This provider's $4.7M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 515% 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 | $786.11 | $166.96 | 4.71x | $619.15 | $760.9K | 3.3K | 3.2K |
| 2015 | $821.93 | $153.47 | 5.36x | $668.46 | $510.9K | 3.7K | 3.6K |
| 2016 | $693.08 | $126.07 | 5.50x | $567.01 | $667.5K | 6.3K | 6.2K |
| 2017 | $750.91 | $137.45 | 5.46x | $613.46 | $630.0K | 5.0K | 4.8K |
| 2018 | $548.44 | $155.09 | 3.54x | $393.35 | $512.7K | 3.4K | 3.3K |
| 2019 | $575.89 | $156.49 | 3.68x | $419.40 | $590.6K | 4.3K | 4.2K |
| 2020 | $515.32 | $122.41 | 4.21x | $392.91 | $420.7K | 3.4K | 3.3K |
| 2021 | $487.50 | $111.48 | 4.37x | $376.02 | $405.6K | 3.6K | 3.5K |
| 2022 | $96.82 | $22.33 | 4.34x | $74.49 | $33.2K | 1.8K | 1.6K |
| 2023 | $406.95 | $94.12 | 4.32x | $312.83 | $204.0K | 3.4K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 487 | $669.4K | $1.4K | 2.67x |
| 72148 | MRI scan of lower spinal canal | 3.0K | $527.3K | $175.43 | 7.26x |
| 70553 | MRI scan of brain before and after contrast | 1.5K | $492.3K | $318.00 | 6.70x |
| 70551 | MRI scan brain | 2.2K | $422.2K | $192.36 | 6.75x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 1.9K | $302.5K | $156.43 | 2.01x |
| 77067 | Mammography of both breasts | 1.3K | $222.8K | $171.81 | 1.72x |
| 72141 | MRI scan of upper spinal canal | 1.2K | $201.3K | $170.31 | 7.16x |
| 70543 | MRI scan bones of the eye, face, and/or neck before and after contrast | 327 | $129.2K | $395.04 | 5.43x |
| 70486 | CT scan of face | 838 | $109.3K | $130.41 | 5.32x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 543 | $104.9K | $193.12 | 2.59x |
| 74177 | CT scan of abdomen and pelvis with contrast | 285 | $83.0K | $291.13 | 5.28x |
| 77080 | Bone density measurement using dedicated X-ray machine | 1.6K | $78.0K | $48.30 | 7.04x |
| 70450 | CT scan head or brain | 812 | $73.5K | $90.50 | 6.17x |
| 72146 | MRI scan of middle spinal canal | 427 | $71.2K | $166.64 | 7.19x |
| 70544 | MRA scan of head blood vessels | 257 | $64.3K | $250.34 | 5.12x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 204 | $62.5K | $306.21 | 6.41x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 172 | $57.3K | $333.38 | 5.45x |
| 71250 | CT scan chest | 439 | $56.9K | $129.64 | 5.71x |
| 78306 | Bone and/or joint imaging, whole body | 192 | $54.0K | $281.45 | 2.42x |
| 76700 | Ultrasound of abdomen | 504 | $50.5K | $100.29 | 3.14x |
This provider submits charges 4.89 times higher than what Medicare actually pays.
A markup ratio of 4.89x means for every $100 Medicare pays, this provider initially charges $489. 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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