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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.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Rachel Piechowiak
๐Ÿ“ก
DOIndividual

Rachel Piechowiak, D.O.

NPI: 1679867212
Reston, VA
10 years of data
Diagnostic Radiology
$7.7M
Total Payments
18.2K
Beneficiaries
21.3K
Services
3.27x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$7.7M
Specialty median$115.6K

๐Ÿ“‹ Key Findings

1Billed $7.7M over 10 years
23.27x markup ratio (above median)
399th percentile in Diagnostic Radiology by payments
4Payments surged 2121% in 2017
58 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $7.7M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.

Medicare payments to this provider grew 2847% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 2121% in 2017

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

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$125.52$33.893.70x$91.63$69.2K2.8K2.6K
2015$130.35$35.013.72x$95.34$74.0K2.8K2.5K
2016$228.37$58.553.90x$169.82$76.7K2.1K1.9K
2017$1.6K$653.752.45x$944.77$1.7M4.6K3.5K
2018$1.8K$617.672.95x$1.2K$1.0M2.7K2.0K
2019$693.67$243.802.85x$449.87$261.4K1.5K1.1K
2020$708.46$243.572.91x$464.89$220.1K1.2K1.1K
2021$3.3K$974.483.40x$2.3K$328.9K361350
2022$4.4K$1.2K3.55x$3.1K$1.9M1.6K1.5K
2023$4.2K$1.1K3.90x$3.1K$2.0M1.8K1.7K

Top Procedures (20)

37243Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roadmapping, and imaging guidance
$2.6M
291 services$8.9K/svc2.81x markup
37242Occlusion of artery (other than hemorrhage or tumor) with radiological supervision and interpretation, roadmapping, and imaging guidanceโš  4.9x markup
$1.2M
305 services$4.1K/svc4.87x markup
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure
$790.3K
81 services$9.8K/svc2.25x markup
37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedureโš  3.5x markup
$526.3K
81 services$6.5K/svc3.50x markup
36905Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation
$296.4K
150 services$2.0K/svc2.30x markup
36247Insertion of catheter into abdominal pelvic or leg artery, initial third order branchโš  6.2x markup
$247.4K
343 services$721.23/svc6.23x markup
36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation
$231.4K
214 services$1.1K/svc2.25x markup
36478Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin
$224.6K
221 services$1.0K/svc2.66x markup
36907Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation
$155.5K
236 services$659.00/svc2.21x markup
37248Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation
$128.0K
98 services$1.3K/svc2.27x markup
37252Ultrasound evaluation of blood vessel during diagnosis or treatment
$111.0K
100 services$1.1K/svc2.53x markup
36215Insertion of catheter into chest or arm arteryโš  4.5x markup
$105.7K
209 services$505.74/svc4.45x markup
93925Ultrasound study of arteries and arterial grafts of both legs
$72.3K
331 services$218.30/svc1.69x markup
37246Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretationโš  3.6x markup
$62.0K
52 services$1.2K/svc3.59x markup
99152Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes
$54.3K
1.2K services$46.67/svc2.63x markup
75726Radiological supervision and interpretation of imaging of abdominal arteryโš  7.0x markup
$50.6K
316 services$160.02/svc6.97x markup
75710Radiological supervision and interpretation of imaging of artery of one arm or legโš  3.1x markup
$49.8K
343 services$145.08/svc3.06x markup
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers
$49.3K
439 services$112.31/svc2.59x markup
36248Insertion of catheter into each additional abdominal, pelvic or leg arteryโš  3.5x markup
$38.5K
340 services$113.12/svc3.53x markup
37249Balloon dilation of additional vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation
$34.9K
57 services$612.48/svc2.08x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37243Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roadmapping, and imaging guidance291$2.6M$8.9K2.81x
37242Occlusion of artery (other than hemorrhage or tumor) with radiological supervision and interpretation, roadmapping, and imaging guidance305$1.2M$4.1K4.87x
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure81$790.3K$9.8K2.25x
37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure81$526.3K$6.5K3.50x
36905Excision of blood clot and/or infusion to dissolve blood clot in dialysis circuit and balloon dilation of dialysis segment, , accessed through the skin, with imaging including radiological supervision and interpretation150$296.4K$2.0K2.30x
36247Insertion of catheter into abdominal pelvic or leg artery, initial third order branch343$247.4K$721.236.23x
36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation214$231.4K$1.1K2.25x
36478Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin221$224.6K$1.0K2.66x
36907Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation236$155.5K$659.002.21x
37248Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation98$128.0K$1.3K2.27x
37252Ultrasound evaluation of blood vessel during diagnosis or treatment100$111.0K$1.1K2.53x
36215Insertion of catheter into chest or arm artery209$105.7K$505.744.45x
93925Ultrasound study of arteries and arterial grafts of both legs331$72.3K$218.301.69x
37246Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation52$62.0K$1.2K3.59x
99152Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes1.2K$54.3K$46.672.63x
75726Radiological supervision and interpretation of imaging of abdominal artery316$50.6K$160.026.97x
75710Radiological supervision and interpretation of imaging of artery of one arm or leg343$49.8K$145.083.06x
93970Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers439$49.3K$112.312.59x
36248Insertion of catheter into each additional abdominal, pelvic or leg artery340$38.5K$113.123.53x
37249Balloon dilation of additional vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation57$34.9K$612.482.08x

Markup Analysis

Charge-to-Payment Ratio

3.27x

This provider submits charges 3.27 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.27x means for every $100 Medicare pays, this provider initially charges $327. This is higher than the national average.

Location

Reston, VA

Provider Verification

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

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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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