This provider's $5.6M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 96963% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 80159% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $102.00 | $19.66 | 5.19x | $82.34 | $904.14 | 46 | 46 |
| 2017 | $534.33 | $90.57 | 5.90x | $443.76 | $725.7K | 8.8K | 8.7K |
| 2018 | $540.12 | $95.07 | 5.68x | $445.05 | $675.2K | 8.5K | 8.4K |
| 2019 | $569.91 | $100.58 | 5.67x | $469.33 | $634.8K | 7.2K | 7.2K |
| 2020 | $569.30 | $111.08 | 5.13x | $458.22 | $925.5K | 9.9K | 9.8K |
| 2021 | $563.68 | $106.94 | 5.27x | $456.74 | $932.9K | 10.1K | 10.1K |
| 2022 | $639.86 | $109.49 | 5.84x | $530.37 | $863.3K | 9.6K | 9.5K |
| 2023 | $586.70 | $91.60 | 6.41x | $495.10 | $877.6K | 10.3K | 10.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 18.5K | $2.4M | $127.94 | 1.80x |
| 77063 | Screening digital tomography of both breasts | 20.6K | $1.1M | $53.16 | 2.45x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.3K | $296.7K | $233.78 | 7.37x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 2.1K | $275.5K | $128.44 | 1.80x |
| 77080 | Bone density measurement using dedicated X-ray machine | 4.1K | $159.4K | $38.57 | 4.53x |
| 74176 | CT scan of abdomen and pelvis | 1.1K | $150.4K | $138.46 | 11.14x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 488 | $133.6K | $273.79 | 7.30x |
| 77049 | MRI of both breasts with and without contrast | 321 | $93.9K | $292.53 | 9.39x |
| 71250 | CT scan chest | 894 | $93.3K | $104.42 | 7.56x |
| 72148 | MRI scan of lower spinal canal | 456 | $70.5K | $154.71 | 8.77x |
| 76770 | Ultrasound behind abdominal cavity | 727 | $56.7K | $77.97 | 4.50x |
| 77065 | Mammography of one breast | 568 | $55.3K | $97.33 | 2.54x |
| 19083 | Biopsy of breast accessed through the skin with ultrasound guidance | 105 | $49.5K | $471.65 | 2.86x |
| 76536 | Ultrasound of head and neck | 509 | $40.7K | $79.93 | 3.77x |
| 71271 | Low dose ct scan of chest for lung cancer screening | 335 | $40.7K | $121.37 | 6.56x |
| 76642 | Ultrasound of one breast | 670 | $40.5K | $60.41 | 5.91x |
| 76700 | Ultrasound of abdomen | 480 | $40.0K | $83.26 | 4.35x |
| G0297 | Low dose ct scan (ldct) for lung cancer screening | 168 | $39.3K | $233.74 | 3.42x |
| 77059 | MRI scan of both breasts with contrast | 101 | $39.0K | $386.19 | 6.34x |
| 71260 | CT scan chest with contrast | 323 | $38.4K | $118.94 | 7.56x |
This provider submits charges 3.49 times higher than what Medicare actually pays.
A markup ratio of 3.49x means for every $100 Medicare pays, this provider initially charges $349. 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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