This provider's $5.6M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 70% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
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 | $349.04 | $75.74 | 4.61x | $273.30 | $407.0K | 5.3K | 4.8K |
| 2015 | $394.68 | $89.67 | 4.40x | $305.01 | $408.8K | 4.2K | 4.0K |
| 2016 | $392.51 | $93.72 | 4.19x | $298.79 | $434.6K | 4.1K | 3.9K |
| 2017 | $389.46 | $92.57 | 4.21x | $296.89 | $508.4K | 5.0K | 4.7K |
| 2018 | $380.91 | $90.89 | 4.19x | $290.02 | $509.6K | 5.0K | 4.6K |
| 2019 | $405.05 | $96.04 | 4.22x | $309.01 | $555.5K | 5.6K | 5.1K |
| 2020 | $509.07 | $142.59 | 3.57x | $366.48 | $561.9K | 4.4K | 4.0K |
| 2021 | $450.62 | $138.55 | 3.25x | $312.07 | $802.9K | 5.0K | 4.6K |
| 2022 | $567.21 | $160.33 | 3.54x | $406.88 | $701.7K | 4.7K | 4.2K |
| 2023 | $577.86 | $150.17 | 3.85x | $427.69 | $692.4K | 5.4K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 2.2K | $3.0M | $1.4K | 3.49x |
| 78816 | Nuclear medicine study with CT imaging whole body | 573 | $817.6K | $1.4K | 3.41x |
| 78306 | Bone and/or joint imaging, whole body | 2.5K | $401.3K | $158.69 | 2.95x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2.7K | $310.0K | $113.58 | 6.98x |
| 71045 | X-ray of chest, 1 view | 10.3K | $78.3K | $7.62 | 5.91x |
| 74177 | CT scan of abdomen and pelvis with contrast | 304 | $70.8K | $232.81 | 6.36x |
| 71046 | X-ray of chest, 2 views | 4.6K | $65.4K | $14.22 | 4.45x |
| 78072 | Imaging of parathyroid with CT and nuclear medicine study | 149 | $59.1K | $396.67 | 3.66x |
| 71020 | X-ray of chest, 2 views, front and side | 3.9K | $57.8K | $14.81 | 4.67x |
| 78582 | Nuclear medicine study of lung ventilation and blood circulation in the lungs | 943 | $54.1K | $57.36 | 5.33x |
| 78264 | Stomach emptying study | 270 | $42.0K | $155.39 | 2.35x |
| 78227 | Imaging of liver and bile duct system with use of drugs | 299 | $41.2K | $137.80 | 2.75x |
| A9561 | Technetium tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries | 1.4K | $41.0K | $29.34 | 1.32x |
| 71250 | CT scan chest | 331 | $36.4K | $109.85 | 5.48x |
| 76770 | Ultrasound behind abdominal cavity | 575 | $33.7K | $58.56 | 4.15x |
| 71010 | X-ray of chest, 1 view, front | 4.1K | $31.5K | $7.75 | 5.81x |
| 71260 | CT scan chest with contrast | 216 | $29.0K | $134.38 | 6.88x |
| 76700 | Ultrasound of abdomen | 320 | $24.5K | $76.69 | 3.76x |
| 74176 | CT scan of abdomen and pelvis | 196 | $23.4K | $119.48 | 8.65x |
| 38792 | Injection of radioactive dye for X-ray identification of lymph node | 685 | $21.3K | $31.12 | 20.31x |
This provider submits charges 3.93 times higher than what Medicare actually pays.
A markup ratio of 3.93x means for every $100 Medicare pays, this provider initially charges $393. 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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