OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
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. Sandeep Bagla
๐Ÿ“ก
MDIndividual

Sandeep Bagla, M.D.

NPI: 1689718611
Falls Church, VA
10 years of data
Diagnostic Radiology
$19.3M
Total Payments
25.1K
Beneficiaries
31.0K
Services
3.82x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$19.3M
Specialty median$115.6K

๐Ÿ“‹ Key Findings

1Billed $19.3M over 10 years
23.82x markup ratio (above median)
399th percentile in Diagnostic Radiology by payments
4Payments surged 2481% in 2016
512 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $19.3M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.

Medicare payments to this provider grew 228% 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 2481% in 2016

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$602.71$85.877.02x$516.84$106.2K1.6K1.5K
2015$598.86$82.687.24x$516.18$65.0K956861
2016$2.3K$737.663.05x$1.5K$1.7M3.8K2.6K
2017$2.4K$1.1K2.25x$1.3K$2.8M4.7K3.6K
2018$2.3K$726.333.20x$1.6K$2.2M4.4K3.1K
2019$2.3K$781.272.93x$1.5K$2.8M4.4K3.0K
2020$5.0K$1.2K4.27x$3.8K$2.4M2.7K2.5K
2021$6.1K$1.3K4.65x$4.8K$4.1M4.3K4.1K
2022$3.7K$717.315.15x$3.0K$2.8M3.6K3.4K
2023$3.8K$866.794.33x$2.9K$348.1K463462

Top Procedures (20)

37243Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roadmapping, and imaging guidanceโš  3.5x markup
$6.6M
779 services$8.4K/svc3.46x markup
37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedureโš  3.1x markup
$3.1M
387 services$8.1K/svc3.09x markup
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedureโš  3.0x markup
$2.7M
337 services$7.9K/svc3.04x markup
37242Occlusion of artery (other than hemorrhage or tumor) with radiological supervision and interpretation, roadmapping, and imaging guidanceโš  6.8x markup
$2.4M
589 services$4.0K/svc6.80x markup
36247Insertion of catheter into abdominal pelvic or leg arteryโš  6.9x markup
$646.2K
943 services$685.30/svc6.88x 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
$336.4K
169 services$2.0K/svc2.28x markup
37244Occlusion of arterial or venous hemorrhage with radiological supervision and interpretation, roadmapping, and imaging guidanceโš  4.9x markup
$336.3K
77 services$4.4K/svc4.94x markup
36478Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin
$261.4K
267 services$978.84/svc2.82x markup
37227Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure
$242.3K
16 services$15.1K/svc1.98x markup
35476Balloon dilation of narrowed or blocked vein, accessed through the skinโš  3.8x markup
$189.0K
247 services$765.20/svc3.80x markup
36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation
$184.3K
186 services$990.86/svc2.45x markup
36907Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation
$165.5K
257 services$644.04/svc2.26x markup
37246Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretationโš  3.7x markup
$152.5K
132 services$1.2K/svc3.71x markup
37252Ultrasound evaluation of blood vessel during diagnosis or treatment
$134.3K
120 services$1.1K/svc2.50x markup
36215Insertion of catheter into chest or arm arteryโš  4.9x markup
$130.3K
282 services$461.99/svc4.87x markup
37248Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation
$121.2K
101 services$1.2K/svc2.47x markup
75726Radiological supervision and interpretation of imaging of abdominal arteryโš  3.9x markup
$99.1K
604 services$164.14/svc3.89x markup
36870Catheter removal of blood clot from dialysis graft, accessed through the skinโš  4.0x markup
$97.4K
71 services$1.4K/svc4.04x markup
36248Insertion of catheter into each additional abdominal, pelvic or leg arteryโš  3.8x markup
$92.6K
753 services$122.95/svc3.76x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$85.8K
851 services$100.81/svc2.71x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
37243Occlusion of tumors or obstructed blood vessel with radiological supervision and interpretation, roadmapping, and imaging guidance779$6.6M$8.4K3.46x
37229Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure387$3.1M$8.1K3.09x
37225Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure337$2.7M$7.9K3.04x
37242Occlusion of artery (other than hemorrhage or tumor) with radiological supervision and interpretation, roadmapping, and imaging guidance589$2.4M$4.0K6.80x
36247Insertion of catheter into abdominal pelvic or leg artery943$646.2K$685.306.88x
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 interpretation169$336.4K$2.0K2.28x
37244Occlusion of arterial or venous hemorrhage with radiological supervision and interpretation, roadmapping, and imaging guidance77$336.3K$4.4K4.94x
36478Laser destruction of incompetent vein of arm or leg using imaging guidance, accessed through the skin267$261.4K$978.842.82x
37227Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure16$242.3K$15.1K1.98x
35476Balloon dilation of narrowed or blocked vein, accessed through the skin247$189.0K$765.203.80x
36902Insertion of needle and/or catheter into dialysis circuit and balloon dilation of dialysis segment, with imaging including radiological supervision and interpretation186$184.3K$990.862.45x
36907Balloon dilation of dialysis segment, accessed through the skin, with imaging including radiological supervision and interpretation257$165.5K$644.042.26x
37246Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation132$152.5K$1.2K3.71x
37252Ultrasound evaluation of blood vessel during diagnosis or treatment120$134.3K$1.1K2.50x
36215Insertion of catheter into chest or arm artery282$130.3K$461.994.87x
37248Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation101$121.2K$1.2K2.47x
75726Radiological supervision and interpretation of imaging of abdominal artery604$99.1K$164.143.89x
36870Catheter removal of blood clot from dialysis graft, accessed through the skin71$97.4K$1.4K4.04x
36248Insertion of catheter into each additional abdominal, pelvic or leg artery753$92.6K$122.953.76x
99214Established patient office or other outpatient, visit typically 25 minutes851$85.8K$100.812.71x

Markup Analysis

Charge-to-Payment Ratio

3.82x

This provider submits charges 3.82 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.82x means for every $100 Medicare pays, this provider initially charges $382. This is higher than the national average.

Location

Falls Church, VA

Provider Verification

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

Related

Browse
โ† Back to Provider Directory
State
All providers in VA โ†’
Specialty
All Diagnostic Radiology providers โ†’
Tool
Compare this provider โ†’
Analysis
Fraud Watchlist โ†’
Search
Search all providers โ†’

Share This Provider

Share this provider's Medicare payment information

Share:

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.

Believe this data is inaccurate? Dispute this data