This provider's $3.8M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 6316% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 235% in 2022
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 | $179.15 | $37.68 | 4.75x | $141.47 | $27.2K | 1.3K | 1.2K |
| 2015 | $214.20 | $47.16 | 4.54x | $167.04 | $48.2K | 2.1K | 2.1K |
| 2016 | $164.11 | $36.27 | 4.52x | $127.84 | $50.0K | 2.3K | 2.3K |
| 2017 | $537.26 | $94.62 | 5.68x | $442.64 | $43.4K | 1.1K | 1.1K |
| 2018 | $234.78 | $47.67 | 4.93x | $187.11 | $100.8K | 3.0K | 2.9K |
| 2019 | $247.87 | $56.26 | 4.41x | $191.61 | $173.2K | 5.1K | 4.9K |
| 2020 | $326.00 | $55.83 | 5.84x | $270.17 | $159.5K | 4.7K | 4.5K |
| 2021 | $567.21 | $99.92 | 5.68x | $467.29 | $339.9K | 5.9K | 5.8K |
| 2022 | $962.90 | $164.33 | 5.86x | $798.57 | $1.1M | 12.7K | 12.6K |
| 2023 | $998.48 | $163.82 | 6.09x | $834.66 | $1.7M | 20.7K | 20.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 15.8K | $1.6M | $101.11 | 3.73x |
| 77063 | Screening digital tomography of both breasts | 16.0K | $738.2K | $46.22 | 3.36x |
| 77080 | Bone density measurement of the core or central skeleton (e.g., hips, pelvis, spine) | 5.9K | $228.7K | $38.48 | 9.73x |
| 77066 | Mammography of both breasts | 2.6K | $212.9K | $82.41 | 4.82x |
| 77065 | Mammography of one breast | 2.8K | $177.5K | $63.18 | 4.73x |
| 77049 | MRI of both breasts with and without contrast | 687 | $170.1K | $247.63 | 12.02x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 4.5K | $147.0K | $32.43 | 5.21x |
| 19081 | Biopsy of breast accessed throught the skin with stereotactic guidance | 396 | $117.9K | $297.62 | 5.23x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 418 | $108.6K | $259.92 | 4.63x |
| 76642 | Ultrasound of one breast | 2.1K | $96.2K | $46.91 | 3.46x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 2.2K | $82.0K | $36.45 | 3.82x |
| 19085 | Biopsy of breast and placement of locating device using mri, first growth | 58 | $37.3K | $643.55 | 7.30x |
| 76641 | Complete ultrasound scan of 1 breast | 251 | $23.3K | $92.82 | 2.08x |
| 76981 | Ultrasound scan of organ tissue for measuring elasticity | 219 | $17.7K | $80.84 | 4.33x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 456 | $16.1K | $35.22 | 5.07x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 508 | $14.4K | $28.26 | 5.00x |
| 77059 | MRI scan of both breasts with contrast | 84 | $9.6K | $113.98 | 5.51x |
| 19281 | Placement of breast localization devices accessed through the skin with mammographic guidance | 84 | $8.4K | $100.26 | 4.66x |
| 19283 | Placement of locating device in breast using x-ray with needle guidance, first growth | 29 | $6.2K | $214.61 | 3.73x |
| 77052 | Computer analysis of screening mammogram to assist detection of cancer | 1.8K | $5.5K | $3.15 | 3.92x |
This provider submits charges 4.66 times higher than what Medicare actually pays.
A markup ratio of 4.66x means for every $100 Medicare pays, this provider initially charges $466. 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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