This provider's $9.3M in total Medicare payments ranks in the 99th percentile of Nuclear Medicine providers nationally.
Medicare payments to this provider grew 54% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 68% in 2017
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 | $677.90 | $224.49 | 3.02x | $453.41 | $837.1K | 2.3K | 1.8K |
| 2015 | $968.86 | $322.88 | 3.00x | $645.98 | $689.9K | 1.7K | 1.5K |
| 2016 | $755.96 | $236.60 | 3.20x | $519.36 | $699.5K | 2.2K | 1.9K |
| 2017 | $984.55 | $379.45 | 2.59x | $605.10 | $1.2M | 2.7K | 2.4K |
| 2018 | $640.36 | $240.67 | 2.66x | $399.69 | $568.7K | 1.7K | 1.5K |
| 2019 | $677.42 | $268.59 | 2.52x | $408.83 | $574.2K | 1.8K | 1.7K |
| 2020 | $832.66 | $347.10 | 2.40x | $485.56 | $774.0K | 1.9K | 1.7K |
| 2021 | $839.19 | $367.84 | 2.28x | $471.35 | $1.3M | 2.9K | 2.8K |
| 2022 | $748.34 | $327.93 | 2.28x | $420.41 | $1.4M | 2.6K | 2.5K |
| 2023 | $884.62 | $360.14 | 2.46x | $524.48 | $1.3M | 2.3K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 6.9K | $5.3M | $770.00 | 2.91x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 3.8K | $830.3K | $220.88 | 2.37x |
| 78816 | Nuclear medicine study with CT imaging whole body | 870 | $679.7K | $781.22 | 3.15x |
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 252 | $536.3K | $2.1K | 1.79x |
| 78306 | Bone and/or joint imaging, whole body | 1.7K | $366.6K | $222.03 | 2.83x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 447 | $212.9K | $476.36 | 1.30x |
| Q9983 | florbetaben f18 diagnostic | 90 | $194.1K | $2.2K | 2.31x |
| 78814 | Nuclear medicine study with CT imaging | 103 | $123.1K | $1.2K | 3.88x |
| A9562 | Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries | 181 | $111.1K | $613.79 | 1.68x |
| 78608 | Nuclear medicine study brain with metabolic evaluation | 67 | $90.0K | $1.3K | 2.27x |
| 78226 | Imaging of liver and bile duct system | 354 | $74.7K | $210.95 | 3.78x |
| 78264 | Stomach emptying study | 319 | $74.1K | $232.17 | 2.95x |
| A9586 | Florbetapir f18, diagnostic, per study dose, up to 10 millicuries | 27 | $62.7K | $2.3K | 2.15x |
| A9541 | Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries | 350 | $56.9K | $162.61 | 1.46x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 132 | $50.3K | $381.17 | 1.46x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 733 | $49.8K | $67.99 | 3.78x |
| 78320 | Nuclear medicine study of bone and/or joint | 378 | $47.5K | $125.59 | 4.45x |
| 78803 | Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, 1 day of imaging | 149 | $46.8K | $313.97 | 3.03x |
| 78315 | Bone and/or joint imaging, 3 phase study | 163 | $45.6K | $279.64 | 2.91x |
| 78607 | Nuclear medicine study of brain | 129 | $38.9K | $301.61 | 2.99x |
This provider submits charges 2.76 times higher than what Medicare actually pays.
A markup ratio of 2.76x means for every $100 Medicare pays, this provider initially charges $276. 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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