This provider's $4.7M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 58% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $417.38 | $121.65 | 3.43x | $295.73 | $486.5K | 3.2K | 3.1K |
| 2015 | $378.30 | $105.53 | 3.58x | $272.77 | $408.7K | 2.8K | 2.8K |
| 2016 | $375.04 | $102.83 | 3.65x | $272.21 | $355.5K | 2.8K | 2.8K |
| 2017 | $500.44 | $147.43 | 3.39x | $353.01 | $544.0K | 3.2K | 3.1K |
| 2018 | $512.20 | $155.50 | 3.29x | $356.70 | $453.2K | 2.3K | 2.3K |
| 2019 | $698.75 | $212.47 | 3.29x | $486.28 | $496.0K | 2.2K | 2.1K |
| 2020 | $1.1K | $292.98 | 3.62x | $766.73 | $392.2K | 1.2K | 1.2K |
| 2021 | $911.98 | $233.92 | 3.90x | $678.06 | $418.8K | 1.6K | 1.6K |
| 2022 | $1.1K | $309.54 | 3.62x | $811.46 | $662.1K | 1.8K | 1.8K |
| 2023 | $640.71 | $119.41 | 5.37x | $521.30 | $510.6K | 2.1K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 3.8K | $2.4M | $647.01 | 3.24x |
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 222 | $410.3K | $1.8K | 2.89x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 107 | $221.3K | $2.1K | 2.79x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.7K | $173.9K | $102.31 | 3.96x |
| 78816 | Nuclear medicine study with CT imaging whole body | 324 | $169.6K | $523.32 | 3.39x |
| 78306 | Bone and/or joint imaging, whole body | 1.2K | $168.3K | $143.13 | 3.37x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.2K | $128.4K | $102.87 | 6.92x |
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 142 | $122.5K | $862.72 | 3.03x |
| 78072 | Imaging of parathyroid with CT and nuclear medicine study | 239 | $80.2K | $335.63 | 5.27x |
| A9597 | Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified | 18 | $66.9K | $3.7K | 3.16x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 44 | $58.1K | $1.3K | 1.88x |
| A9587 | Gallium ga-68, dotatate, diagnostic, 0.1 millicurie | 64 | $54.6K | $853.81 | 2.91x |
| 78607 | Nuclear medicine study of brain | 190 | $53.0K | $278.78 | 3.23x |
| 71260 | CT scan chest with contrast | 682 | $45.3K | $66.40 | 5.17x |
| 78315 | Bone and/or joint imaging, 3 phase study | 180 | $42.3K | $235.01 | 2.46x |
| 74176 | CT scan of abdomen and pelvis | 514 | $35.2K | $68.53 | 8.40x |
| 78227 | Imaging of liver and bile duct system with use of drugs | 208 | $33.5K | $161.15 | 3.51x |
| 76700 | Ultrasound of abdomen | 449 | $28.5K | $63.53 | 3.65x |
| 78264 | Stomach emptying study | 146 | $25.4K | $173.83 | 2.54x |
| 78803 | Nuclear medicine study of radioactive material distribution | 82 | $24.9K | $304.17 | 3.68x |
This provider submits charges 3.52 times higher than what Medicare actually pays.
A markup ratio of 3.52x means for every $100 Medicare pays, this provider initially charges $352. 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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