This provider's $10.5M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 5.45x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 62% 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $521.98 | $101.96 | 5.12x | $420.02 | $693.1K | 7.2K | 7.1K |
| 2015 | $588.57 | $113.76 | 5.17x | $474.81 | $871.0K | 8.0K | 7.7K |
| 2016 | $640.16 | $124.61 | 5.14x | $515.55 | $837.0K | 7.1K | 6.8K |
| 2017 | $612.15 | $122.19 | 5.01x | $489.96 | $908.8K | 8.4K | 8.1K |
| 2018 | $632.66 | $124.37 | 5.09x | $508.29 | $1.1M | 10.1K | 9.6K |
| 2019 | $694.52 | $136.02 | 5.11x | $558.50 | $1.3M | 10.5K | 9.9K |
| 2020 | $686.55 | $138.49 | 4.96x | $548.06 | $1.1M | 9.3K | 8.8K |
| 2021 | $810.92 | $156.12 | 5.19x | $654.80 | $1.3M | 9.4K | 8.9K |
| 2022 | $855.97 | $158.53 | 5.40x | $697.44 | $1.2M | 8.2K | 7.8K |
| 2023 | $890.35 | $163.76 | 5.44x | $726.59 | $1.1M | 7.1K | 6.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 74177 | CT scan of abdomen and pelvis with contrast | 9.9K | $2.0M | $202.90 | 4.59x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 1.7K | $2.0M | $1.1K | 3.39x |
| 74183 | MRI scan of abdomen before and after contrast | 3.7K | $1.1M | $308.68 | 7.22x |
| 71250 | CT scan chest | 9.0K | $908.5K | $101.35 | 7.50x |
| 74176 | CT scan of abdomen and pelvis | 7.0K | $840.2K | $119.93 | 5.72x |
| 71260 | CT scan chest with contrast | 5.4K | $562.6K | $104.78 | 8.73x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 2.1K | $556.2K | $264.84 | 5.12x |
| 78816 | Nuclear medicine study with CT imaging whole body | 264 | $301.5K | $1.1K | 3.39x |
| 72197 | MRI scan of pelvis before and after contrast | 935 | $219.8K | $235.10 | 9.37x |
| 78264 | Stomach emptying study | 776 | $192.8K | $248.45 | 3.01x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2.0K | $191.2K | $96.00 | 5.17x |
| 71275 | CT scan of blood vessels in chest with contrast | 1.3K | $181.5K | $138.96 | 6.19x |
| 74181 | MRI scan of abdomen | 1.1K | $164.5K | $156.40 | 7.69x |
| G0297 | Low dose ct scan (ldct) for lung cancer screening | 680 | $155.6K | $228.78 | 2.67x |
| 74170 | CT scan abdomen before and after contrast | 717 | $134.4K | $187.42 | 7.25x |
| 74160 | CT scan abdomen with contrast | 502 | $86.2K | $171.62 | 6.29x |
| 78227 | Imaging of liver and bile duct system with use of drugs | 238 | $77.2K | $324.40 | 4.38x |
| 74150 | CT scan abdomen | 522 | $51.6K | $98.82 | 8.37x |
| 76700 | Ultrasound of abdomen | 562 | $50.1K | $89.21 | 4.15x |
| 71270 | CT scan chest before and after contrast | 354 | $49.1K | $138.68 | 8.83x |
This provider submits charges 5.45 times higher than what Medicare actually pays.
A markup ratio of 5.45x means for every $100 Medicare pays, this provider initially charges $545. 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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