⚠️ This provider averages 331 services per working day — physically unusual for an individual practitioner
Based on 826.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $22.9M in total Medicare payments ranks in the 99th percentile of Nuclear Medicine providers nationally.
Averaging 331 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 529% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 77% in 2017
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 | $262.50 | $83.85 | 3.13x | $178.65 | $675.9K | 8.1K | 23 |
| 2015 | $401.97 | $129.14 | 3.11x | $272.83 | $727.4K | 5.6K | 27 |
| 2016 | $314.82 | $97.43 | 3.23x | $217.39 | $889.3K | 9.1K | 28 |
| 2017 | $136.50 | $41.30 | 3.31x | $95.20 | $1.6M | 38.2K | 33 |
| 2018 | $94.87 | $28.85 | 3.29x | $66.02 | $1.9M | 66.2K | 33 |
| 2019 | $89.34 | $28.50 | 3.13x | $60.84 | $2.9M | 100.0K | 34 |
| 2020 | $81.11 | $25.96 | 3.12x | $55.15 | $2.5M | 97.2K | 33 |
| 2021 | $67.64 | $23.60 | 2.87x | $44.04 | $3.5M | 148.4K | 23 |
| 2022 | $68.06 | $21.81 | 3.12x | $46.25 | $4.0M | 185.2K | 20 |
| 2023 | $80.22 | $25.18 | 3.19x | $55.04 | $4.2M | 168.8K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 13.2K | $10.3M | $780.29 | 3.25x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 8.5K | $3.4M | $398.56 | 1.72x |
| 78816 | Nuclear medicine study whole body with ct scan | 2.1K | $1.5M | $721.48 | 3.34x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 3.3K | $1.2M | $367.63 | 2.38x |
| 74177 | Ct scan of abdomen and pelvis with contrast | 4.5K | $1.1M | $237.87 | 3.88x |
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 342 | $723.3K | $2.1K | 1.65x |
| 74178 | Ct scan of abdomen and pelvis before and after contrast | 2.2K | $584.2K | $262.42 | 6.42x |
| 71260 | Ct scan of chest with contrast | 5.4K | $504.2K | $93.55 | 5.89x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 905 | $421.3K | $465.58 | 3.30x |
| 78306 | Bone and/or joint imaging, whole body | 1.6K | $388.0K | $238.62 | 2.48x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 634 | $248.2K | $391.47 | 1.98x |
| A9562 | Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries | 553 | $248.0K | $448.47 | 1.69x |
| 74176 | Ct scan of abdomen and pelvis without contrast | 1.5K | $208.3K | $141.80 | 5.65x |
| A9599 | Radiopharmaceutical, diagnostic, for beta-amyloid positron emission tomography (pet) imaging, per study dose, not otherwise specified | 78 | $173.2K | $2.2K | 1.92x |
| A9592 | Copper cu-64, dotatate, diagnostic, 1 millicurie | 140 | $150.6K | $1.1K | 3.47x |
| 71250 | Ct scan of chest without contrast | 1.7K | $145.6K | $87.77 | 7.37x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 1.5K | $142.9K | $92.31 | 1.90x |
| 78814 | Nuclear medicine study with CT imaging | 111 | $125.6K | $1.1K | 3.49x |
| A9520 | Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries | 42 | $85.3K | $2.0K | 1.53x |
| 78226 | Imaging of liver and bile duct system | 293 | $78.6K | $268.36 | 2.30x |
This provider submits charges 3.13 times higher than what Medicare actually pays.
A markup ratio of 3.13x means for every $100 Medicare pays, this provider initially charges $313. 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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