This provider's $5.5M 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 | $627.25 | $153.11 | 4.10x | $474.14 | $850.0K | 11.6K | 11.2K |
| 2015 | $563.99 | $136.72 | 4.13x | $427.27 | $1.0M | 15.5K | 15.0K |
| 2016 | $492.61 | $119.25 | 4.13x | $373.36 | $986.2K | 15.1K | 14.6K |
| 2017 | $610.95 | $140.38 | 4.35x | $470.57 | $871.1K | 10.2K | 9.9K |
| 2018 | $520.64 | $128.15 | 4.06x | $392.49 | $358.0K | 4.4K | 4.4K |
| 2019 | $624.54 | $134.08 | 4.66x | $490.46 | $307.1K | 4.0K | 3.9K |
| 2020 | $617.40 | $131.86 | 4.68x | $485.54 | $342.2K | 4.3K | 4.2K |
| 2021 | $618.47 | $131.49 | 4.70x | $486.98 | $281.8K | 3.8K | 3.6K |
| 2022 | $649.64 | $124.05 | 5.24x | $525.59 | $216.1K | 3.1K | 3.0K |
| 2023 | $682.50 | $126.01 | 5.42x | $556.49 | $238.7K | 3.3K | 3.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 8.1K | $1.0M | $126.84 | 1.63x |
| 76641 | Ultrasound of one breast | 9.5K | $749.9K | $78.71 | 2.02x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 5.4K | $620.8K | $114.57 | 2.55x |
| 77063 | Screening digital tomography of both breasts | 8.1K | $432.1K | $53.11 | 1.41x |
| 77080 | Bone density measurement using dedicated X-ray machine | 10.3K | $403.3K | $38.99 | 7.95x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 7.7K | $314.7K | $40.92 | 1.83x |
| 77067 | Mammography of both breasts | 2.2K | $285.8K | $132.30 | 1.74x |
| 77059 | MRI scan of both breasts with contrast | 689 | $269.7K | $391.50 | 6.39x |
| 77066 | Mammography of both breasts | 2.1K | $251.6K | $121.55 | 2.71x |
| 19081 | Biopsy of breast accessed throught the skin with stereotactic guidance | 433 | $210.0K | $485.04 | 5.46x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 2.3K | $180.9K | $77.60 | 2.58x |
| 76645 | Ultrasound of breasts | 2.3K | $158.9K | $67.79 | 3.69x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 305 | $144.3K | $473.22 | 4.75x |
| 77049 | MRI of both breasts with and without contrast | 446 | $128.9K | $289.10 | 8.65x |
| 77065 | Mammography of one breast | 1.0K | $84.8K | $83.61 | 2.77x |
| 77052 | Computer analysis of screening mammogram to assist detection of cancer | 6.3K | $55.4K | $8.84 | 3.39x |
| 77051 | Computer analysis of diagnostic mammogram | 5.0K | $35.3K | $7.01 | 4.28x |
| 76830 | Ultrasound pelvis through vagina | 394 | $34.3K | $86.94 | 3.45x |
| 77058 | MRI scan of one breast with contrast | 74 | $29.2K | $395.05 | 3.80x |
| 76642 | Ultrasound of one breast | 382 | $23.2K | $60.76 | 1.72x |
This provider submits charges 3.11 times higher than what Medicare actually pays.
A markup ratio of 3.11x means for every $100 Medicare pays, this provider initially charges $311. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data