This provider's $11.6M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 90% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $228.87 | $154.48 | 1.48x | $74.39 | $876.1K | 5.5K | 5.2K |
| 2015 | $259.19 | $181.34 | 1.43x | $77.85 | $812.7K | 4.9K | 4.8K |
| 2016 | $391.77 | $272.99 | 1.44x | $118.78 | $1.2M | 5.1K | 5.0K |
| 2017 | $453.31 | $329.59 | 1.38x | $123.72 | $797.0K | 2.7K | 2.6K |
| 2018 | $355.08 | $251.60 | 1.41x | $103.48 | $1.5M | 5.6K | 5.4K |
| 2019 | $427.00 | $230.38 | 1.85x | $196.62 | $1.6M | 5.9K | 5.7K |
| 2020 | $571.81 | $241.37 | 2.37x | $330.44 | $1.4M | 5.2K | 5.0K |
| 2021 | $516.39 | $236.30 | 2.19x | $280.09 | $1.3M | 4.6K | 4.5K |
| 2022 | $438.84 | $159.34 | 2.75x | $279.50 | $1.2M | 6.5K | 6.3K |
| 2023 | $456.27 | $167.90 | 2.72x | $288.37 | $980.4K | 4.9K | 4.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 1.4K | $3.0M | $2.1K | 1.35x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 1.7K | $1.9M | $1.1K | 2.07x |
| 72197 | MRI scan of pelvis before and after contrast | 5.4K | $1.7M | $317.11 | 2.24x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 270 | $911.7K | $3.4K | 1.48x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.8K | $691.2K | $374.64 | 1.58x |
| 78608 | Nuclear medicine study brain with metabolic evaluation | 593 | $639.7K | $1.1K | 1.94x |
| A9586 | Florbetapir f18, diagnostic, per study dose, up to 10 millicuries | 126 | $269.1K | $2.1K | 1.40x |
| 78607 | Nuclear medicine study of brain | 784 | $211.2K | $269.43 | 1.62x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 3.3K | $186.6K | $56.11 | 3.82x |
| 78803 | Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, 1 day of imaging | 631 | $183.7K | $291.10 | 2.93x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 669 | $181.8K | $271.70 | 2.06x |
| 78814 | Nuclear medicine study with CT imaging | 171 | $178.6K | $1.0K | 1.32x |
| 74183 | MRI scan of abdomen before and after contrast | 474 | $154.6K | $326.17 | 2.17x |
| 74176 | CT scan of abdomen and pelvis | 1.0K | $147.7K | $141.11 | 2.40x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 184 | $84.9K | $461.23 | 2.37x |
| 71250 | CT scan chest | 659 | $74.2K | $112.59 | 2.65x |
| 77067 | Screening mammography | 581 | $73.6K | $126.75 | 2.65x |
| 71046 | X-ray of chest, 2 views | 2.2K | $50.4K | $22.53 | 3.02x |
| 72195 | MRI scan of pelvis | 209 | $44.8K | $214.34 | 2.41x |
| 74177 | CT scan of abdomen and pelvis with contrast | 178 | $43.9K | $246.51 | 2.67x |
This provider submits charges 1.88 times higher than what Medicare actually pays.
A markup ratio of 1.88x means for every $100 Medicare pays, this provider initially charges $188. This is lower 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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