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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Elliot Lerner
๐Ÿ“ก
MDIndividual

Elliot Lerner, M.D.

NPI: 1639166598
Waldwick, NJ
10 years of data
Diagnostic Radiology
$4.5M
Total Payments
79.2K
Beneficiaries
86.3K
Services
5.66x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$4.5M
Specialty median$115.6K

๐Ÿ“‹ Key Findings

1Billed $4.5M over 10 years
25.66x markup ratio (above median)
399th percentile in Diagnostic Radiology by payments
420 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $4.5M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.

Their average markup ratio of 5.66x is significantly above the specialty median of 5.4x.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$376.15$78.034.82x$298.12$430.3K9.0K8.2K
2015$420.46$84.674.97x$335.79$483.1K9.6K8.7K
2016$362.55$71.065.10x$291.49$459.6K9.3K8.6K
2017$328.55$66.344.95x$262.21$462.0K9.7K8.8K
2018$348.57$69.864.99x$278.71$524.0K9.9K9.0K
2019$354.06$69.115.12x$284.95$447.2K8.5K7.8K
2020$361.90$70.525.13x$291.38$425.5K7.8K7.1K
2021$346.50$65.845.26x$280.66$461.9K7.8K7.2K
2022$349.04$64.005.45x$285.04$416.7K7.7K7.1K
2023$357.40$63.885.59x$293.52$397.2K7.1K6.6K

Top Procedures (20)

70450CT scan head or brainโš  5.9x markup
$764.2K
20.8K services$36.70/svc5.93x markup
70553MRI scan of brain before and after contrastโš  5.3x markup
$683.9K
4.2K services$163.37/svc5.29x markup
72148MRI scan of lower spinal canalโš  7.0x markup
$572.8K
4.0K services$141.90/svc6.96x markup
70551MRI scan brainโš  6.7x markup
$470.6K
4.2K services$112.60/svc6.68x markup
72141MRI scan of upper spinal canalโš  6.8x markup
$199.1K
1.5K services$130.19/svc6.84x markup
72125CT scan of upper spineโš  5.6x markup
$181.5K
3.9K services$46.21/svc5.56x markup
70498CT scan of neck blood vessels with contrastโš  4.2x markup
$136.5K
1.6K services$86.24/svc4.24x markup
72158MRI scan of lower spinal canal before and after contrastโš  5.3x markup
$135.7K
734 services$184.83/svc5.25x markup
70549MRA scan of neck blood vessels before and after contrastโš  3.7x markup
$124.3K
667 services$186.29/svc3.67x markup
72131CT scan of lower spineโš  5.7x markup
$123.0K
2.1K services$57.40/svc5.73x markup
70496CT scan of blood vessel of head with contrastโš  3.8x markup
$113.7K
1.4K services$79.21/svc3.84x markup
70486CT scan of faceโš  5.5x markup
$98.7K
1.4K services$72.93/svc5.55x markup
70544MRA scan of head blood vesselsโš  5.0x markup
$90.7K
917 services$98.95/svc5.01x markup
0042TComputed tomography (ct) of brain blood flow, volume, and timing of flow analysis with contrastโš  5.0x markup
$82.9K
390 services$212.65/svc5.01x markup
72146MRI scan of middle spinal canalโš  7.3x markup
$82.2K
655 services$125.46/svc7.30x markup
70491CT scan of neck with contrastโš  4.5x markup
$71.5K
694 services$103.00/svc4.54x markup
70543MRI scan bones of the eye, face, and/or neck before and after contrastโš  4.3x markup
$69.3K
258 services$268.76/svc4.27x markup
71045X-ray of chest, 1 viewโš  4.7x markup
$61.2K
8.2K services$7.48/svc4.68x markup
72156MRI scan of upper spinal canal before and after contrastโš  5.4x markup
$53.1K
301 services$176.32/svc5.40x markup
71010X-ray of chest, 1 view, frontโš  4.6x markup
$52.6K
6.9K services$7.64/svc4.58x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
70450CT scan head or brain20.8K$764.2K$36.705.93x
70553MRI scan of brain before and after contrast4.2K$683.9K$163.375.29x
72148MRI scan of lower spinal canal4.0K$572.8K$141.906.96x
70551MRI scan brain4.2K$470.6K$112.606.68x
72141MRI scan of upper spinal canal1.5K$199.1K$130.196.84x
72125CT scan of upper spine3.9K$181.5K$46.215.56x
70498CT scan of neck blood vessels with contrast1.6K$136.5K$86.244.24x
72158MRI scan of lower spinal canal before and after contrast734$135.7K$184.835.25x
70549MRA scan of neck blood vessels before and after contrast667$124.3K$186.293.67x
72131CT scan of lower spine2.1K$123.0K$57.405.73x
70496CT scan of blood vessel of head with contrast1.4K$113.7K$79.213.84x
70486CT scan of face1.4K$98.7K$72.935.55x
70544MRA scan of head blood vessels917$90.7K$98.955.01x
0042TComputed tomography (ct) of brain blood flow, volume, and timing of flow analysis with contrast390$82.9K$212.655.01x
72146MRI scan of middle spinal canal655$82.2K$125.467.30x
70491CT scan of neck with contrast694$71.5K$103.004.54x
70543MRI scan bones of the eye, face, and/or neck before and after contrast258$69.3K$268.764.27x
71045X-ray of chest, 1 view8.2K$61.2K$7.484.68x
72156MRI scan of upper spinal canal before and after contrast301$53.1K$176.325.40x
71010X-ray of chest, 1 view, front6.9K$52.6K$7.644.58x

Markup Analysis

Charge-to-Payment Ratio

5.66x

This provider submits charges 5.66 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5.66x means for every $100 Medicare pays, this provider initially charges $566. This is higher than the national average.

Location

Waldwick, NJ

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Diagnostic Radiology providers in NJ for peer comparison.

Elliot Lerner (you)
$4.5M
Scott Hollander, D.O.
$34.4M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Scott Hollander, D.O.Vineland, NJ$34.4Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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