This provider's $9.7M in total Medicare payments ranks in the 99th percentile of Nuclear Medicine providers nationally.
Medicare payments to this provider grew 259% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 89% in 2023
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 | $2.8K | $870.19 | 3.24x | $2.0K | $515.6K | 673 | 544 |
| 2015 | $2.8K | $872.93 | 3.23x | $1.9K | $541.5K | 714 | 560 |
| 2016 | $2.0K | $671.52 | 2.92x | $1.3K | $767.1K | 1.1K | 818 |
| 2017 | $1.6K | $566.70 | 2.81x | $1.0K | $956.6K | 1.4K | 1.1K |
| 2018 | $1.4K | $503.53 | 2.78x | $897.05 | $1.0M | 1.6K | 1.3K |
| 2019 | $1.4K | $541.54 | 2.68x | $907.80 | $1.1M | 1.6K | 1.3K |
| 2020 | $1.3K | $523.35 | 2.55x | $809.73 | $1.0M | 1.7K | 1.5K |
| 2021 | $2.0K | $816.59 | 2.42x | $1.2K | $907.6K | 1.1K | 898 |
| 2022 | $1.3K | $446.21 | 2.92x | $855.19 | $978.5K | 2.0K | 1.8K |
| 2023 | $1.6K | $649.82 | 2.47x | $952.94 | $1.8M | 2.6K | 2.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 4.4K | $5.3M | $1.2K | 3.10x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 4.8K | $1.8M | $379.92 | 2.90x |
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 378 | $785.7K | $2.1K | 1.66x |
| 78816 | Nuclear medicine study with CT imaging whole body | 558 | $660.2K | $1.2K | 3.14x |
| 78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 133 | $284.0K | $2.1K | 2.34x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 737 | $278.1K | $377.30 | 3.18x |
| 78306 | Bone and/or joint imaging, whole body | 459 | $106.8K | $232.58 | 2.94x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 764 | $68.6K | $89.83 | 3.28x |
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 78 | $62.5K | $801.83 | 1.50x |
| 78803 | Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, 1 day of imaging | 192 | $58.5K | $304.62 | 2.95x |
| 78608 | Nuclear medicine study of brain with metabolic evaluation | 44 | $55.0K | $1.2K | 2.80x |
| 78607 | Nuclear medicine study of brain | 189 | $54.1K | $286.49 | 4.18x |
| A9555 | Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries | 134 | $42.7K | $318.59 | 1.88x |
| J2785 | Injection, regadenoson, 0.1 mg | 570 | $25.1K | $44.01 | 6.82x |
| 74177 | Ct scan of abdomen and pelvis with contrast | 60 | $15.8K | $264.14 | 4.32x |
| 74178 | Ct scan of abdomen and pelvis before and after contrast | 52 | $15.4K | $295.33 | 4.91x |
| A9503 | Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries | 377 | $12.2K | $32.42 | 8.96x |
| 74176 | Ct scan of abdomen and pelvis without contrast | 68 | $10.3K | $152.10 | 4.77x |
| 71250 | Ct scan of chest without contrast | 75 | $8.0K | $106.50 | 7.05x |
| 78264 | Nuclear medicine study of stomach to assess emptying | 27 | $6.8K | $251.13 | 3.58x |
This provider submits charges 2.94 times higher than what Medicare actually pays.
A markup ratio of 2.94x means for every $100 Medicare pays, this provider initially charges $294. 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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