This provider's $3.3M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 179% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 153% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $448.56 | $120.59 | 3.72x | $327.97 | $210.5K | 2.7K | 2.7K |
| 2015 | $537.93 | $160.38 | 3.35x | $377.55 | $241.6K | 3.3K | 3.2K |
| 2016 | $570.91 | $159.69 | 3.58x | $411.22 | $328.0K | 4.4K | 4.4K |
| 2017 | $535.49 | $163.05 | 3.28x | $372.44 | $351.5K | 3.6K | 3.5K |
| 2018 | $698.40 | $221.60 | 3.15x | $476.80 | $384.9K | 3.7K | 3.7K |
| 2019 | $564.03 | $166.96 | 3.38x | $397.07 | $389.8K | 3.8K | 3.8K |
| 2020 | $500.19 | $150.06 | 3.33x | $350.13 | $349.0K | 3.3K | 3.3K |
| 2021 | $479.45 | $141.00 | 3.40x | $338.45 | $250.4K | 2.6K | 2.5K |
| 2022 | $457.27 | $129.91 | 3.52x | $327.36 | $232.3K | 4.0K | 4.0K |
| 2023 | $475.70 | $113.24 | 4.20x | $362.46 | $587.8K | 7.8K | 7.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 9.9K | $1.2M | $124.86 | 2.36x |
| 77063 | Screening digital tomography of both breasts | 13.2K | $701.4K | $52.99 | 3.19x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 4.8K | $654.8K | $137.65 | 2.33x |
| 76642 | Ultrasound of one breast | 1.6K | $104.6K | $66.64 | 3.60x |
| 77065 | Mammography of one breast | 1.1K | $101.2K | $93.35 | 3.15x |
| 77066 | Mammography of both breasts | 893 | $98.2K | $109.96 | 3.03x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 171 | $95.6K | $559.15 | 3.29x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 1.9K | $73.8K | $38.08 | 3.82x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 469 | $49.5K | $105.63 | 3.05x |
| 19081 | Biopsy of breast accessed throught the skin with stereotactic guidance | 65 | $35.7K | $549.50 | 3.31x |
| 77049 | MRI of both breasts with and without contrast | 98 | $29.7K | $303.31 | 4.41x |
| 77052 | Computer analysis of screening mammogram to assist detection of cancer | 3.2K | $29.4K | $9.18 | 4.73x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 210 | $29.2K | $139.23 | 2.85x |
| 77059 | MRI scan of both breasts with contrast | 78 | $24.6K | $315.82 | 4.62x |
| 19285 | Placement of breast localization devices accessed through the skin with ultrasound guidance | 35 | $15.5K | $443.23 | 2.91x |
| 77080 | Bone density measurement of the core or central skeleton (e.g., hips, pelvis, spine) | 372 | $15.3K | $40.99 | 5.66x |
| 74177 | CT scan of abdomen and pelvis with contrast | 99 | $11.2K | $113.56 | 6.33x |
| 76645 | Ultrasound of breasts | 91 | $7.4K | $80.97 | 3.14x |
| 74176 | CT scan of abdomen and pelvis | 39 | $3.7K | $95.84 | 7.08x |
| 77051 | Computer analysis of diagnostic mammogram | 439 | $3.2K | $7.38 | 6.37x |
This provider submits charges 2.8 times higher than what Medicare actually pays.
A markup ratio of 2.8x means for every $100 Medicare pays, this provider initially charges $280. 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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