This provider's $7.5M in total Medicare payments ranks in the 99th percentile of Nuclear Medicine providers nationally.
Medicare payments to this provider grew 881% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 571% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $105.21 | $63.48 | 1.66x | $41.73 | $207.0K | 3.1K | 2.5K |
| 2020 | $623.87 | $179.86 | 3.47x | $444.01 | $1.4M | 5.9K | 4.9K |
| 2021 | $1.1K | $286.18 | 3.98x | $854.02 | $2.0M | 6.3K | 5.1K |
| 2022 | $1.2K | $285.46 | 4.11x | $887.01 | $1.8M | 6.0K | 4.8K |
| 2023 | $1.3K | $352.41 | 3.76x | $974.20 | $2.0M | 6.2K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 4.1K | $3.7M | $896.50 | 3.05x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 3.3K | $1.3M | $405.85 | 1.68x |
| 74177 | CT scan of abdomen and pelvis with contrast | 4.4K | $877.8K | $199.99 | 3.35x |
| 78816 | Nuclear medicine study with CT imaging whole body | 644 | $627.8K | $974.87 | 3.38x |
| 71260 | CT scan chest with contrast | 5.5K | $452.6K | $82.48 | 5.00x |
| 74176 | CT scan of abdomen and pelvis | 1.4K | $183.2K | $128.74 | 3.57x |
| 71250 | CT scan chest | 2.2K | $167.2K | $74.67 | 7.04x |
| 70491 | CT scan of neck with contrast | 457 | $45.1K | $98.68 | 6.67x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 172 | $39.4K | $228.82 | 3.77x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 52 | $23.7K | $455.87 | 3.31x |
| 70470 | CT scan head or brain before and after contrast | 204 | $21.1K | $103.26 | 6.34x |
| 71275 | CT scan of blood vessels in chest with contrast | 88 | $16.4K | $186.36 | 5.85x |
| A9592 | Copper cu-64, dotatate, diagnostic, 1 millicurie | 12 | $16.1K | $1.3K | 2.52x |
| 74160 | CT scan abdomen with contrast | 128 | $14.4K | $112.35 | 4.43x |
| 71270 | Ct scan chest before and after contrast | 113 | $12.5K | $110.86 | 8.97x |
| 70490 | CT scan of neck | 121 | $10.7K | $88.03 | 6.09x |
| 74150 | CT scan abdomen | 71 | $5.0K | $69.94 | 5.37x |
| 74170 | Ct scan abdomen before and after contrast | 33 | $4.9K | $148.17 | 5.33x |
| 70450 | Ct scan head or brain | 39 | $2.7K | $68.17 | 7.22x |
| 71271 | Low dose ct scan of chest for lung cancer screening | 12 | $1.4K | $117.67 | 3.05x |
This provider submits charges 3.15 times higher than what Medicare actually pays.
A markup ratio of 3.15x means for every $100 Medicare pays, this provider initially charges $315. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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