This provider averages 157 services per working day
Based on 235.0K total services over 6 years (250 working days/year). Learn about impossible service volumes →
This provider's $19.5M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Averaging 157 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 16065% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 487% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $126.47 | $31.09 | 4.07x | $95.38 | $74.0K | 2.4K | 32 |
| 2019 | $107.89 | $24.79 | 4.35x | $83.10 | $141.8K | 5.7K | 48 |
| 2020 | $55.33 | $14.96 | 3.70x | $40.37 | $819.5K | 54.8K | 26 |
| 2021 | $63.36 | $19.89 | 3.19x | $43.47 | $953.6K | 47.9K | 26 |
| 2022 | $203.57 | $106.52 | 1.91x | $97.05 | $5.6M | 52.5K | 31 |
| 2023 | $287.61 | $166.74 | 1.72x | $120.87 | $12.0M | 71.7K | 23 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A9607 | Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie | 57.0K | $11.1M | $194.77 | 1.57x |
| A9513 | Lutetium lu 177, dotatate, therapeutic, 1 millicurie | 11.4K | $2.8M | $241.66 | 1.55x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 1.8K | $995.9K | $542.14 | 4.15x |
| A9699 | Radiopharmaceutical, therapeutic, not otherwise classified | 20 | $940.9K | $47.0K | 1.81x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 1.1K | $695.6K | $642.87 | 1.44x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 948 | $457.5K | $482.61 | 1.44x |
| J1930 | Injection, lanreotide, 1 mg | 9.2K | $440.4K | $47.66 | 2.14x |
| 78832 | Nuclear medicine study, spect imaging with concurrent ct scan, at least 2 areas or separate acquisitions, single day imaging, or single area or acquisition over multiple days | 534 | $249.3K | $466.83 | 3.92x |
| 78816 | Nuclear medicine study whole body with ct scan | 377 | $214.7K | $569.42 | 4.10x |
| A9587 | Gallium ga-68, dotatate, diagnostic, 0.1 millicurie | 2.7K | $203.6K | $75.96 | 1.50x |
| 77300 | Calculation of radiation therapy dose | 2.3K | $130.5K | $56.06 | 3.58x |
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 66 | $128.0K | $1.9K | 1.32x |
| 74177 | Ct scan of abdomen and pelvis with contrast | 935 | $121.5K | $129.91 | 4.17x |
| 74183 | Mri scan of abdomen before and after contrast | 768 | $119.6K | $155.70 | 6.54x |
| 78802 | Nuclear medicine study, whole body | 535 | $83.8K | $156.57 | 3.87x |
| 78608 | Nuclear medicine study of brain with metabolic evaluation | 114 | $80.9K | $709.44 | 4.12x |
| 74176 | Ct scan of abdomen and pelvis without contrast | 640 | $57.0K | $89.00 | 4.48x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 462 | $56.2K | $121.54 | 4.11x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 369 | $54.8K | $148.56 | 2.40x |
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 77 | $51.9K | $673.83 | 1.54x |
This provider submits charges 1.96 times higher than what Medicare actually pays.
A markup ratio of 1.96x means for every $100 Medicare pays, this provider initially charges $196. 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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