This provider's $5.2M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 190% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 151% in 2019
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 | $286.82 | $83.30 | 3.44x | $203.52 | $299.5K | 3.7K | 3.7K |
| 2015 | $394.11 | $106.28 | 3.71x | $287.83 | $275.6K | 3.2K | 3.2K |
| 2016 | $332.56 | $89.02 | 3.74x | $243.54 | $218.9K | 2.7K | 2.7K |
| 2017 | $378.08 | $100.94 | 3.75x | $277.14 | $207.0K | 2.1K | 2.1K |
| 2018 | $302.48 | $85.05 | 3.56x | $217.43 | $288.7K | 3.2K | 3.2K |
| 2019 | $477.30 | $127.60 | 3.74x | $349.70 | $725.4K | 7.4K | 7.3K |
| 2020 | $445.16 | $120.09 | 3.71x | $325.07 | $684.3K | 7.1K | 7.1K |
| 2021 | $446.93 | $123.48 | 3.62x | $323.45 | $723.6K | 7.5K | 7.5K |
| 2022 | $417.76 | $108.08 | 3.87x | $309.68 | $877.8K | 9.5K | 9.5K |
| 2023 | $423.64 | $102.87 | 4.12x | $320.77 | $870.0K | 9.8K | 9.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 74177 | CT scan of abdomen and pelvis with contrast | 1.1K | $316.3K | $297.80 | 3.54x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 2.0K | $307.5K | $154.12 | 1.54x |
| 70450 | CT scan head or brain | 2.6K | $248.7K | $94.77 | 5.01x |
| 71250 | CT scan chest | 1.9K | $232.5K | $124.80 | 4.97x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 684 | $229.1K | $334.93 | 4.14x |
| 76700 | Ultrasound of abdomen | 2.1K | $216.9K | $104.11 | 2.76x |
| 74183 | MRI scan of abdomen before and after contrast | 626 | $215.9K | $344.95 | 4.91x |
| 77066 | Mammography of both breasts | 1.4K | $197.4K | $141.39 | 2.52x |
| 70486 | CT scan of face | 1.5K | $186.1K | $120.76 | 5.50x |
| 77080 | Bone density measurement using dedicated X-ray machine | 3.7K | $171.6K | $46.00 | 6.36x |
| 74176 | CT scan of abdomen and pelvis | 875 | $152.3K | $174.10 | 4.61x |
| 77065 | Mammography of one breast | 1.3K | $141.0K | $106.36 | 2.67x |
| 77067 | Mammography of both breasts | 894 | $138.6K | $154.98 | 1.91x |
| 76642 | Ultrasound of one breast | 1.6K | $131.3K | $81.23 | 2.45x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 2.6K | $124.3K | $48.03 | 3.53x |
| 76536 | Ultrasound of head and neck | 1.2K | $118.8K | $98.98 | 2.40x |
| 71271 | Low dose ct scan of chest for lung cancer screening | 668 | $106.8K | $159.84 | 2.79x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 995 | $105.6K | $106.14 | 2.64x |
| 77063 | Screening digital tomography of both breasts | 1.6K | $100.7K | $61.95 | 3.33x |
| 71260 | CT scan chest with contrast | 707 | $91.8K | $129.79 | 5.87x |
This provider submits charges 3.59 times higher than what Medicare actually pays.
A markup ratio of 3.59x means for every $100 Medicare pays, this provider initially charges $359. 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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