This provider's $3.3M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 5.37x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 292% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 145% in 2021
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 | $96.51 | $31.37 | 3.08x | $65.14 | $197.5K | 7.3K | 6.5K |
| 2015 | $105.05 | $32.75 | 3.21x | $72.30 | $198.6K | 6.4K | 5.8K |
| 2016 | $99.63 | $31.55 | 3.16x | $68.08 | $207.7K | 6.8K | 6.2K |
| 2017 | $98.59 | $32.44 | 3.04x | $66.15 | $237.1K | 7.7K | 7.0K |
| 2018 | $100.86 | $33.58 | 3.00x | $67.28 | $219.5K | 7.1K | 6.3K |
| 2019 | $103.83 | $35.15 | 2.95x | $68.68 | $255.1K | 7.8K | 6.9K |
| 2020 | $142.41 | $51.77 | 2.75x | $90.64 | $157.4K | 3.5K | 3.2K |
| 2021 | $432.95 | $83.63 | 5.18x | $349.32 | $386.2K | 4.2K | 4.2K |
| 2022 | $776.88 | $106.06 | 7.32x | $670.82 | $688.8K | 6.2K | 6.1K |
| 2023 | $710.35 | $98.88 | 7.18x | $611.47 | $774.2K | 6.5K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 74177 | CT scan of abdomen and pelvis with contrast | 4.8K | $670.2K | $140.29 | 4.50x |
| 72197 | MRI scan of pelvis before and after contrast | 2.5K | $596.6K | $238.85 | 9.58x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 1.6K | $330.8K | $207.81 | 6.19x |
| 74176 | CT scan of abdomen and pelvis | 2.8K | $254.5K | $90.72 | 5.26x |
| 71250 | CT scan chest | 3.2K | $172.8K | $53.70 | 4.80x |
| 71260 | CT scan chest with contrast | 2.9K | $165.5K | $56.35 | 4.86x |
| 71275 | CT scan of blood vessels in chest with contrast | 1.5K | $117.1K | $76.75 | 3.25x |
| 74183 | MRI scan of abdomen before and after contrast | 627 | $109.5K | $174.72 | 7.07x |
| 71271 | Low dose ct scan of chest for lung cancer screening | 990 | $74.5K | $75.28 | 3.10x |
| 70450 | CT scan head or brain | 2.1K | $71.3K | $33.41 | 3.27x |
| G0297 | Low dose ct scan (ldct) for lung cancer screening | 735 | $53.5K | $72.86 | 2.14x |
| 74174 | CT scan of abdominal and pelvic blood vessels with contrast | 497 | $43.9K | $88.36 | 3.00x |
| 71010 | X-ray of chest, 1 view, front | 5.3K | $38.2K | $7.25 | 2.90x |
| 71020 | X-ray of chest, 2 views, front and side | 4.0K | $33.4K | $8.44 | 3.08x |
| 73721 | MRI scan of leg joint | 561 | $31.7K | $56.43 | 3.23x |
| 74160 | CT scan abdomen with contrast | 410 | $27.6K | $67.37 | 3.24x |
| 71046 | X-ray of chest, 2 views | 2.8K | $26.9K | $9.76 | 2.99x |
| 73221 | MRI scan of arm joint | 456 | $26.4K | $57.87 | 3.30x |
| 72125 | CT scan of upper spine | 573 | $24.4K | $42.61 | 3.17x |
| 71045 | X-ray of chest, 1 view | 3.1K | $23.5K | $7.54 | 2.80x |
This provider submits charges 5.37 times higher than what Medicare actually pays.
A markup ratio of 5.37x means for every $100 Medicare pays, this provider initially charges $537. 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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