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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. Kenneth Averill
๐Ÿ“ก
MDIndividual

Kenneth Averill, MD

NPI: 1538182712
Santa Cruz, CA
10 years of data
Diagnostic Radiology
$5.4M
Total Payments
57.4K
Beneficiaries
58.0K
Services
3.23x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$5.4M
Specialty median$115.6K

๐Ÿ“‹ Key Findings

1Billed $5.4M over 10 years
23.23x markup ratio (above median)
399th percentile in Diagnostic Radiology by payments
418 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $5.4M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.

Medicare payments to this provider grew 149% from 2014 to 2023.

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$278.28$68.614.06x$209.67$299.0K4.4K4.3K
2015$297.25$71.864.14x$225.39$350.7K5.1K5.1K
2016$311.18$78.663.96x$232.52$499.9K7.4K7.3K
2017$406.82$95.984.24x$310.84$517.5K5.6K5.5K
2018$594.64$146.964.05x$447.68$555.8K5.4K5.3K
2019$601.05$156.173.85x$444.88$589.2K5.8K5.8K
2020$500.80$129.383.87x$371.42$508.2K4.8K4.8K
2021$583.45$146.973.97x$436.48$591.0K5.6K5.5K
2022$536.08$129.204.15x$406.88$695.2K6.6K6.5K
2023$595.54$137.334.34x$458.21$743.4K7.2K7.2K

Top Procedures (20)

77067Mammography of both breastsโš  3.0x markup
$1.9M
12.6K services$153.63/svc3.04x markup
77063Screening digital tomography of both breasts
$964.0K
16.0K services$60.16/svc3.00x markup
G0202Screening mammography, producing direct digital image, bilateral, all views
$950.3K
6.7K services$142.56/svc2.15x markup
76641Ultrasound of one breastโš  4.8x markup
$391.7K
3.7K services$105.56/svc4.83x markup
19083Biopsy of breast accessed throught the skin with ultrasound guidanceโš  4.0x markup
$189.8K
348 services$545.34/svc3.98x markup
76642Ultrasound of one breastโš  3.3x markup
$124.7K
1.7K services$73.66/svc3.34x markup
77080Bone density measurement using dedicated X-ray machineโš  3.7x markup
$113.6K
2.5K services$44.89/svc3.71x markup
763773D radiographic procedure with computerized image postprocessingโš  6.6x markup
$81.3K
1.5K services$53.94/svc6.56x markup
77049MRI of both breasts with and without contrastโš  4.0x markup
$78.9K
231 services$341.50/svc4.00x markup
77065Mammography of one breastโš  4.1x markup
$77.7K
705 services$110.23/svc4.13x markup
77066Mammography of both breastsโš  4.2x markup
$64.9K
481 services$134.85/svc4.21x markup
77059MRI scan of both breasts with contrastโš  5.7x markup
$61.1K
137 services$445.79/svc5.69x markup
G0206Diagnostic mammography, producing direct digital image, unilateral, all viewsโš  3.1x markup
$55.8K
580 services$96.27/svc3.14x markup
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206)โš  3.8x markup
$47.7K
1.0K services$47.36/svc3.80x markup
G0204Diagnostic mammography, producing direct digital image, bilateral, all viewsโš  3.1x markup
$46.5K
385 services$120.75/svc3.14x markup
77052Computer analysis of screening mammogram to assist detection of cancerโš  4.4x markup
$44.1K
4.7K services$9.32/svc4.40x markup
19285Placement of breast localization devices accessed through the skin with ultrasound guidanceโš  3.9x markup
$29.2K
69 services$422.72/svc3.86x markup
76645Ultrasound of breastsโš  3.5x markup
$18.2K
227 services$80.30/svc3.48x markup
70450CT scan head or brainโš  4.3x markup
$16.2K
513 services$31.65/svc4.35x markup
74177CT scan of abdomen and pelvis with contrastโš  3.1x markup
$13.0K
179 services$72.67/svc3.10x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
77067Mammography of both breasts12.6K$1.9M$153.633.04x
77063Screening digital tomography of both breasts16.0K$964.0K$60.163.00x
G0202Screening mammography, producing direct digital image, bilateral, all views6.7K$950.3K$142.562.15x
76641Ultrasound of one breast3.7K$391.7K$105.564.83x
19083Biopsy of breast accessed throught the skin with ultrasound guidance348$189.8K$545.343.98x
76642Ultrasound of one breast1.7K$124.7K$73.663.34x
77080Bone density measurement using dedicated X-ray machine2.5K$113.6K$44.893.71x
763773D radiographic procedure with computerized image postprocessing1.5K$81.3K$53.946.56x
77049MRI of both breasts with and without contrast231$78.9K$341.504.00x
77065Mammography of one breast705$77.7K$110.234.13x
77066Mammography of both breasts481$64.9K$134.854.21x
77059MRI scan of both breasts with contrast137$61.1K$445.795.69x
G0206Diagnostic mammography, producing direct digital image, unilateral, all views580$55.8K$96.273.14x
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206)1.0K$47.7K$47.363.80x
G0204Diagnostic mammography, producing direct digital image, bilateral, all views385$46.5K$120.753.14x
77052Computer analysis of screening mammogram to assist detection of cancer4.7K$44.1K$9.324.40x
19285Placement of breast localization devices accessed through the skin with ultrasound guidance69$29.2K$422.723.86x
76645Ultrasound of breasts227$18.2K$80.303.48x
70450CT scan head or brain513$16.2K$31.654.35x
74177CT scan of abdomen and pelvis with contrast179$13.0K$72.673.10x

Markup Analysis

Charge-to-Payment Ratio

3.23x

This provider submits charges 3.23 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.23x means for every $100 Medicare pays, this provider initially charges $323. This is higher than the national average.

Location

Santa Cruz, CA

Provider Verification

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

Similar Providers

Other Diagnostic Radiology providers in CA for peer comparison.

Kenneth Averill (you)
$5.4M
Stephen Liu, M.D.
$37.2M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Stephen Liu, M.D.Modesto, CA$37.2Mโœ“ Clear

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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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