This provider's $10.2M in total Medicare payments ranks in the 99th percentile of Nuclear Medicine providers nationally.
Medicare payments to this provider grew 92% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 139% in 2021
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 | $880.41 | $281.98 | 3.12x | $598.43 | $783.1K | 3.5K | 3.2K |
| 2015 | $803.14 | $310.92 | 2.58x | $492.22 | $866.3K | 4.1K | 3.7K |
| 2016 | $781.12 | $306.49 | 2.55x | $474.63 | $1.1M | 4.9K | 4.7K |
| 2017 | $658.77 | $230.16 | 2.86x | $428.61 | $896.2K | 4.2K | 4.1K |
| 2018 | $337.71 | $112.69 | 3.00x | $225.02 | $293.4K | 2.6K | 2.6K |
| 2019 | $937.49 | $416.57 | 2.25x | $520.92 | $678.1K | 3.1K | 3.1K |
| 2020 | $721.10 | $312.06 | 2.31x | $409.04 | $723.4K | 3.0K | 2.9K |
| 2021 | $1.2K | $591.49 | 1.95x | $561.56 | $1.7M | 5.2K | 4.8K |
| 2022 | $983.03 | $514.84 | 1.91x | $468.19 | $1.6M | 4.9K | 4.4K |
| 2023 | $1.0K | $548.94 | 1.88x | $485.03 | $1.5M | 4.6K | 4.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78492 | Nuclear medicine study heart muscle at rest and/or stress multiple studies | 1.8K | $2.4M | $1.4K | 2.52x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 4.7K | $2.2M | $471.40 | 2.09x |
| 78431 | Multiple nuclear medicine studies of blood flow in heart muscle at rest and with stress, with concurrently acquired ct transmission scan | 895 | $1.7M | $1.9K | 1.63x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 2.7K | $828.0K | $312.22 | 4.00x |
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 324 | $721.7K | $2.2K | 1.80x |
| 78459 | Nuclear medicine study heart muscle with metabolic evaluation | 519 | $588.2K | $1.1K | 2.29x |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | 4.7K | $400.4K | $85.31 | 2.02x |
| 93015 | Exercise or drug-induced heart and blood vessel stress test with EKG monitoring, physician supervision, interpretation, and report | 4.1K | $255.3K | $62.36 | 3.21x |
| 96374 | Injection of drug or substance into a vein for therapy, diagnosis, or prevention | 4.4K | $205.3K | $46.27 | 2.16x |
| 78608 | Nuclear medicine study brain with metabolic evaluation | 108 | $173.9K | $1.6K | 1.55x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 636 | $162.9K | $256.18 | 3.27x |
| 78803 | Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, 1 day of imaging | 363 | $141.7K | $390.41 | 1.64x |
| 78434 | Nuclear medicine absolute quantification of blood flow in heart muscle | 968 | $133.5K | $137.96 | 2.13x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 4.4K | $81.3K | $18.40 | 2.72x |
| J2785 | Injection, regadenoson, 0.1 mg | 1.7K | $80.8K | $46.55 | 2.04x |
| J0280 | Injection, aminophyllin, up to 250 mg | 3.6K | $22.9K | $6.42 | 2.33x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 13 | $22.0K | $1.7K | 1.47x |
| A9516 | Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries | 27 | $5.0K | $184.49 | 2.17x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 25 | $4.9K | $194.98 | 2.59x |
| J1245 | Injection, dipyridamole, per 10 mg | 3.8K | $3.7K | $0.98 | 10.20x |
This provider submits charges 2.3 times higher than what Medicare actually pays.
A markup ratio of 2.3x means for every $100 Medicare pays, this provider initially charges $230. 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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