This provider's $7.1M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 244% from 2014 to 2023.
69% of their billing comes from a single procedure code (78815 โ Nuclear medicine study with CT imaging skull base to mid-thigh).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 128% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $805.10 | $228.44 | 3.52x | $576.66 | $551.0K | 1.2K | 1.0K |
| 2015 | $507.64 | $129.89 | 3.91x | $377.75 | $501.3K | 1.4K | 1.3K |
| 2016 | $445.64 | $115.60 | 3.86x | $330.04 | $621.3K | 2.1K | 2.0K |
| 2017 | $298.18 | $78.64 | 3.79x | $219.54 | $543.3K | 3.9K | 3.5K |
| 2018 | $295.57 | $89.44 | 3.30x | $206.13 | $608.8K | 4.9K | 4.4K |
| 2019 | $395.07 | $118.35 | 3.34x | $276.72 | $577.1K | 4.9K | 4.4K |
| 2020 | $353.78 | $114.81 | 3.08x | $238.97 | $462.5K | 3.6K | 3.2K |
| 2021 | $580.48 | $123.29 | 4.71x | $457.19 | $555.9K | 3.7K | 3.3K |
| 2022 | $520.45 | $153.40 | 3.39x | $367.05 | $830.9K | 3.3K | 3.0K |
| 2023 | $592.09 | $243.87 | 2.43x | $348.22 | $1.9M | 3.5K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 3.8K | $4.7M | $1.3K | 2.53x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 3.6K | $568.5K | $156.39 | 1.44x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.3K | $164.6K | $126.46 | 5.40x |
| 76700 | Ultrasound of abdomen | 1.6K | $153.5K | $96.52 | 3.27x |
| A9586 | Florbetapir f18, diagnostic, per study dose, up to 10 millicuries | 64 | $152.0K | $2.4K | 1.28x |
| 76536 | Ultrasound of head and neck | 1.5K | $147.7K | $98.18 | 3.26x |
| 78608 | Nuclear medicine study brain with metabolic evaluation | 102 | $138.3K | $1.4K | 2.57x |
| 78814 | Nuclear medicine study limited area with ct scan | 80 | $118.4K | $1.5K | 1.89x |
| 71250 | CT scan chest | 1.4K | $98.5K | $72.86 | 4.28x |
| 78816 | Nuclear medicine study with CT imaging whole body | 80 | $98.4K | $1.2K | 2.18x |
| 74176 | CT scan of abdomen and pelvis | 851 | $80.4K | $94.42 | 6.57x |
| 76856 | Ultrasound of pelvis | 828 | $56.9K | $68.69 | 4.41x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 305 | $53.7K | $176.20 | 6.05x |
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | 144 | $51.8K | $360.03 | 1.77x |
| 71260 | CT scan chest with contrast | 720 | $46.9K | $65.08 | 5.01x |
| 71045 | X-ray of chest, 1 view | 4.9K | $38.3K | $7.81 | 4.37x |
| 76775 | Ultrasound behind abdominal cavity, limited | 860 | $34.7K | $40.37 | 3.61x |
| 95957 | Measurement of brain wave activity (eeg), digital analysis | 144 | $32.1K | $223.21 | 2.38x |
| 70450 | CT scan head or brain | 599 | $25.2K | $42.07 | 4.71x |
| 73721 | MRI scan of leg joint | 419 | $23.5K | $56.07 | 3.84x |
This provider submits charges 2.79 times higher than what Medicare actually pays.
A markup ratio of 2.79x means for every $100 Medicare pays, this provider initially charges $279. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Diagnostic Radiology providers in NJ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Scott Hollander, D.O. | Vineland, NJ | $34.4M | โ Clear |
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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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