This provider's $4.4M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 5.32x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 145% 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 | $179.04 | $30.66 | 5.84x | $148.38 | $276.9K | 12.1K | 11.4K |
| 2015 | $173.21 | $30.95 | 5.60x | $142.26 | $329.1K | 14.1K | 13.2K |
| 2016 | $212.18 | $38.10 | 5.57x | $174.08 | $367.6K | 14.1K | 13.4K |
| 2017 | $230.66 | $39.81 | 5.79x | $190.85 | $354.9K | 11.4K | 10.7K |
| 2018 | $313.89 | $56.48 | 5.56x | $257.41 | $460.6K | 12.4K | 12.0K |
| 2019 | $283.49 | $47.87 | 5.92x | $235.62 | $464.8K | 12.0K | 11.7K |
| 2020 | $379.50 | $61.42 | 6.18x | $318.08 | $450.6K | 9.0K | 8.9K |
| 2021 | $353.13 | $56.30 | 6.27x | $296.83 | $525.6K | 11.1K | 10.9K |
| 2022 | $469.53 | $71.89 | 6.53x | $397.64 | $511.4K | 8.2K | 8.1K |
| 2023 | $509.21 | $78.26 | 6.51x | $430.95 | $677.3K | 9.9K | 9.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 10.6K | $877.6K | $82.76 | 4.08x |
| 77063 | Screening digital tomography of both breasts | 11.8K | $488.3K | $41.44 | 4.37x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 6.3K | $421.2K | $67.14 | 2.41x |
| 72197 | MRI scan of pelvis before and after contrast | 1.3K | $202.9K | $159.54 | 8.29x |
| 74177 | CT scan of abdomen and pelvis with contrast | 2.1K | $173.9K | $81.80 | 7.51x |
| 19081 | Biopsy of breast accessed through the skin with stereotactic guidance | 421 | $173.0K | $410.90 | 6.27x |
| 77065 | Mammography of one breast | 2.5K | $157.3K | $63.89 | 5.77x |
| 77049 | MRI of both breasts with and without contrast | 508 | $130.9K | $257.77 | 5.63x |
| 70450 | CT scan head or brain | 3.4K | $99.8K | $29.12 | 5.93x |
| 19085 | Biopsy of breast accessed through the skin with MRI guidance | 115 | $76.8K | $667.47 | 5.50x |
| 76642 | Ultrasound of one breast | 1.9K | $76.0K | $40.13 | 5.85x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 262 | $75.7K | $288.76 | 4.31x |
| 74176 | CT scan of abdomen and pelvis | 1.1K | $67.9K | $64.67 | 7.05x |
| 76700 | Ultrasound of abdomen | 1.5K | $67.3K | $44.68 | 5.41x |
| 19083 | Biopsy of breast accessed through the skin with ultrasound guidance | 165 | $66.5K | $403.33 | 6.20x |
| 71020 | X-ray of chest, 2 views, front and side | 8.2K | $63.6K | $7.75 | 6.90x |
| 70553 | MRI scan of brain before and after contrast | 546 | $62.6K | $114.56 | 7.40x |
| 77059 | MRI scan of both breasts with contrast | 168 | $61.3K | $364.77 | 7.40x |
| 71260 | CT scan chest with contrast | 1.2K | $60.8K | $50.11 | 6.72x |
| 71046 | X-ray of chest, 2 views | 6.4K | $54.6K | $8.60 | 5.64x |
This provider submits charges 5.32 times higher than what Medicare actually pays.
A markup ratio of 5.32x means for every $100 Medicare pays, this provider initially charges $532. 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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