This provider's $4.0M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 7.39x is significantly above the specialty median of 5.4x.
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 | $317.92 | $62.86 | 5.06x | $255.06 | $320.6K | 5.1K | 4.9K |
| 2015 | $409.28 | $72.04 | 5.68x | $337.24 | $365.3K | 4.9K | 4.8K |
| 2016 | $367.81 | $65.47 | 5.62x | $302.34 | $470.8K | 6.5K | 6.2K |
| 2017 | $459.91 | $80.27 | 5.73x | $379.64 | $426.0K | 4.9K | 4.8K |
| 2018 | $451.12 | $77.61 | 5.81x | $373.51 | $458.0K | 5.3K | 5.2K |
| 2019 | $501.29 | $67.19 | 7.46x | $434.10 | $496.5K | 6.4K | 6.3K |
| 2020 | $576.62 | $67.53 | 8.54x | $509.09 | $415.8K | 5.4K | 5.4K |
| 2021 | $608.79 | $70.64 | 8.62x | $538.15 | $407.5K | 5.2K | 5.1K |
| 2022 | $628.18 | $68.13 | 9.22x | $560.05 | $373.7K | 5.1K | 5.0K |
| 2023 | $599.03 | $56.00 | 10.70x | $543.03 | $285.2K | 4.9K | 4.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 70553 | MRI scan of brain before and after contrast | 4.4K | $852.7K | $191.74 | 7.44x |
| 72148 | MRI scan of lower spinal canal | 3.5K | $464.8K | $132.08 | 7.46x |
| 70551 | MRI scan brain | 4.1K | $429.3K | $105.81 | 7.24x |
| 70450 | CT scan head or brain | 4.2K | $208.4K | $49.40 | 7.84x |
| 70544 | MRA scan of head blood vessels | 2.2K | $207.4K | $95.08 | 5.86x |
| 72141 | MRI scan of upper spinal canal | 1.5K | $181.6K | $118.69 | 7.43x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 773 | $152.9K | $197.81 | 7.35x |
| 70498 | CT scan of neck blood vessels with contrast | 1.7K | $151.3K | $88.09 | 10.54x |
| 70486 | CT scan of face | 1.5K | $130.5K | $87.51 | 5.92x |
| 70543 | MRI scan bones of the eye, face, and/or neck before and after contrast | 438 | $128.1K | $292.45 | 6.02x |
| 70496 | CT scan of blood vessel of head with contrast | 1.4K | $122.5K | $87.85 | 9.03x |
| 70491 | CT scan of neck with contrast | 1.0K | $118.9K | $115.13 | 5.15x |
| 70547 | MRA scan of neck blood vessels | 893 | $79.0K | $88.44 | 6.37x |
| 72146 | MRI scan of middle spinal canal | 715 | $75.3K | $105.26 | 8.39x |
| 72131 | CT scan of lower spine | 666 | $56.8K | $85.23 | 6.67x |
| 72156 | MRI scan of upper spinal canal before and after contrast | 266 | $50.0K | $187.92 | 8.19x |
| 70549 | MRA scan of neck blood vessels before and after contrast | 650 | $50.0K | $76.87 | 8.16x |
| 74177 | CT scan of abdomen and pelvis with contrast | 695 | $48.4K | $69.61 | 11.92x |
| 72125 | CT scan of upper spine | 834 | $45.1K | $54.09 | 8.24x |
| 72157 | MRI scan of middle spinal canal before and after contrast | 203 | $33.0K | $162.75 | 8.00x |
This provider submits charges 7.39 times higher than what Medicare actually pays.
A markup ratio of 7.39x means for every $100 Medicare pays, this provider initially charges $739. 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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