This provider's $4.4M in total Medicare payments ranks in the 98th percentile of Interventional Radiology providers nationally.
Medicare payments to this provider grew 79054% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 3338% in 2022
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 | $208.39 | $34.25 | 6.08x | $174.14 | $4.3K | 127 | 4 |
| 2020 | $255.19 | $41.74 | 6.11x | $213.45 | $18.2K | 436 | 11 |
| 2021 | $335.81 | $55.41 | 6.06x | $280.40 | $26.8K | 484 | 12 |
| 2022 | $455.89 | $95.52 | 4.77x | $360.37 | $922.1K | 9.7K | 18 |
| 2023 | $386.92 | $76.66 | 5.05x | $310.26 | $3.4M | 44.9K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 37243 | Occlusion of growths or obstructed vessels with review by radiologist | 308 | $2.4M | $7.8K | 3.88x |
| 37242 | Occlusion of artery with review by radiologist | 316 | $1.0M | $3.2K | 7.17x |
| 36247 | Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch | 626 | $396.0K | $632.60 | 7.36x |
| 36248 | Insertion of tube into abdominal, pelvic, or leg artery, additional second, third, and beyond | 1.8K | $189.0K | $102.49 | 4.61x |
| 75774 | Review by radiologist of additional artery image | 2.1K | $179.7K | $84.45 | 3.80x |
| 75726 | Review by radiologist of abdominal artery image | 317 | $46.6K | $147.12 | 3.74x |
| 36558 | Insertion of tunneled central venous tube for infusion (5 years or older) | 111 | $22.8K | $205.78 | 6.28x |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 298 | $22.0K | $73.69 | 3.38x |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 813 | $21.0K | $25.78 | 3.61x |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 347 | $16.2K | $46.66 | 3.28x |
| 50432 | Placement of tube of kidney using imaging guidance with review by radiologist | 32 | $15.0K | $469.02 | 4.09x |
| 76937 | Ultrasonic guidance for blood vessel access | 513 | $13.3K | $25.86 | 3.85x |
| 51102 | Aspiration of bladder with insertion of bladder tube to skin | 59 | $12.1K | $205.11 | 3.41x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 155 | $11.4K | $73.80 | 3.60x |
| 99153 | Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes | 1.1K | $11.2K | $9.76 | 3.18x |
| 36561 | Insertion of central venous tube with port (5 years or older) | 22 | $5.9K | $266.95 | 6.32x |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 54 | $5.8K | $107.50 | 3.27x |
| 77002 | Fluoroscopic guidance for needle placement | 55 | $5.6K | $102.42 | 3.36x |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 45.8K | $5.1K | $0.11 | 9.00x |
| 74174 | Ct scan of abdominal and pelvic blood vessels with contrast | 53 | $4.3K | $81.02 | 6.60x |
This provider submits charges 5 times higher than what Medicare actually pays.
A markup ratio of 5x means for every $100 Medicare pays, this provider initially charges $500. 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.
Other Interventional Radiology providers in PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| James Mcguckin, MD | Philadelphia, PA | $43.9M | ✓ Clear |
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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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