This provider's $4.4M 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.
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 | $310.19 | $150.95 | 2.05x | $159.24 | $428.2K | 6.2K | 6.1K |
| 2015 | $308.12 | $140.22 | 2.20x | $167.90 | $539.6K | 8.2K | 8.1K |
| 2016 | $348.15 | $130.30 | 2.67x | $217.85 | $445.7K | 7.7K | 7.6K |
| 2017 | $372.61 | $137.01 | 2.72x | $235.60 | $477.3K | 5.8K | 5.6K |
| 2018 | $368.12 | $128.63 | 2.86x | $239.49 | $509.9K | 5.8K | 5.6K |
| 2019 | $441.50 | $111.55 | 3.96x | $329.95 | $488.8K | 9.1K | 8.9K |
| 2020 | $340.73 | $47.06 | 7.24x | $293.67 | $375.8K | 9.0K | 8.9K |
| 2021 | $288.27 | $42.97 | 6.71x | $245.30 | $369.6K | 9.3K | 9.1K |
| 2022 | $319.00 | $43.77 | 7.29x | $275.23 | $354.3K | 9.2K | 9.1K |
| 2023 | $407.78 | $73.97 | 5.51x | $333.81 | $364.4K | 9.2K | 9.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 17.4K | $1.3M | $72.00 | 2.75x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 8.5K | $1.0M | $123.09 | 2.23x |
| 77063 | Screening digital tomography of both breasts | 22.3K | $733.3K | $32.84 | 2.21x |
| 77080 | Bone density measurement using dedicated X-ray machine | 8.2K | $197.3K | $24.12 | 8.11x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 594 | $193.2K | $325.17 | 3.61x |
| 77065 | Mammography of one breast | 2.3K | $129.0K | $55.02 | 3.50x |
| 76642 | Ultrasound of one breast | 2.4K | $108.2K | $45.54 | 3.71x |
| 19081 | Biopsy of breast accessed throught the skin with stereotactic guidance | 357 | $106.4K | $297.92 | 4.01x |
| 77066 | Mammography of both breasts | 1.3K | $90.3K | $70.80 | 3.59x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 1.1K | $90.3K | $85.47 | 2.89x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 3.8K | $86.3K | $22.78 | 2.36x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 747 | $81.9K | $109.70 | 2.83x |
| 77052 | Computer analysis of screening mammogram to assist detection of cancer | 6.5K | $53.8K | $8.32 | 5.36x |
| 76641 | Ultrasound of one breast | 839 | $47.1K | $56.14 | 3.31x |
| 19285 | Placement of breast localization devices accessed through the skin with ultrasound guidance | 218 | $42.8K | $196.51 | 3.08x |
| 77049 | MRI of both breasts with and without contrast | 255 | $20.8K | $81.61 | 4.12x |
| 76645 | Ultrasound of breasts | 295 | $20.2K | $68.59 | 3.91x |
| 19281 | Placement of breast localization devices accessed through the skin with mammographic guidance | 102 | $14.5K | $141.86 | 2.92x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 389 | $8.5K | $21.77 | 18.85x |
| 77051 | Computer analysis of diagnostic mammogram | 1.0K | $6.8K | $6.62 | 6.49x |
This provider submits charges 3.01 times higher than what Medicare actually pays.
A markup ratio of 3.01x means for every $100 Medicare pays, this provider initially charges $301. 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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