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Methodology•Download Data
  1. Home
  2. Providers
  3. Aron Gould-Simon
⚕️
MDIndividual

Aron Gould-Simon, MD

NPI: 1750523031
Fresno, CA
10 years of data
Nuclear Medicine
$9.3M
Total Payments
19.9K
Beneficiaries
22.1K
Services
2.76x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$9.3M
Specialty median$185.4K

📋 Key Findings

1Billed $9.3M over 10 years
22.76x markup ratio (above median)
399th percentile in Nuclear Medicine by payments
4Payments surged 68% in 2017
56 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 68% in 2017

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$677.90$224.493.02x$453.41$837.1K2.3K1.8K
2015$968.86$322.883.00x$645.98$689.9K1.7K1.5K
2016$755.96$236.603.20x$519.36$699.5K2.2K1.9K
2017$984.55$379.452.59x$605.10$1.2M2.7K2.4K
2018$640.36$240.672.66x$399.69$568.7K1.7K1.5K
2019$677.42$268.592.52x$408.83$574.2K1.8K1.7K
2020$832.66$347.102.40x$485.56$774.0K1.9K1.7K
2021$839.19$367.842.28x$471.35$1.3M2.9K2.8K
2022$748.34$327.932.28x$420.41$1.4M2.6K2.5K
2023$884.62$360.142.46x$524.48$1.3M2.3K2.1K

Top Procedures (20)

78815Nuclear medicine study with CT imaging skull base to mid-thigh
$5.3M
6.9K services$770.00/svc2.91x markup
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
$830.3K
3.8K services$220.88/svc2.37x markup
78816Nuclear medicine study with CT imaging whole body⚠ 3.1x markup
$679.7K
870 services$781.22/svc3.15x markup
A9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
$536.3K
252 services$2.1K/svc1.79x markup
78306Bone and/or joint imaging, whole body
$366.6K
1.7K services$222.03/svc2.83x markup
A9595Piflufolastat f-18, diagnostic, 1 millicurie
$212.9K
447 services$476.36/svc1.30x markup
Q9983florbetaben f18 diagnostic
$194.1K
90 services$2.2K/svc2.31x markup
78814Nuclear medicine study with CT imaging⚠ 3.9x markup
$123.1K
103 services$1.2K/svc3.88x markup
A9562Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries
$111.1K
181 services$613.79/svc1.68x markup
78608Nuclear medicine study brain with metabolic evaluation
$90.0K
67 services$1.3K/svc2.27x markup
78226Imaging of liver and bile duct system⚠ 3.8x markup
$74.7K
354 services$210.95/svc3.78x markup
78264Stomach emptying study
$74.1K
319 services$232.17/svc2.95x markup
A9586Florbetapir f18, diagnostic, per study dose, up to 10 millicuries
$62.7K
27 services$2.3K/svc2.15x markup
A9541Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries
$56.9K
350 services$162.61/svc1.46x markup
A9588Fluciclovine f-18, diagnostic, 1 millicurie
$50.3K
132 services$381.17/svc1.46x markup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies⚠ 3.8x markup
$49.8K
733 services$67.99/svc3.78x markup
78320Nuclear medicine study of bone and/or joint⚠ 4.5x markup
$47.5K
378 services$125.59/svc4.45x markup
78803Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, 1 day of imaging⚠ 3.0x markup
$46.8K
149 services$313.97/svc3.03x markup
78315Bone and/or joint imaging, 3 phase study
$45.6K
163 services$279.64/svc2.91x markup
78607Nuclear medicine study of brain
$38.9K
129 services$301.61/svc2.99x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78815Nuclear medicine study with CT imaging skull base to mid-thigh6.9K$5.3M$770.002.91x
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries3.8K$830.3K$220.882.37x
78816Nuclear medicine study with CT imaging whole body870$679.7K$781.223.15x
A9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries252$536.3K$2.1K1.79x
78306Bone and/or joint imaging, whole body1.7K$366.6K$222.032.83x
A9595Piflufolastat f-18, diagnostic, 1 millicurie447$212.9K$476.361.30x
Q9983florbetaben f18 diagnostic90$194.1K$2.2K2.31x
78814Nuclear medicine study with CT imaging103$123.1K$1.2K3.88x
A9562Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries181$111.1K$613.791.68x
78608Nuclear medicine study brain with metabolic evaluation67$90.0K$1.3K2.27x
78226Imaging of liver and bile duct system354$74.7K$210.953.78x
78264Stomach emptying study319$74.1K$232.172.95x
A9586Florbetapir f18, diagnostic, per study dose, up to 10 millicuries27$62.7K$2.3K2.15x
A9541Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries350$56.9K$162.611.46x
A9588Fluciclovine f-18, diagnostic, 1 millicurie132$50.3K$381.171.46x
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies733$49.8K$67.993.78x
78320Nuclear medicine study of bone and/or joint378$47.5K$125.594.45x
78803Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, 1 day of imaging149$46.8K$313.973.03x
78315Bone and/or joint imaging, 3 phase study163$45.6K$279.642.91x
78607Nuclear medicine study of brain129$38.9K$301.612.99x

Markup Analysis

Charge-to-Payment Ratio

2.76x

This provider submits charges 2.76 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.76x means for every $100 Medicare pays, this provider initially charges $276. This is higher than the national average.

Location

Fresno, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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