This provider's $5.6M 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 | $164.07 | $71.12 | 2.31x | $92.95 | $631.5K | 8.4K | 8.3K |
| 2015 | $178.47 | $70.38 | 2.54x | $108.09 | $486.8K | 6.7K | 6.6K |
| 2016 | $188.22 | $69.01 | 2.73x | $119.21 | $560.5K | 7.9K | 7.8K |
| 2017 | $260.70 | $94.22 | 2.77x | $166.48 | $601.6K | 6.0K | 5.9K |
| 2018 | $274.99 | $99.21 | 2.77x | $175.78 | $607.5K | 6.0K | 6.0K |
| 2019 | $274.98 | $98.26 | 2.80x | $176.72 | $663.8K | 6.6K | 6.6K |
| 2020 | $268.30 | $95.88 | 2.80x | $172.42 | $610.6K | 6.0K | 5.9K |
| 2021 | $267.06 | $96.20 | 2.78x | $170.86 | $532.2K | 5.4K | 5.3K |
| 2022 | $273.29 | $92.70 | 2.95x | $180.59 | $500.9K | 5.4K | 5.2K |
| 2023 | $271.44 | $90.76 | 2.99x | $180.68 | $425.0K | 4.8K | 4.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 12.5K | $1.8M | $147.43 | 2.01x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 10.3K | $1.5M | $142.68 | 2.00x |
| 77063 | Screening digital tomography of both breasts | 15.7K | $925.3K | $59.00 | 3.95x |
| 76642 | Ultrasound of one breast | 4.0K | $311.9K | $77.44 | 2.83x |
| 77066 | Mammography of both breasts | 1.7K | $220.5K | $128.69 | 2.77x |
| 77065 | Mammography of one breast | 2.0K | $194.6K | $98.27 | 2.90x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 1.4K | $182.7K | $126.32 | 2.45x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 1.8K | $170.8K | $96.86 | 2.60x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 3.4K | $155.4K | $45.71 | 3.71x |
| 77052 | Computer analysis of screening mammogram to assist detection of cancer | 7.8K | $77.7K | $9.93 | 3.63x |
| 76641 | Ultrasound of one breast | 291 | $32.2K | $110.78 | 3.00x |
| 76645 | Ultrasound of breasts | 296 | $24.4K | $82.35 | 2.13x |
| 77051 | Computer analysis of diagnostic mammogram | 1.8K | $13.2K | $7.55 | 3.98x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 105 | $3.1K | $29.75 | 2.69x |
This provider submits charges 2.54 times higher than what Medicare actually pays.
A markup ratio of 2.54x means for every $100 Medicare pays, this provider initially charges $254. 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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