This provider's $4.7M in total Medicare payments ranks in the 98th percentile of Nuclear Medicine providers nationally.
Medicare payments to this provider grew 250% from 2022 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 250% in 2023
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2022 | $2.6K | $655.75 | 3.92x | $1.9K | $1.0M | 1.6K | 6 |
| 2023 | $2.0K | $488.82 | 4.16x | $1.5K | $3.6M | 7.4K | 9 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 1.8K | $2.8M | $1.5K | 3.97x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 2.0K | $977.2K | $479.95 | 5.40x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.5K | $580.1K | $378.42 | 2.64x |
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 344 | $250.6K | $728.39 | 3.88x |
| A9587 | Gallium ga-68, dotatate, diagnostic, 0.1 millicurie | 1.6K | $79.4K | $50.70 | 3.94x |
| 82947 | Blood glucose (sugar) level | 1.4K | $5.4K | $3.84 | 13.02x |
| 36415 | Insertion of needle into vein for collection of blood sample | 241 | $1.7K | $7.18 | 2.79x |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 14 | $261.24 | $18.66 | 5.36x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 21 | $159.81 | $7.61 | 19.71x |
| 80053 | Blood test, comprehensive group of blood chemicals | 15 | $155.25 | $10.35 | 5.80x |
This provider submits charges 4.11 times higher than what Medicare actually pays.
A markup ratio of 4.11x means for every $100 Medicare pays, this provider initially charges $411. 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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