This provider's $4.3M in total Medicare payments ranks in the 98th percentile of Nuclear Medicine 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 | $802.24 | $157.49 | 5.09x | $644.75 | $632.9K | 4.1K | 4.0K |
| 2015 | $664.34 | $129.11 | 5.15x | $535.23 | $409.2K | 2.4K | 2.3K |
| 2016 | $607.28 | $128.38 | 4.73x | $478.90 | $381.8K | 1.9K | 1.9K |
| 2017 | $604.49 | $148.40 | 4.07x | $456.09 | $352.7K | 1.3K | 1.2K |
| 2018 | $781.74 | $148.65 | 5.26x | $633.09 | $424.8K | 1.6K | 1.4K |
| 2019 | $782.52 | $146.61 | 5.34x | $635.91 | $469.1K | 2.0K | 1.9K |
| 2020 | $861.45 | $185.16 | 4.65x | $676.29 | $540.5K | 1.8K | 1.7K |
| 2021 | $825.32 | $173.42 | 4.76x | $651.90 | $441.0K | 1.8K | 1.7K |
| 2022 | $862.39 | $204.35 | 4.22x | $658.04 | $345.6K | 1.2K | 1.1K |
| 2023 | $847.51 | $199.07 | 4.26x | $648.44 | $329.5K | 944 | 900 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78816 | Nuclear medicine study with CT imaging whole body | 1.6K | $2.3M | $1.4K | 3.47x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.6K | $416.9K | $258.60 | 1.93x |
| 77067 | Mammography of both breasts | 1.5K | $249.1K | $163.44 | 12.24x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 1.1K | $179.1K | $157.36 | 3.50x |
| 78306 | Bone and/or joint imaging, whole body | 637 | $147.9K | $232.26 | 4.53x |
| 76700 | Ultrasound of abdomen | 807 | $92.3K | $114.43 | 5.02x |
| 77063 | Screening digital tomography of both breasts | 1.2K | $80.5K | $65.45 | 7.64x |
| 78803 | Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, 1 day of imaging | 169 | $63.4K | $375.32 | 4.01x |
| 93976 | Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 413 | $63.1K | $152.90 | 6.54x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 161 | $54.3K | $337.26 | 8.90x |
| 78320 | Nuclear medicine study of bone and/or joint | 457 | $50.8K | $111.25 | 9.70x |
| 76641 | Ultrasound of one breast | 363 | $50.6K | $139.46 | 1.90x |
| 76770 | Ultrasound behind abdominal cavity | 467 | $48.8K | $104.41 | 5.27x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 473 | $32.7K | $69.08 | 5.95x |
| 76856 | Ultrasound of pelvis | 339 | $27.7K | $81.64 | 3.06x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 198 | $23.1K | $116.55 | 2.15x |
| 76645 | Ultrasound of breasts | 247 | $22.6K | $91.38 | 4.16x |
| 77080 | Bone density measurement using dedicated X-ray machine | 412 | $22.3K | $54.08 | 5.73x |
| 74176 | CT scan of abdomen and pelvis | 120 | $22.3K | $185.52 | 9.97x |
| 72100 | X-ray of lower and sacral spine, 2 or 3 views | 621 | $21.7K | $35.02 | 3.57x |
This provider submits charges 4.38 times higher than what Medicare actually pays.
A markup ratio of 4.38x means for every $100 Medicare pays, this provider initially charges $438. 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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