This provider's $4.5M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 807% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 777% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $148.31 | $33.50 | 4.43x | $114.81 | $121.9K | 4.9K | 4.8K |
| 2015 | $171.43 | $39.35 | 4.36x | $132.08 | $147.1K | 6.0K | 5.8K |
| 2016 | $99.43 | $22.50 | 4.42x | $76.93 | $124.9K | 6.2K | 6.1K |
| 2017 | $107.91 | $22.68 | 4.76x | $85.23 | $24.6K | 1.2K | 1.2K |
| 2018 | $768.08 | $306.18 | 2.51x | $461.90 | $215.9K | 705 | 600 |
| 2019 | $999.11 | $383.13 | 2.61x | $615.98 | $487.3K | 1.7K | 1.3K |
| 2020 | $1.1K | $396.10 | 2.70x | $672.39 | $671.6K | 2.0K | 1.4K |
| 2021 | $1.2K | $483.60 | 2.57x | $757.37 | $758.7K | 2.2K | 1.6K |
| 2022 | $1.3K | $350.57 | 3.64x | $924.19 | $872.8K | 3.2K | 2.3K |
| 2023 | $1.2K | $297.56 | 4.08x | $916.58 | $1.1M | 3.9K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 36475 | Destruction of insufficient vein of arm or leg, accessed through the skin | 1.3K | $1.2M | $956.04 | 3.27x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 817 | $850.7K | $1.0K | 3.67x |
| 36482 | Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance | 553 | $808.2K | $1.5K | 3.01x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 2.6K | $342.3K | $129.23 | 3.42x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 2.5K | $184.4K | $73.39 | 3.52x |
| 36478 | Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin | 148 | $142.0K | $959.52 | 2.39x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.1K | $132.2K | $63.73 | 3.23x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.4K | $124.3K | $86.83 | 3.29x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.3K | $103.2K | $77.25 | 3.35x |
| 36471 | Injection of chemical agent into multiple incompetent veins of one leg | 602 | $91.7K | $152.41 | 3.11x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 1.5K | $60.2K | $39.23 | 1.68x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 334 | $52.3K | $156.70 | 3.33x |
| 36476 | Radiofrequency destruction of insufficient vein of arm or leg, accessed through the skin using imaging guidance | 148 | $35.1K | $237.10 | 2.40x |
| 74177 | CT scan of abdomen and pelvis with contrast | 451 | $33.7K | $74.77 | 5.39x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 517 | $27.5K | $53.22 | 4.53x |
| 76700 | Ultrasound of abdomen | 623 | $26.3K | $42.18 | 3.18x |
| 74176 | CT scan of abdomen and pelvis | 398 | $26.0K | $65.31 | 5.27x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 192 | $23.5K | $122.55 | 3.98x |
| 76970 | Ultrasound follow-up study | 342 | $22.5K | $65.91 | 2.72x |
| 71020 | X-ray of chest, 2 views, front and side | 2.4K | $21.8K | $8.92 | 4.94x |
This provider submits charges 3.35 times higher than what Medicare actually pays.
A markup ratio of 3.35x means for every $100 Medicare pays, this provider initially charges $335. 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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