This provider's $6.9M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 57% 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 | $509.01 | $113.18 | 4.50x | $395.83 | $598.2K | 5.4K | 5.2K |
| 2015 | $532.78 | $115.64 | 4.61x | $417.14 | $673.0K | 5.5K | 5.3K |
| 2016 | $450.70 | $102.17 | 4.41x | $348.53 | $756.0K | 7.2K | 7.0K |
| 2017 | $499.12 | $119.96 | 4.16x | $379.16 | $923.7K | 5.4K | 5.3K |
| 2018 | $561.07 | $134.85 | 4.16x | $426.22 | $760.7K | 4.4K | 4.3K |
| 2019 | $380.33 | $109.64 | 3.47x | $270.69 | $614.1K | 4.6K | 4.6K |
| 2020 | $384.28 | $95.27 | 4.03x | $289.01 | $402.7K | 3.7K | 3.6K |
| 2021 | $425.15 | $127.00 | 3.35x | $298.15 | $556.2K | 4.7K | 4.7K |
| 2022 | $467.50 | $135.24 | 3.46x | $332.26 | $691.4K | 5.3K | 5.2K |
| 2023 | $373.45 | $96.43 | 3.87x | $277.02 | $937.0K | 7.1K | 7.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 1.9K | $2.2M | $1.1K | 2.66x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2.3K | $864.7K | $377.45 | 1.33x |
| 78814 | Nuclear medicine study with CT imaging | 350 | $402.3K | $1.1K | 2.61x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 2.8K | $358.2K | $127.26 | 1.61x |
| 78816 | Nuclear medicine study with CT imaging whole body | 259 | $294.0K | $1.1K | 2.64x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.1K | $165.2K | $155.29 | 6.79x |
| 72148 | MRI scan of lower spinal canal | 1.1K | $162.5K | $150.87 | 8.65x |
| 71250 | CT scan chest | 1.5K | $154.6K | $100.80 | 7.10x |
| 78306 | Bone and/or joint imaging, whole body | 594 | $125.1K | $210.68 | 2.40x |
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 147 | $108.0K | $734.89 | 1.39x |
| 77080 | Bone density measurement using dedicated X-ray machine | 2.3K | $89.6K | $39.38 | 4.44x |
| 74176 | CT scan of abdomen and pelvis | 794 | $85.5K | $107.63 | 8.78x |
| 77063 | Screening digital tomography of both breasts | 1.6K | $84.7K | $53.43 | 2.43x |
| 77067 | Mammography of both breasts | 588 | $74.8K | $127.13 | 1.77x |
| 70553 | MRI scan of brain before and after contrast | 347 | $74.3K | $214.16 | 8.62x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 267 | $71.6K | $268.25 | 7.18x |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 1.9K | $67.1K | $35.19 | 3.93x |
| 72141 | MRI scan of upper spinal canal | 478 | $66.9K | $139.94 | 8.65x |
| 71260 | CT scan chest with contrast | 579 | $65.1K | $112.50 | 7.06x |
| 19083 | Biopsy of breast accessed through the skin with ultrasound guidance | 137 | $60.5K | $441.41 | 3.06x |
This provider submits charges 3.38 times higher than what Medicare actually pays.
A markup ratio of 3.38x means for every $100 Medicare pays, this provider initially charges $338. 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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