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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. James Shelby
๐Ÿ“ก
MDIndividual

James Shelby, MD

NPI: 1538102074
Boca Raton, FL
10 years of data
Diagnostic Radiology
$3.4M
Total Payments
37.9K
Beneficiaries
38.6K
Services
4.69x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$3.4M
Specialty median$115.6K

๐Ÿ“‹ Key Findings

1Billed $3.4M over 10 years
24.69x markup ratio (above median)
398th percentile in Diagnostic Radiology by payments
416 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $3.4M in total Medicare payments ranks in the 98th 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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$151.38$46.203.28x$105.18$421.2K6.6K6.4K
2015$153.16$45.673.35x$107.49$445.2K6.5K6.4K
2016$185.38$64.242.89x$121.14$504.8K5.8K5.7K
2017$198.21$69.142.87x$129.07$302.9K3.4K3.4K
2018$240.23$87.932.73x$152.30$313.6K3.1K3.1K
2019$239.53$87.412.74x$152.12$326.7K3.6K3.5K
2020$288.85$85.653.37x$203.20$242.3K2.4K2.4K
2021$355.44$113.343.14x$242.10$242.4K2.0K1.9K
2022$1.2K$109.9810.56x$1.1K$300.4K2.5K2.5K
2023$1.4K$102.3613.67x$1.3K$324.0K2.7K2.6K

Top Procedures (20)

73721MRI scan of leg jointโš  5.3x markup
$999.4K
7.3K services$136.09/svc5.27x markup
73221MRI scan of arm jointโš  4.5x markup
$670.8K
6.6K services$102.17/svc4.48x markup
73718MRI scan of legโš  4.0x markup
$368.7K
2.3K services$158.43/svc4.00x markup
73218MRI scan of armโš  3.7x markup
$182.7K
2.1K services$86.68/svc3.69x markup
73700CT scan legโš  4.5x markup
$142.6K
1.4K services$98.36/svc4.49x markup
72148MRI scan of lower spinal canalโš  7.7x markup
$130.9K
1.3K services$104.42/svc7.69x markup
72195MRI scan of pelvisโš  4.2x markup
$116.1K
650 services$178.64/svc4.22x markup
73200CT scan of armโš  4.4x markup
$69.4K
610 services$113.69/svc4.36x markup
73720MRI scan of leg before and after contrastโš  3.8x markup
$62.6K
203 services$308.41/svc3.75x markup
70553MRI scan of brain before and after contrastโš  6.1x markup
$60.1K
436 services$137.91/svc6.09x markup
71250CT scan chestโš  3.4x markup
$54.6K
999 services$54.65/svc3.39x markup
74177CT scan of abdomen and pelvis with contrast
$50.4K
461 services$109.40/svc2.67x markup
74176CT scan of abdomen and pelvis
$49.2K
533 services$92.39/svc2.65x markup
72141MRI scan of upper spinal canalโš  7.9x markup
$41.5K
419 services$99.14/svc7.87x markup
70551MRI scan brainโš  7.7x markup
$37.4K
354 services$105.73/svc7.71x markup
73723MRI scan of leg joint before and after contrastโš  3.6x markup
$30.1K
89 services$337.72/svc3.58x markup
74183MRI scan of abdomen before and after contrast
$25.6K
155 services$165.43/svc2.63x markup
74178CT scan of abdomen and pelvis before and after contrast
$20.5K
145 services$141.12/svc2.55x markup
71020X-ray of chest, 2 views, front and sideโš  3.6x markup
$20.4K
2.4K services$8.50/svc3.59x markup
71046X-ray of chest, 2 viewsโš  3.2x markup
$18.0K
1.0K services$17.69/svc3.21x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
73721MRI scan of leg joint7.3K$999.4K$136.095.27x
73221MRI scan of arm joint6.6K$670.8K$102.174.48x
73718MRI scan of leg2.3K$368.7K$158.434.00x
73218MRI scan of arm2.1K$182.7K$86.683.69x
73700CT scan leg1.4K$142.6K$98.364.49x
72148MRI scan of lower spinal canal1.3K$130.9K$104.427.69x
72195MRI scan of pelvis650$116.1K$178.644.22x
73200CT scan of arm610$69.4K$113.694.36x
73720MRI scan of leg before and after contrast203$62.6K$308.413.75x
70553MRI scan of brain before and after contrast436$60.1K$137.916.09x
71250CT scan chest999$54.6K$54.653.39x
74177CT scan of abdomen and pelvis with contrast461$50.4K$109.402.67x
74176CT scan of abdomen and pelvis533$49.2K$92.392.65x
72141MRI scan of upper spinal canal419$41.5K$99.147.87x
70551MRI scan brain354$37.4K$105.737.71x
73723MRI scan of leg joint before and after contrast89$30.1K$337.723.58x
74183MRI scan of abdomen before and after contrast155$25.6K$165.432.63x
74178CT scan of abdomen and pelvis before and after contrast145$20.5K$141.122.55x
71020X-ray of chest, 2 views, front and side2.4K$20.4K$8.503.59x
71046X-ray of chest, 2 views1.0K$18.0K$17.693.21x

Markup Analysis

Charge-to-Payment Ratio

4.69x

This provider submits charges 4.69 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.69x means for every $100 Medicare pays, this provider initially charges $469. This is higher than the national average.

Location

Boca Raton, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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