This provider's $8.2M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 107% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 88% 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 | $346.99 | $106.71 | 3.25x | $240.28 | $705.7K | 5.4K | 5.3K |
| 2015 | $354.81 | $102.50 | 3.46x | $252.31 | $609.2K | 4.9K | 4.9K |
| 2016 | $396.20 | $115.61 | 3.43x | $280.59 | $738.5K | 5.1K | 5.1K |
| 2017 | $378.09 | $113.19 | 3.34x | $264.90 | $888.4K | 6.5K | 6.4K |
| 2018 | $402.67 | $116.66 | 3.45x | $286.01 | $701.1K | 6.0K | 5.9K |
| 2019 | $398.42 | $112.54 | 3.54x | $285.88 | $888.5K | 6.6K | 6.5K |
| 2020 | $395.74 | $115.32 | 3.43x | $280.42 | $838.5K | 5.1K | 5.1K |
| 2021 | $425.86 | $128.22 | 3.32x | $297.64 | $562.2K | 4.3K | 4.3K |
| 2022 | $424.41 | $132.11 | 3.21x | $292.30 | $774.9K | 4.8K | 4.8K |
| 2023 | $447.85 | $133.18 | 3.36x | $314.67 | $1.5M | 4.7K | 4.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 3.4K | $3.8M | $1.1K | 2.52x |
| 74177 | CT scan of abdomen and pelvis with contrast | 2.1K | $507.3K | $245.33 | 4.50x |
| 78816 | Nuclear medicine study with CT imaging whole body | 337 | $399.6K | $1.2K | 2.54x |
| 71250 | CT scan chest | 2.5K | $294.7K | $117.51 | 5.17x |
| 78306 | Bone and/or joint imaging, whole body | 1.2K | $238.2K | $196.34 | 2.70x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2.9K | $226.4K | $78.56 | 6.13x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 567 | $170.8K | $301.15 | 5.13x |
| 74176 | CT scan of abdomen and pelvis | 1.2K | $170.1K | $143.77 | 5.81x |
| 78315 | Bone and/or joint imaging, 3 phase study | 651 | $167.1K | $256.70 | 2.45x |
| 71260 | CT scan chest with contrast | 1.3K | $166.7K | $123.68 | 6.17x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 2.1K | $141.0K | $66.06 | 3.76x |
| 77080 | Bone density measurement using dedicated X-ray machine | 2.9K | $130.0K | $44.36 | 5.93x |
| 76536 | Ultrasound of head and neck | 975 | $89.3K | $91.61 | 2.49x |
| 78264 | Stomach emptying study | 327 | $80.1K | $244.87 | 2.60x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 124 | $79.3K | $639.42 | 1.40x |
| 78227 | Imaging of liver and bile duct system with use of drugs | 364 | $78.2K | $214.91 | 2.82x |
| 70450 | CT scan head or brain | 1.2K | $71.5K | $58.47 | 5.31x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 737 | $70.2K | $95.21 | 2.87x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 418 | $66.8K | $159.83 | 2.71x |
| 76700 | Ultrasound of abdomen | 685 | $65.5K | $95.56 | 2.91x |
This provider submits charges 3.28 times higher than what Medicare actually pays.
A markup ratio of 3.28x means for every $100 Medicare pays, this provider initially charges $328. 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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