This provider's $9.8M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 5.19x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 253% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 216% in 2016
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 | $372.94 | $89.18 | 4.18x | $283.76 | $251.4K | 2.4K | 2.3K |
| 2015 | $371.50 | $82.35 | 4.51x | $289.15 | $287.0K | 3.2K | 3.0K |
| 2016 | $607.86 | $126.57 | 4.80x | $481.29 | $906.5K | 7.2K | 6.4K |
| 2017 | $799.97 | $165.75 | 4.83x | $634.22 | $1.2M | 7.2K | 6.4K |
| 2018 | $762.17 | $161.37 | 4.72x | $600.80 | $1.0M | 6.7K | 6.2K |
| 2019 | $837.23 | $196.48 | 4.26x | $640.75 | $1.3M | 7.7K | 7.0K |
| 2020 | $1.0K | $227.58 | 4.56x | $811.15 | $1.4M | 8.4K | 7.6K |
| 2021 | $1.1K | $220.45 | 5.07x | $896.99 | $1.4M | 8.4K | 7.5K |
| 2022 | $1.1K | $204.84 | 5.33x | $887.74 | $1.1M | 6.7K | 6.2K |
| 2023 | $962.64 | $164.05 | 5.87x | $798.59 | $888.3K | 6.4K | 5.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 3.9K | $3.7M | $942.36 | 4.50x |
| 74177 | CT scan of abdomen and pelvis with contrast | 7.2K | $1.4M | $200.56 | 4.52x |
| 71260 | CT scan chest with contrast | 9.1K | $798.7K | $87.76 | 8.60x |
| 78306 | Bone and/or joint imaging, whole body | 3.4K | $625.9K | $184.03 | 3.97x |
| 78816 | Nuclear medicine study with CT imaging whole body | 519 | $469.4K | $904.46 | 4.40x |
| 70553 | MRI scan of brain before and after contrast | 1.8K | $426.8K | $236.18 | 6.27x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 4.0K | $364.2K | $90.43 | 7.04x |
| 72197 | MRI scan of pelvis before and after contrast | 923 | $241.3K | $261.39 | 7.33x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 103 | $231.9K | $2.3K | 2.82x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 646 | $152.3K | $235.75 | 3.93x |
| 70491 | CT scan of neck with contrast | 1.6K | $151.7K | $96.26 | 7.20x |
| 74183 | MRI scan of abdomen before and after contrast | 535 | $146.6K | $273.98 | 5.62x |
| 71250 | CT scan chest | 1.4K | $114.3K | $84.34 | 7.57x |
| 74176 | CT scan of abdomen and pelvis | 819 | $99.6K | $121.57 | 4.62x |
| 70460 | CT scan head or brain with contrast | 1.2K | $77.7K | $63.07 | 7.82x |
| A9503 | Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries | 3.3K | $65.4K | $19.78 | 5.06x |
| 74160 | CT scan abdomen with contrast | 322 | $44.8K | $139.08 | 4.70x |
| 70470 | CT scan head or brain before and after contrast | 456 | $43.4K | $95.11 | 6.87x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 200 | $39.9K | $199.67 | 7.30x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 658 | $34.5K | $52.46 | 4.91x |
This provider submits charges 5.19 times higher than what Medicare actually pays.
A markup ratio of 5.19x means for every $100 Medicare pays, this provider initially charges $519. 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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