This provider's $4.0M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 6.15x is significantly above the specialty median of 5.4x.
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 | $486.21 | $79.86 | 6.09x | $406.35 | $347.6K | 4.0K | 3.7K |
| 2015 | $426.32 | $69.07 | 6.17x | $357.25 | $321.8K | 3.9K | 3.7K |
| 2016 | $382.79 | $66.85 | 5.73x | $315.94 | $290.5K | 3.5K | 3.4K |
| 2017 | $375.47 | $69.98 | 5.37x | $305.49 | $310.0K | 4.0K | 3.8K |
| 2018 | $411.97 | $75.43 | 5.46x | $336.54 | $304.6K | 3.8K | 3.6K |
| 2019 | $449.06 | $83.34 | 5.39x | $365.72 | $456.3K | 4.8K | 4.6K |
| 2020 | $486.64 | $86.75 | 5.61x | $399.89 | $412.3K | 3.9K | 3.8K |
| 2021 | $473.75 | $82.17 | 5.77x | $391.58 | $546.8K | 5.3K | 5.1K |
| 2022 | $447.65 | $74.66 | 6.00x | $372.99 | $511.5K | 5.6K | 5.4K |
| 2023 | $440.10 | $70.22 | 6.27x | $369.88 | $473.7K | 5.3K | 5.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 70553 | MRI scan of brain before and after contrast | 7.6K | $1.0M | $137.34 | 5.89x |
| 72148 | MRI scan of lower spinal canal | 6.0K | $730.7K | $122.23 | 6.84x |
| 70551 | MRI scan brain | 3.9K | $449.7K | $114.78 | 6.60x |
| 72141 | MRI scan of upper spinal canal | 2.7K | $297.8K | $109.97 | 7.05x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 1.6K | $243.7K | $154.81 | 5.52x |
| 70450 | CT scan head or brain | 6.0K | $226.1K | $37.78 | 5.28x |
| 72156 | MRI scan of upper spinal canal before and after contrast | 1.1K | $137.6K | $122.66 | 5.96x |
| 72157 | MRI scan of middle spinal canal before and after contrast | 978 | $114.6K | $117.18 | 5.53x |
| 72146 | MRI scan of middle spinal canal | 885 | $89.7K | $101.36 | 7.45x |
| 70543 | MRI scan bones of the eye, face, and/or neck before and after contrast | 444 | $74.1K | $166.98 | 5.33x |
| 70491 | CT scan of neck with contrast | 1.2K | $71.6K | $59.12 | 5.10x |
| 70544 | MRA scan of head blood vessels | 818 | $59.8K | $73.15 | 6.03x |
| 70496 | CT scan of blood vessel of head with contrast | 753 | $57.8K | $76.73 | 4.69x |
| 72131 | CT scan of lower spine | 678 | $38.6K | $56.88 | 5.40x |
| 70498 | CT scan of neck blood vessels with contrast | 553 | $36.8K | $66.63 | 5.20x |
| 70486 | CT scan of face | 563 | $29.6K | $52.61 | 6.01x |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 766 | $26.1K | $34.09 | 5.51x |
| 71020 | X-ray of chest, 2 views, front and side | 1.2K | $23.2K | $19.45 | 7.83x |
| 72125 | CT scan of upper spine | 349 | $21.1K | $60.41 | 5.08x |
| 71046 | X-ray of chest, 2 views | 947 | $20.0K | $21.17 | 7.18x |
This provider submits charges 6.15 times higher than what Medicare actually pays.
A markup ratio of 6.15x means for every $100 Medicare pays, this provider initially charges $615. 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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