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Methodology•Download Data
  1. Home
  2. Providers
  3. Paul Makhlouf
⚕️
MDIndividual

Paul Makhlouf, MD

NPI: 1457553398
Naples, FL
10 years of data
Nuclear Medicine
$22.9M
Total Payments
272
Beneficiaries
826.8K
Services
3.13x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$22.9M
Specialty median$185.4K

📋 Key Findings

1Billed $22.9M over 10 years
23.13x markup ratio (above median)
399th percentile in Nuclear Medicine by payments
4331 services/day — physically implausible
5Payments surged 77% in 2017
610 procedures with >3x markup

⚠️ 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 →

🔎 Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 77% in 2017

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$262.50$83.853.13x$178.65$675.9K8.1K23
2015$401.97$129.143.11x$272.83$727.4K5.6K27
2016$314.82$97.433.23x$217.39$889.3K9.1K28
2017$136.50$41.303.31x$95.20$1.6M38.2K33
2018$94.87$28.853.29x$66.02$1.9M66.2K33
2019$89.34$28.503.13x$60.84$2.9M100.0K34
2020$81.11$25.963.12x$55.15$2.5M97.2K33
2021$67.64$23.602.87x$44.04$3.5M148.4K23
2022$68.06$21.813.12x$46.25$4.0M185.2K20
2023$80.22$25.183.19x$55.04$4.2M168.8K18

Top Procedures (20)

78815Nuclear medicine study from skull base to mid-thigh with ct scan⚠ 3.3x markup
$10.3M
13.2K services$780.29/svc3.25x markup
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
$3.4M
8.5K services$398.56/svc1.72x markup
78816Nuclear medicine study whole body with ct scan⚠ 3.3x markup
$1.5M
2.1K services$721.48/svc3.34x markup
A9588Fluciclovine f-18, diagnostic, 1 millicurie
$1.2M
3.3K services$367.63/svc2.38x markup
74177Ct scan of abdomen and pelvis with contrast⚠ 3.9x markup
$1.1M
4.5K services$237.87/svc3.88x markup
A9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
$723.3K
342 services$2.1K/svc1.65x markup
74178Ct scan of abdomen and pelvis before and after contrast⚠ 6.4x markup
$584.2K
2.2K services$262.42/svc6.42x markup
71260Ct scan of chest with contrast⚠ 5.9x markup
$504.2K
5.4K services$93.55/svc5.89x markup
A9595Piflufolastat f-18, diagnostic, 1 millicurie⚠ 3.3x markup
$421.3K
905 services$465.58/svc3.30x markup
78306Bone and/or joint imaging, whole body
$388.0K
1.6K services$238.62/svc2.48x markup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies
$248.2K
634 services$391.47/svc1.98x markup
A9562Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries
$248.0K
553 services$448.47/svc1.69x markup
74176Ct scan of abdomen and pelvis without contrast⚠ 5.7x markup
$208.3K
1.5K services$141.80/svc5.65x markup
A9599Radiopharmaceutical, diagnostic, for beta-amyloid positron emission tomography (pet) imaging, per study dose, not otherwise specified
$173.2K
78 services$2.2K/svc1.92x markup
A9592Copper cu-64, dotatate, diagnostic, 1 millicurie⚠ 3.5x markup
$150.6K
140 services$1.1K/svc3.47x markup
71250Ct scan of chest without contrast⚠ 7.4x markup
$145.6K
1.7K services$87.77/svc7.37x markup
A9500Technetium tc-99m sestamibi, diagnostic, per study dose
$142.9K
1.5K services$92.31/svc1.90x markup
78814Nuclear medicine study with CT imaging⚠ 3.5x markup
$125.6K
111 services$1.1K/svc3.49x markup
A9520Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries
$85.3K
42 services$2.0K/svc1.53x markup
78226Imaging of liver and bile duct system
$78.6K
293 services$268.36/svc2.30x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78815Nuclear medicine study from skull base to mid-thigh with ct scan13.2K$10.3M$780.293.25x
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries8.5K$3.4M$398.561.72x
78816Nuclear medicine study whole body with ct scan2.1K$1.5M$721.483.34x
A9588Fluciclovine f-18, diagnostic, 1 millicurie3.3K$1.2M$367.632.38x
74177Ct scan of abdomen and pelvis with contrast4.5K$1.1M$237.873.88x
A9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries342$723.3K$2.1K1.65x
74178Ct scan of abdomen and pelvis before and after contrast2.2K$584.2K$262.426.42x
71260Ct scan of chest with contrast5.4K$504.2K$93.555.89x
A9595Piflufolastat f-18, diagnostic, 1 millicurie905$421.3K$465.583.30x
78306Bone and/or joint imaging, whole body1.6K$388.0K$238.622.48x
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies634$248.2K$391.471.98x
A9562Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries553$248.0K$448.471.69x
74176Ct scan of abdomen and pelvis without contrast1.5K$208.3K$141.805.65x
A9599Radiopharmaceutical, diagnostic, for beta-amyloid positron emission tomography (pet) imaging, per study dose, not otherwise specified78$173.2K$2.2K1.92x
A9592Copper cu-64, dotatate, diagnostic, 1 millicurie140$150.6K$1.1K3.47x
71250Ct scan of chest without contrast1.7K$145.6K$87.777.37x
A9500Technetium tc-99m sestamibi, diagnostic, per study dose1.5K$142.9K$92.311.90x
78814Nuclear medicine study with CT imaging111$125.6K$1.1K3.49x
A9520Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries42$85.3K$2.0K1.53x
78226Imaging of liver and bile duct system293$78.6K$268.362.30x

Markup Analysis

Charge-to-Payment Ratio

3.13x

This provider submits charges 3.13 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.13x means for every $100 Medicare pays, this provider initially charges $313. This is higher than the national average.

Location

Naples, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data