This provider's $4.1M in total Medicare payments ranks in the 98th percentile of Nuclear Medicine providers nationally.
Their average markup ratio of 5.69x is significantly above the specialty median of 4.0x.
Medicare payments to this provider grew 148% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 76% in 2022
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 | $358.42 | $81.25 | 4.41x | $277.17 | $314.7K | 5.1K | 5.0K |
| 2015 | $358.20 | $91.61 | 3.91x | $266.59 | $369.1K | 3.8K | 3.7K |
| 2016 | $261.61 | $62.36 | 4.20x | $199.25 | $265.1K | 4.0K | 4.0K |
| 2017 | $354.03 | $93.08 | 3.80x | $260.95 | $329.2K | 3.7K | 3.6K |
| 2018 | $254.77 | $67.52 | 3.77x | $187.25 | $322.4K | 3.5K | 3.3K |
| 2019 | $349.64 | $65.44 | 5.34x | $284.20 | $366.0K | 4.1K | 3.9K |
| 2020 | $537.01 | $74.81 | 7.18x | $462.20 | $313.6K | 3.3K | 3.2K |
| 2021 | $563.84 | $77.99 | 7.23x | $485.85 | $365.5K | 3.2K | 3.1K |
| 2022 | $754.83 | $103.81 | 7.27x | $651.02 | $642.8K | 2.7K | 2.5K |
| 2023 | $847.90 | $192.12 | 4.41x | $655.78 | $780.7K | 2.3K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 4.6K | $1.8M | $382.80 | 6.91x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.3K | $467.9K | $349.96 | 1.36x |
| 78816 | Nuclear medicine study with CT imaging whole body | 414 | $204.6K | $494.27 | 6.66x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 1.0K | $111.4K | $110.61 | 5.33x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.2K | $104.8K | $84.18 | 8.43x |
| 71250 | CT scan chest | 1.6K | $96.0K | $61.34 | 7.13x |
| 78306 | Bone and/or joint imaging, whole body | 864 | $77.9K | $90.20 | 4.57x |
| 74176 | CT scan of abdomen and pelvis | 904 | $71.6K | $79.16 | 6.85x |
| 71260 | CT scan chest with contrast | 1.3K | $65.6K | $48.69 | 8.56x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 789 | $65.2K | $82.68 | 6.90x |
| 78608 | Nuclear medicine study brain with metabolic evaluation | 59 | $61.2K | $1.0K | 4.51x |
| 78227 | Imaging of liver and bile duct system with use of drugs | 338 | $55.6K | $164.63 | 3.16x |
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 68 | $52.8K | $776.39 | 1.29x |
| 78264 | Stomach emptying study | 337 | $51.2K | $151.85 | 3.73x |
| 78070 | Imaging of parathyroid | 1.5K | $48.1K | $31.72 | 8.52x |
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 22 | $47.0K | $2.1K | 1.29x |
| 72148 | MRI scan of lower spinal canal | 383 | $40.4K | $105.47 | 8.44x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 88 | $40.0K | $455.08 | 1.31x |
| 76770 | Ultrasound behind abdominal cavity | 1.0K | $36.5K | $35.90 | 6.59x |
| 70553 | MRI scan of brain before and after contrast | 262 | $31.9K | $121.66 | 5.97x |
This provider submits charges 5.69 times higher than what Medicare actually pays.
A markup ratio of 5.69x means for every $100 Medicare pays, this provider initially charges $569. 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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