This provider's $3.9M 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.
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 | $443.78 | $96.67 | 4.59x | $347.11 | $364.2K | 4.2K | 4.2K |
| 2015 | $418.57 | $83.35 | 5.02x | $335.22 | $304.3K | 4.6K | 4.5K |
| 2016 | $442.72 | $91.59 | 4.83x | $351.13 | $341.5K | 4.5K | 4.5K |
| 2017 | $390.91 | $84.05 | 4.65x | $306.86 | $399.2K | 5.1K | 5.0K |
| 2018 | $361.69 | $81.53 | 4.44x | $280.16 | $429.0K | 5.5K | 5.4K |
| 2019 | $427.24 | $89.79 | 4.76x | $337.45 | $493.0K | 5.0K | 4.9K |
| 2020 | $421.27 | $87.34 | 4.82x | $333.93 | $393.4K | 3.9K | 3.8K |
| 2021 | $432.62 | $87.95 | 4.92x | $344.67 | $348.4K | 3.8K | 3.8K |
| 2022 | $436.64 | $85.70 | 5.09x | $350.94 | $387.2K | 4.3K | 4.3K |
| 2023 | $481.71 | $90.75 | 5.31x | $390.96 | $450.4K | 4.8K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 72148 | MRI scan of lower spinal canal | 2.3K | $392.6K | $171.82 | 6.21x |
| G0297 | Low dose ct scan (ldct) for lung cancer screening | 1.3K | $341.6K | $261.74 | 2.82x |
| 73721 | MRI scan of leg joint | 1.3K | $235.6K | $182.32 | 6.13x |
| 70553 | MRI scan of brain before and after contrast | 767 | $212.5K | $277.09 | 6.13x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.4K | $206.3K | $144.48 | 4.54x |
| 70551 | MRI scan brain | 1.5K | $203.3K | $137.07 | 5.76x |
| 74183 | MRI scan of abdomen before and after contrast | 559 | $199.5K | $356.82 | 5.05x |
| 72197 | MRI scan of pelvis before and after contrast | 595 | $196.2K | $329.73 | 5.28x |
| 71271 | Low dose ct scan of chest for lung cancer screening | 1.4K | $192.5K | $141.52 | 3.15x |
| 73221 | MRI scan of arm joint | 826 | $154.5K | $187.00 | 5.86x |
| 72141 | MRI scan of upper spinal canal | 938 | $150.5K | $160.41 | 6.59x |
| 71250 | CT scan chest | 1.5K | $137.2K | $91.45 | 5.26x |
| 74176 | CT scan of abdomen and pelvis | 1.2K | $117.3K | $97.56 | 5.44x |
| 70450 | CT scan head or brain | 3.1K | $114.6K | $37.46 | 4.65x |
| 71275 | CT scan of blood vessels in chest with contrast | 820 | $69.6K | $84.86 | 4.21x |
| 73718 | MRI scan of leg | 287 | $67.1K | $233.65 | 4.80x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 1.0K | $61.0K | $60.25 | 2.95x |
| 71260 | CT scan chest with contrast | 490 | $51.4K | $104.97 | 6.09x |
| 72146 | MRI scan of middle spinal canal | 316 | $51.2K | $161.90 | 6.55x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 168 | $50.6K | $301.24 | 5.14x |
This provider submits charges 4.93 times higher than what Medicare actually pays.
A markup ratio of 4.93x means for every $100 Medicare pays, this provider initially charges $493. 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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