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Methodology•Download Data
  1. Home
  2. Providers
  3. Michael Fagien
⚕️
MDIndividual

Michael Fagien, M.D.

NPI: 1780680751
Hialeah, FL
10 years of data
Nuclear Medicine
$9.7M
Total Payments
12.1K
Beneficiaries
14.5K
Services
2.94x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$9.7M
Specialty median$185.4K

📋 Key Findings

1Billed $9.7M over 10 years
22.94x markup ratio (above median)
399th percentile in Nuclear Medicine by payments
4Payments surged 89% in 2023
512 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 89% in 2023

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$2.8K$870.193.24x$2.0K$515.6K673544
2015$2.8K$872.933.23x$1.9K$541.5K714560
2016$2.0K$671.522.92x$1.3K$767.1K1.1K818
2017$1.6K$566.702.81x$1.0K$956.6K1.4K1.1K
2018$1.4K$503.532.78x$897.05$1.0M1.6K1.3K
2019$1.4K$541.542.68x$907.80$1.1M1.6K1.3K
2020$1.3K$523.352.55x$809.73$1.0M1.7K1.5K
2021$2.0K$816.592.42x$1.2K$907.6K1.1K898
2022$1.3K$446.212.92x$855.19$978.5K2.0K1.8K
2023$1.6K$649.822.47x$952.94$1.8M2.6K2.3K

Top Procedures (20)

78815Nuclear medicine study with CT imaging skull base to mid-thigh⚠ 3.1x markup
$5.3M
4.4K services$1.2K/svc3.10x markup
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
$1.8M
4.8K services$379.92/svc2.90x markup
A9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
$785.7K
378 services$2.1K/svc1.66x markup
78816Nuclear medicine study with CT imaging whole body⚠ 3.1x markup
$660.2K
558 services$1.2K/svc3.14x markup
78431Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan
$284.0K
133 services$2.1K/svc2.34x markup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies⚠ 3.2x markup
$278.1K
737 services$377.30/svc3.18x markup
78306Bone and/or joint imaging, whole body
$106.8K
459 services$232.58/svc2.94x markup
A9500Technetium tc-99m sestamibi, diagnostic, per study dose⚠ 3.3x markup
$68.6K
764 services$89.83/svc3.28x markup
A9596Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie
$62.5K
78 services$801.83/svc1.50x markup
78803Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, 1 day of imaging
$58.5K
192 services$304.62/svc2.95x markup
78608Nuclear medicine study of brain with metabolic evaluation
$55.0K
44 services$1.2K/svc2.80x markup
78607Nuclear medicine study of brain⚠ 4.2x markup
$54.1K
189 services$286.49/svc4.18x markup
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries
$42.7K
134 services$318.59/svc1.88x markup
J2785Injection, regadenoson, 0.1 mg⚠ 6.8x markup
$25.1K
570 services$44.01/svc6.82x markup
74177Ct scan of abdomen and pelvis with contrast⚠ 4.3x markup
$15.8K
60 services$264.14/svc4.32x markup
74178Ct scan of abdomen and pelvis before and after contrast⚠ 4.9x markup
$15.4K
52 services$295.33/svc4.91x markup
A9503Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries⚠ 9.0x markup
$12.2K
377 services$32.42/svc8.96x markup
74176Ct scan of abdomen and pelvis without contrast⚠ 4.8x markup
$10.3K
68 services$152.10/svc4.77x markup
71250Ct scan of chest without contrast⚠ 7.0x markup
$8.0K
75 services$106.50/svc7.05x markup
78264Nuclear medicine study of stomach to assess emptying⚠ 3.6x markup
$6.8K
27 services$251.13/svc3.58x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78815Nuclear medicine study with CT imaging skull base to mid-thigh4.4K$5.3M$1.2K3.10x
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries4.8K$1.8M$379.922.90x
A9584Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries378$785.7K$2.1K1.66x
78816Nuclear medicine study with CT imaging whole body558$660.2K$1.2K3.14x
78431Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan133$284.0K$2.1K2.34x
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies737$278.1K$377.303.18x
78306Bone and/or joint imaging, whole body459$106.8K$232.582.94x
A9500Technetium tc-99m sestamibi, diagnostic, per study dose764$68.6K$89.833.28x
A9596Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie78$62.5K$801.831.50x
78803Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, 1 day of imaging192$58.5K$304.622.95x
78608Nuclear medicine study of brain with metabolic evaluation44$55.0K$1.2K2.80x
78607Nuclear medicine study of brain189$54.1K$286.494.18x
A9555Rubidium rb-82, diagnostic, per study dose, up to 60 millicuries134$42.7K$318.591.88x
J2785Injection, regadenoson, 0.1 mg570$25.1K$44.016.82x
74177Ct scan of abdomen and pelvis with contrast60$15.8K$264.144.32x
74178Ct scan of abdomen and pelvis before and after contrast52$15.4K$295.334.91x
A9503Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries377$12.2K$32.428.96x
74176Ct scan of abdomen and pelvis without contrast68$10.3K$152.104.77x
71250Ct scan of chest without contrast75$8.0K$106.507.05x
78264Nuclear medicine study of stomach to assess emptying27$6.8K$251.133.58x

Markup Analysis

Charge-to-Payment Ratio

2.94x

This provider submits charges 2.94 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.94x means for every $100 Medicare pays, this provider initially charges $294. This is higher than the national average.

Location

Hialeah, FL

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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