This provider's $3.8M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 83% 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 | $478.31 | $124.81 | 3.83x | $353.50 | $222.9K | 2.3K | 2.3K |
| 2015 | $331.76 | $85.36 | 3.89x | $246.40 | $222.1K | 3.2K | 3.2K |
| 2016 | $354.30 | $87.56 | 4.05x | $266.74 | $321.9K | 4.5K | 4.5K |
| 2017 | $315.94 | $85.78 | 3.68x | $230.16 | $373.4K | 4.2K | 4.1K |
| 2018 | $258.46 | $73.64 | 3.51x | $184.82 | $401.1K | 4.6K | 4.5K |
| 2019 | $289.78 | $86.63 | 3.35x | $203.15 | $501.3K | 5.3K | 5.3K |
| 2020 | $360.60 | $97.54 | 3.70x | $263.06 | $445.5K | 4.6K | 4.5K |
| 2021 | $458.99 | $128.55 | 3.57x | $330.44 | $490.2K | 4.9K | 4.9K |
| 2022 | $420.19 | $110.80 | 3.79x | $309.39 | $429.7K | 4.6K | 4.6K |
| 2023 | $448.22 | $111.49 | 4.02x | $336.73 | $409.0K | 4.5K | 4.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 6.3K | $929.2K | $146.38 | 2.02x |
| 77063 | Screening digital tomography of both breasts | 7.6K | $444.0K | $58.70 | 4.03x |
| 77066 | Mammography of both breasts | 2.2K | $289.1K | $128.88 | 2.76x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 512 | $271.5K | $530.27 | 3.45x |
| 76642 | Ultrasound of one breast | 3.4K | $260.3K | $77.68 | 2.75x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 1.7K | $237.6K | $143.33 | 2.03x |
| 77065 | Mammography of one breast | 2.3K | $237.5K | $101.71 | 2.79x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 4.2K | $192.1K | $46.09 | 3.67x |
| 19081 | Biopsy of breast accessed throught the skin with stereotactic guidance | 305 | $166.0K | $544.27 | 3.39x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 1.1K | $139.3K | $129.47 | 2.39x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 1.3K | $135.5K | $100.51 | 2.51x |
| 74177 | CT scan of abdomen and pelvis with contrast | 452 | $59.0K | $130.61 | 5.01x |
| 76641 | Ultrasound of one breast | 480 | $55.7K | $116.02 | 3.07x |
| 77059 | MRI scan of both breasts with contrast | 94 | $42.7K | $454.39 | 4.28x |
| 74176 | CT scan of abdomen and pelvis | 424 | $34.5K | $81.41 | 5.26x |
| 70450 | CT scan head or brain | 892 | $32.0K | $35.88 | 4.09x |
| 71250 | CT scan chest | 347 | $30.7K | $88.43 | 4.74x |
| 76645 | Ultrasound of breasts | 279 | $23.0K | $82.45 | 2.12x |
| 77080 | Bone density measurement using dedicated X-ray machine | 399 | $18.1K | $45.30 | 5.38x |
| 71260 | CT scan chest with contrast | 150 | $16.8K | $112.20 | 6.01x |
This provider submits charges 2.96 times higher than what Medicare actually pays.
A markup ratio of 2.96x means for every $100 Medicare pays, this provider initially charges $296. 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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