This provider's $3.7M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 338% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 154% in 2015
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 | $233.15 | $49.43 | 4.72x | $183.72 | $90.6K | 3.6K | 3.6K |
| 2015 | $365.47 | $61.62 | 5.93x | $303.85 | $230.1K | 7.5K | 7.5K |
| 2016 | $326.97 | $59.50 | 5.50x | $267.47 | $303.4K | 8.7K | 8.7K |
| 2017 | $388.72 | $76.86 | 5.06x | $311.86 | $386.7K | 7.1K | 7.0K |
| 2018 | $377.16 | $73.81 | 5.11x | $303.35 | $410.6K | 7.2K | 7.2K |
| 2019 | $360.78 | $71.62 | 5.04x | $289.16 | $446.3K | 7.9K | 7.9K |
| 2020 | $357.46 | $69.94 | 5.11x | $287.52 | $503.4K | 7.2K | 7.2K |
| 2021 | $387.00 | $69.32 | 5.58x | $317.68 | $598.9K | 9.9K | 9.8K |
| 2022 | $180.47 | $53.60 | 3.37x | $126.87 | $362.2K | 6.4K | 6.4K |
| 2023 | $119.80 | $42.13 | 2.84x | $77.67 | $396.5K | 7.9K | 7.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 20.8K | $1.6M | $77.33 | 2.88x |
| 77063 | Screening digital tomography of both breasts | 28.2K | $1.1M | $38.27 | 3.71x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 9.1K | $535.2K | $59.06 | 3.55x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 2.4K | $81.3K | $33.64 | 10.05x |
| 76641 | Complete ultrasound scan of 1 breast | 1.2K | $74.5K | $64.60 | 3.27x |
| 77065 | Mammography of one breast | 922 | $73.2K | $79.41 | 4.81x |
| 77066 | Mammography of both breasts | 583 | $54.7K | $93.87 | 4.57x |
| 76642 | Ultrasound of one breast | 1.2K | $53.6K | $45.02 | 4.76x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 912 | $36.8K | $40.35 | 4.77x |
| 77059 | MRI scan of both breasts with contrast | 127 | $35.8K | $281.89 | 5.93x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 612 | $31.1K | $50.74 | 4.58x |
| 77052 | Computer analysis of screening mammogram to assist detection of cancer | 5.9K | $24.3K | $4.11 | 4.99x |
| 77049 | MRI of both breasts with and without contrast | 63 | $12.7K | $201.97 | 5.45x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 153 | $8.9K | $58.33 | 9.46x |
| 19281 | Placement of breast localization devices accessed through the skin with mammographic guidance | 85 | $7.2K | $84.82 | 4.37x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 52 | $6.9K | $133.04 | 4.55x |
| 76645 | Ultrasound of breasts | 124 | $2.4K | $19.58 | 4.90x |
| 77051 | Computer analysis of diagnostic mammogram | 708 | $2.0K | $2.82 | 5.49x |
| 19081 | Biopsy of breast accessed through the skin with stereotactic guidance | 11 | $1.6K | $141.94 | 4.73x |
| 76098 | Imaging of surgical specimen | 113 | $747.03 | $6.61 | 4.42x |
This provider submits charges 3.58 times higher than what Medicare actually pays.
A markup ratio of 3.58x means for every $100 Medicare pays, this provider initially charges $358. 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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