This provider's $5.6M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 51% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
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 | $345.54 | $91.50 | 3.78x | $254.04 | $357.0K | 4.7K | 4.7K |
| 2015 | $316.35 | $84.90 | 3.73x | $231.45 | $395.3K | 5.4K | 5.4K |
| 2016 | $363.42 | $100.36 | 3.62x | $263.06 | $517.7K | 6.8K | 6.8K |
| 2017 | $408.25 | $109.41 | 3.73x | $298.84 | $576.1K | 5.7K | 5.6K |
| 2018 | $400.35 | $111.07 | 3.60x | $289.28 | $616.4K | 6.0K | 6.0K |
| 2019 | $435.67 | $119.80 | 3.64x | $315.87 | $663.0K | 6.5K | 6.5K |
| 2020 | $557.83 | $149.27 | 3.74x | $408.56 | $684.8K | 6.5K | 6.5K |
| 2021 | $584.11 | $158.61 | 3.68x | $425.50 | $646.8K | 6.3K | 6.3K |
| 2022 | $667.22 | $169.82 | 3.93x | $497.40 | $585.3K | 5.9K | 5.9K |
| 2023 | $610.37 | $152.97 | 3.99x | $457.40 | $540.5K | 5.6K | 5.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 13.7K | $2.0M | $146.84 | 2.02x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 7.0K | $990.5K | $140.72 | 2.02x |
| 77063 | Screening digital tomography of both breasts | 16.5K | $969.6K | $58.84 | 4.00x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 401 | $209.5K | $522.56 | 3.48x |
| 77066 | Mammography of both breasts | 1.6K | $197.7K | $126.52 | 2.82x |
| 76642 | Ultrasound of one breast | 2.6K | $195.0K | $76.10 | 2.78x |
| 77065 | Mammography of one breast | 1.7K | $175.2K | $101.99 | 2.79x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 2.9K | $130.7K | $45.48 | 3.72x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 905 | $113.7K | $125.62 | 2.42x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 1.1K | $102.9K | $96.67 | 2.54x |
| 19081 | Biopsy of breast accessed throught the skin with stereotactic guidance | 172 | $91.1K | $529.75 | 3.43x |
| 74177 | CT scan of abdomen and pelvis with contrast | 258 | $66.2K | $256.41 | 5.12x |
| 77052 | Computer analysis of screening mammogram to assist detection of cancer | 4.9K | $46.8K | $9.50 | 3.72x |
| 71250 | CT scan chest | 309 | $36.5K | $118.23 | 5.24x |
| 77080 | Bone density measurement using dedicated X-ray machine | 590 | $26.5K | $44.87 | 5.52x |
| 71260 | CT scan chest with contrast | 198 | $25.1K | $126.70 | 6.08x |
| 76641 | Ultrasound of one breast | 177 | $21.2K | $119.55 | 3.14x |
| 76645 | Ultrasound of breasts | 231 | $18.2K | $78.57 | 2.18x |
| 74176 | CT scan of abdomen and pelvis | 112 | $17.9K | $160.26 | 7.23x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 49 | $14.8K | $301.57 | 5.08x |
This provider submits charges 2.74 times higher than what Medicare actually pays.
A markup ratio of 2.74x means for every $100 Medicare pays, this provider initially charges $274. 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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