3.6K
2018$508.24$94.825.36x$413.42$292.2K4.3K4.2K
2019$617.34$103.925.94x$513.42$771.2K8.2K8.2K
2020$671.78$111.846.01x$559.94$639.5K6.6K6.6K
2021$667.80$108.416.16x$559.39$727.6K7.6K7.5K
2022$746.18$117.516.35x$628.67$793.0K8.1K8.0K
2023$865.36$133.896.46x$731.47$874.1K8.8K8.7K

Top Procedures (20)

77067Mammography of both breastsโš  4.4x markup
$1.6M
10.6K services$154.20/svc4.41x markup
77063Screening digital tomography of both breastsโš  4.4x markup
$681.7K
11.2K services$60.95/svc4.37x markup
77080Bone density measurement using dedicated X-ray machineโš  5.2x markup
$246.9K
5.5K services$44.62/svc5.16x markup
G0202Screening mammography, producing direct digital image, bilateral, all viewsโš  3.3x markup
$226.5K
2.0K services$115.40/svc3.32x markup
19083Biopsy of breast accessed through the skin with ultrasound guidanceโš  5.1x markup
$141.5K
279 services$507.17/svc5.06x markup
77049MRI of both breasts with and without contrastโš  8.5x markup
$137.0K
408 services$335.85/svc8.47x markup
74177CT scan of abdomen and pelvis with contrastโš  5.3x markup
$129.9K
579 services$224.40/svc5.35x markup
76642Ultrasound of one breastโš  5.2x markup
$110.3K
1.5K services$74.83/svc5.23x markup
77065Mammography of one breastโš  6.1x markup
$108.8K
1.0K services$107.52/svc6.13x markup
77066Mammography of both breastsโš  5.9x markup
$92.3K
651 services$141.76/svc5.89x markup
19285Placement of breast localization devices accessed through the skin with ultrasound guidanceโš  4.2x markup
$71.0K
170 services$417.67/svc4.23x markup
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206)โš  5.5x markup
$63.8K
1.4K services$45.84/svc5.50x markup
19081Biopsy of breast accessed through the skin with stereotactic guidanceโš  4.3x markup
$59.9K
107 services$559.40/svc4.28x markup
76641Ultrasound of one breastโš  5.6x markup
$55.6K
592 services$93.92/svc5.59x markup
77059MRI scan of both breasts with contrastโš  6.2x markup
$48.7K
114 services$427.35/svc6.19x markup
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuversโš  5.5x markup
$46.4K
514 services$90.28/svc5.49x markup
76536Ultrasound of head and neckโš  5.5x markup
$44.7K
479 services$93.26/svc5.51x markup
76700Ultrasound of abdomenโš  6.2x markup
$41.4K
507 services$81.69/svc6.24x markup
76770Ultrasound behind abdominal cavityโš  6.4x markup
$41.1K
493 services$83.31/svc6.42x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neckโš  6.4x markup
$40.7K
237 services$171.86/svc6.41x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
77067Mammography of both breasts10.6K$1.6M$154.204.41x
77063Screening digital tomography of both breasts11.2K$681.7K$60.954.37x
77080Bone density measurement using dedicated X-ray machine5.5K$246.9K$44.625.16x
G0202Screening mammography, producing direct digital image, bilateral, all views2.0K$226.5K$115.403.32x
19083Biopsy of breast accessed through the skin with ultrasound guidance279$141.5K$507.175.06x
77049MRI of both breasts with and without contrast408$137.0K$335.858.47x
74177CT scan of abdomen and pelvis with contrast579$129.9K$224.405.35x
76642Ultrasound of one breast1.5K$110.3K$74.835.23x
77065Mammography of one breast1.0K$108.8K$107.526.13x
77066Mammography of both breasts651$92.3K$141.765.89x
19285Placement of breast localization devices accessed through the skin with ultrasound guidance170$71.0K$417.674.23x
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206)1.4K$63.8K$45.845.50x
19081Biopsy of breast accessed through the skin with stereotactic guidance107$59.9K$559.404.28x
76641Ultrasound of one breast592$55.6K$93.925.59x
77059MRI scan of both breasts with contrast114$48.7K$427.356.19x
93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers514$46.4K$90.285.49x
76536Ultrasound of head and neck479$44.7K$93.265.51x
76700Ultrasound of abdomen507$41.4K$81.696.24x
76770Ultrasound behind abdominal cavity493$41.1K$83.316.42x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck237$40.7K$171.866.41x

Markup Analysis

Charge-to-Payment Ratio

5.01x

This provider submits charges 5.01 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5.01x means for every $100 Medicare pays, this provider initially charges $501. This is higher than the national average.

Location

Loma Linda, 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.

Scott Somers (you)
$4.6M
Stephen Liu, M.D.
$37.2M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Stephen Liu, M.D.Modesto, CA$37.2Mโœ“ 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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