This provider averages 62 services per working day
Based on 155.4K total services over 10 years (250 working days/year). Learn about impossible service volumes โ
This provider's $5.2M in total Medicare payments ranks in the 99th percentile of Interventional Radiology providers nationally.
Their average markup ratio of 5.41x is significantly above the specialty median of 5.1x.
Averaging 62 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 80% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 70% in 2021
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $181.30 | $35.77 | 5.07x | $145.53 | $385.8K | 16.0K | 14.6K |
| 2015 | $191.74 | $37.08 | 5.17x | $154.66 | $428.4K | 17.5K | 16.0K |
| 2016 | $191.49 | $36.24 | 5.28x | $155.25 | $433.7K | 17.8K | 16.3K |
| 2017 | $196.91 | $35.38 | 5.57x | $161.53 | $508.7K | 19.4K | 17.6K |
| 2018 | $177.58 | $32.90 | 5.40x | $144.68 | $449.0K | 17.1K | 15.8K |
| 2019 | $205.55 | $36.90 | 5.57x | $168.65 | $409.7K | 14.7K | 13.6K |
| 2020 | $209.35 | $37.34 | 5.61x | $172.01 | $354.8K | 12.6K | 11.3K |
| 2021 | $367.47 | $65.06 | 5.65x | $302.41 | $604.3K | 15.7K | 14.4K |
| 2022 | $502.15 | $83.12 | 6.04x | $419.03 | $917.5K | 13.3K | 12.7K |
| 2023 | $433.85 | $79.73 | 5.44x | $354.12 | $693.6K | 11.3K | 10.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 74177 | CT scan of abdomen and pelvis with contrast | 6.4K | $498.7K | $77.91 | 5.49x |
| 70450 | CT scan head or brain | 13.0K | $410.8K | $31.71 | 6.36x |
| 74176 | CT scan of abdomen and pelvis | 5.1K | $367.1K | $71.39 | 5.35x |
| 71250 | CT scan chest | 4.5K | $315.8K | $70.13 | 8.30x |
| 71260 | CT scan chest with contrast | 5.0K | $237.2K | $47.15 | 6.66x |
| 77063 | Screening digital tomography of both breasts | 6.3K | $183.1K | $29.05 | 1.26x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 980 | $163.4K | $166.77 | 6.33x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 4.5K | $155.2K | $34.26 | 3.18x |
| 72125 | CT scan of upper spine | 3.4K | $142.6K | $41.99 | 6.37x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 970 | $139.9K | $144.26 | 3.64x |
| 77067 | Mammography of both breasts | 3.6K | $130.4K | $36.68 | 3.16x |
| 71275 | CT scan of blood vessels in chest with contrast | 1.1K | $98.2K | $90.20 | 6.14x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.9K | $98.1K | $52.62 | 3.35x |
| 71010 | X-ray of chest, 1 view, front | 12.6K | $84.4K | $6.71 | 5.21x |
| 70551 | MRI scan brain | 1.5K | $84.4K | $55.06 | 6.19x |
| 71045 | X-ray of chest, 1 view | 12.3K | $82.2K | $6.67 | 5.45x |
| 70498 | CT scan of neck blood vessels with contrast | 882 | $78.7K | $89.23 | 6.62x |
| 70553 | MRI scan of brain before and after contrast | 853 | $74.9K | $87.81 | 5.23x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.7K | $70.0K | $40.38 | 3.75x |
| 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 828 | $65.7K | $79.33 | 7.19x |
This provider submits charges 5.41 times higher than what Medicare actually pays.
A markup ratio of 5.41x means for every $100 Medicare pays, this provider initially charges $541. 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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