This provider's $6.5M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 160% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 59% in 2015
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 | $268.18 | $65.37 | 4.10x | $202.81 | $322.2K | 4.9K | 4.8K |
| 2015 | $251.68 | $68.93 | 3.65x | $182.75 | $512.5K | 7.6K | 7.5K |
| 2016 | $269.64 | $69.07 | 3.90x | $200.57 | $611.9K | 9.1K | 9.0K |
| 2017 | $337.40 | $78.10 | 4.32x | $259.30 | $705.0K | 7.6K | 7.5K |
| 2018 | $288.81 | $77.59 | 3.72x | $211.22 | $707.2K | 8.0K | 7.9K |
| 2019 | $306.28 | $82.24 | 3.72x | $224.04 | $643.5K | 7.2K | 7.1K |
| 2020 | $320.02 | $86.60 | 3.70x | $233.42 | $698.3K | 7.1K | 7.0K |
| 2021 | $310.13 | $76.37 | 4.06x | $233.76 | $748.9K | 7.8K | 7.8K |
| 2022 | $349.12 | $79.77 | 4.38x | $269.35 | $721.4K | 8.0K | 8.0K |
| 2023 | $288.53 | $67.93 | 4.25x | $220.60 | $836.8K | 9.0K | 8.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 16.0K | $2.3M | $145.99 | 2.03x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 8.9K | $1.3M | $143.00 | 2.03x |
| 77063 | Screening digital tomography of both breasts | 19.4K | $1.1M | $58.67 | 4.01x |
| 76642 | Ultrasound of one breast | 2.3K | $180.0K | $78.36 | 2.77x |
| 77066 | Mammography of both breasts | 1.3K | $173.2K | $132.84 | 2.68x |
| 77065 | Mammography of one breast | 1.4K | $145.9K | $104.59 | 2.72x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 268 | $142.0K | $529.71 | 3.51x |
| 77049 | MRI of both breasts with and without contrast | 381 | $124.6K | $327.14 | 4.57x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 2.6K | $120.6K | $46.25 | 3.64x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 831 | $109.2K | $131.39 | 2.47x |
| 74177 | CT scan of abdomen and pelvis with contrast | 602 | $92.0K | $152.83 | 4.50x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 887 | $91.1K | $102.69 | 2.52x |
| 77059 | MRI scan of both breasts with contrast | 139 | $61.3K | $441.08 | 4.35x |
| 77052 | Computer analysis of screening mammogram to assist detection of cancer | 6.2K | $59.0K | $9.52 | 3.70x |
| 71250 | CT scan chest | 605 | $54.8K | $90.52 | 4.95x |
| 74176 | CT scan of abdomen and pelvis | 485 | $43.2K | $89.12 | 5.20x |
| 70450 | CT scan head or brain | 1.0K | $35.7K | $35.19 | 4.64x |
| 77080 | Bone density measurement using dedicated X-ray machine | 564 | $25.1K | $44.48 | 5.80x |
| 71275 | CT scan of blood vessels in chest with contrast | 353 | $25.0K | $70.93 | 4.30x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 410 | $21.8K | $53.07 | 3.39x |
This provider submits charges 2.79 times higher than what Medicare actually pays.
A markup ratio of 2.79x means for every $100 Medicare pays, this provider initially charges $279. 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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