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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. William Fowlkes
๐Ÿ“ก
MDIndividual

William Fowlkes, MD

NPI: 1760588263
Frederick, MD
10 years of data
Diagnostic Radiology
$6.0M
Total Payments
41.7K
Beneficiaries
42.1K
Services
5.03x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$6.0M
Specialty median$115.6K

๐Ÿ“‹ Key Findings

1Billed $6.0M over 10 years
25.03x markup ratio (above median)
399th percentile in Diagnostic Radiology by payments
418 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $6.0M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.

Their average markup ratio of 5.03x is significantly above the specialty median of 5.4x.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

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

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$537.22$132.394.06x$404.83$613.2K5.0K5.0K
2015$678.29$158.614.28x$519.68$623.4K4.7K4.7K
2016$600.75$140.844.27x$459.91$577.9K4.3K4.3K
2017$705.65$164.814.28x$540.84$567.8K3.5K3.5K
2018$653.69$135.724.82x$517.97$618.8K4.3K4.3K
2019$668.83$142.434.70x$526.40$637.5K4.3K4.3K
2020$704.45$140.635.01x$563.82$523.6K3.5K3.4K
2021$760.65$157.644.83x$603.01$597.0K3.6K3.6K
2022$717.27$139.595.14x$577.68$662.6K4.8K4.8K
2023$736.44$134.265.49x$602.18$537.5K3.9K3.9K

Top Procedures (20)

70553MRI scan of brain before and after contrastโš  5.2x markup
$1.1M
3.4K services$318.32/svc5.17x markup
72148MRI scan of lower spinal canalโš  5.8x markup
$975.7K
5.3K services$185.84/svc5.78x markup
70551MRI scan brainโš  5.8x markup
$949.6K
4.8K services$198.86/svc5.85x markup
72141MRI scan of upper spinal canalโš  6.3x markup
$540.9K
3.1K services$173.92/svc6.28x markup
G0202Screening mammography, producing direct digital image, bilateral, all views
$366.4K
2.5K services$147.93/svc1.63x markup
72158MRI scan of lower spinal canal before and after contrastโš  5.2x markup
$164.7K
530 services$310.68/svc5.23x markup
77067Mammography of both breasts
$159.0K
1.1K services$146.71/svc2.02x markup
72146MRI scan of middle spinal canalโš  6.2x markup
$155.5K
886 services$175.47/svc6.18x markup
70450CT scan head or brainโš  4.9x markup
$142.0K
1.5K services$94.42/svc4.93x markup
70543MRI scan bones of the eye, face, and/or neck before and after contrastโš  4.5x markup
$138.1K
364 services$379.28/svc4.51x markup
70544MRA scan of head blood vesselsโš  4.8x markup
$137.3K
602 services$228.10/svc4.85x markup
72156MRI scan of upper spinal canal before and after contrastโš  5.4x markup
$93.9K
309 services$303.81/svc5.40x markup
70486CT scan of faceโš  5.2x markup
$93.8K
786 services$119.40/svc5.20x markup
72131CT scan of lower spineโš  5.1x markup
$91.2K
739 services$123.36/svc5.14x markup
77063Screening digital tomography of both breastsโš  3.9x markup
$78.3K
1.3K services$59.33/svc3.92x markup
72157MRI scan of middle spinal canal before and after contrastโš  4.8x markup
$75.2K
230 services$326.87/svc4.82x markup
72125CT scan of upper spineโš  4.4x markup
$67.7K
494 services$137.00/svc4.44x markup
70496CT scan of blood vessel of head with contrastโš  5.0x markup
$56.8K
232 services$244.88/svc4.99x markup
70547MRA scan of neck blood vesselsโš  4.5x markup
$56.0K
225 services$248.72/svc4.50x markup
70498CT scan of neck blood vessels with contrastโš  6.4x markup
$41.3K
218 services$189.58/svc6.40x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
70553MRI scan of brain before and after contrast3.4K$1.1M$318.325.17x
72148MRI scan of lower spinal canal5.3K$975.7K$185.845.78x
70551MRI scan brain4.8K$949.6K$198.865.85x
72141MRI scan of upper spinal canal3.1K$540.9K$173.926.28x
G0202Screening mammography, producing direct digital image, bilateral, all views2.5K$366.4K$147.931.63x
72158MRI scan of lower spinal canal before and after contrast530$164.7K$310.685.23x
77067Mammography of both breasts1.1K$159.0K$146.712.02x
72146MRI scan of middle spinal canal886$155.5K$175.476.18x
70450CT scan head or brain1.5K$142.0K$94.424.93x
70543MRI scan bones of the eye, face, and/or neck before and after contrast364$138.1K$379.284.51x
70544MRA scan of head blood vessels602$137.3K$228.104.85x
72156MRI scan of upper spinal canal before and after contrast309$93.9K$303.815.40x
70486CT scan of face786$93.8K$119.405.20x
72131CT scan of lower spine739$91.2K$123.365.14x
77063Screening digital tomography of both breasts1.3K$78.3K$59.333.92x
72157MRI scan of middle spinal canal before and after contrast230$75.2K$326.874.82x
72125CT scan of upper spine494$67.7K$137.004.44x
70496CT scan of blood vessel of head with contrast232$56.8K$244.884.99x
70547MRA scan of neck blood vessels225$56.0K$248.724.50x
70498CT scan of neck blood vessels with contrast218$41.3K$189.586.40x

Markup Analysis

Charge-to-Payment Ratio

5.03x

This provider submits charges 5.03 times higher than what Medicare actually pays.

What This Means

A markup ratio of 5.03x means for every $100 Medicare pays, this provider initially charges $503. This is higher than the national average.

Location

Frederick, MD

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

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข 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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