This provider's $5.0M in total Medicare payments ranks in the 98th percentile of Nuclear Medicine providers nationally.
Medicare payments to this provider grew 174% from 2020 to 2023.
63% of their billing comes from a single procedure code (78815 — Nuclear medicine study with ct imaging skull base to mid-thigh).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 157% 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 |
|---|---|---|---|---|---|---|---|
| 2020 | $1.5K | $443.77 | 3.41x | $1.1K | $544.6K | 697 | 679 |
| 2021 | $2.0K | $808.70 | 2.47x | $1.2K | $1.4M | 1.5K | 1.4K |
| 2022 | $1.4K | $429.15 | 3.27x | $973.01 | $1.6M | 1.9K | 1.8K |
| 2023 | $1.8K | $523.26 | 3.40x | $1.3K | $1.5M | 1.7K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with ct imaging skull base to mid-thigh | 2.1K | $3.2M | $1.5K | 3.44x |
| 78816 | Nuclear medicine study with ct imaging whole body | 644 | $970.7K | $1.5K | 3.43x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2.0K | $480.5K | $244.29 | 1.63x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 448 | $202.8K | $452.67 | 1.39x |
| A9597 | Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified | 32 | $115.6K | $3.6K | 1.27x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 114 | $42.6K | $373.58 | 1.70x |
| 74177 | Ct scan of abdomen and pelvis with contrast | 85 | $26.8K | $315.62 | 4.11x |
| 78306 | Bone and/or joint imaging, whole body | 58 | $17.7K | $304.49 | 4.10x |
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 17 | $14.3K | $840.13 | 3.83x |
| 71260 | Ct scan chest with contrast | 103 | $12.6K | $122.38 | 6.01x |
| A9587 | Gallium ga-68, dotatate, diagnostic, 0.1 millicurie | 128 | $6.0K | $47.18 | 1.27x |
| 71250 | Ct scan of chest without contrast | 23 | $2.9K | $127.03 | 5.70x |
| A9503 | Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries | 64 | $749.01 | $11.70 | 30.10x |
| 82565 | Blood creatinine level | 17 | $87.04 | $5.12 | 61.52x |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 41 | $3.76 | $0.09 | 10.89x |
This provider submits charges 3.14 times higher than what Medicare actually pays.
A markup ratio of 3.14x means for every $100 Medicare pays, this provider initially charges $314. 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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