This provider's $3.4M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 7.23x is significantly above the specialty median of 5.4x.
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 | $445.92 | $68.20 | 6.54x | $377.72 | $337.2K | 6.0K | 5.8K |
| 2015 | $473.39 | $68.42 | 6.92x | $404.97 | $427.2K | 7.1K | 6.8K |
| 2016 | $468.44 | $66.11 | 7.09x | $402.33 | $330.0K | 5.5K | 5.3K |
| 2017 | $455.32 | $65.60 | 6.94x | $389.72 | $377.8K | 6.5K | 6.2K |
| 2018 | $408.91 | $60.58 | 6.75x | $348.33 | $269.4K | 5.3K | 5.1K |
| 2019 | $419.16 | $61.63 | 6.80x | $357.53 | $261.9K | 4.8K | 4.6K |
| 2020 | $502.51 | $71.16 | 7.06x | $431.35 | $266.9K | 5.0K | 4.8K |
| 2021 | $527.51 | $70.34 | 7.50x | $457.17 | $341.7K | 6.2K | 5.9K |
| 2022 | $584.41 | $73.39 | 7.96x | $511.02 | $388.2K | 6.8K | 6.5K |
| 2023 | $510.81 | $63.41 | 8.06x | $447.40 | $365.9K | 7.2K | 7.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 70553 | MRI scan of brain before and after contrast | 4.0K | $815.0K | $203.39 | 7.94x |
| 70450 | CT scan head or brain | 14.3K | $537.9K | $37.55 | 5.83x |
| 70551 | MRI scan brain | 4.1K | $376.3K | $90.92 | 7.91x |
| 72148 | MRI scan of lower spinal canal | 1.7K | $192.2K | $111.13 | 9.22x |
| 72141 | MRI scan of upper spinal canal | 1.4K | $162.1K | $117.26 | 9.51x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 675 | $137.4K | $203.48 | 8.07x |
| 70544 | MRA scan of head blood vessels | 1.4K | $122.3K | $89.12 | 6.88x |
| 72125 | CT scan of upper spine | 2.1K | $93.8K | $44.62 | 5.67x |
| 70547 | MRA scan of neck blood vessels | 1.1K | $77.4K | $72.06 | 7.20x |
| 72156 | MRI scan of upper spinal canal before and after contrast | 409 | $72.9K | $178.18 | 8.91x |
| 70496 | CT scan of blood vessel of head with contrast | 1.0K | $70.4K | $69.08 | 5.27x |
| 70498 | CT scan of neck blood vessels with contrast | 957 | $59.1K | $61.80 | 5.31x |
| 72146 | MRI scan of middle spinal canal | 590 | $58.7K | $99.54 | 9.92x |
| 70491 | CT scan of neck with contrast | 493 | $55.2K | $111.87 | 6.28x |
| 70486 | CT scan of face | 1.0K | $49.6K | $48.51 | 7.19x |
| 72131 | CT scan of lower spine | 818 | $48.8K | $59.61 | 6.75x |
| 72157 | MRI scan of middle spinal canal before and after contrast | 261 | $43.9K | $168.38 | 7.50x |
| 71045 | X-ray of chest, 1 view | 5.1K | $34.4K | $6.81 | 4.99x |
| 71010 | X-ray of chest, 1 view, front | 4.3K | $30.0K | $7.00 | 4.43x |
| 70543 | MRI scan bones of the eye, face, and/or neck before and after contrast | 84 | $25.5K | $303.25 | 7.21x |
This provider submits charges 7.23 times higher than what Medicare actually pays.
A markup ratio of 7.23x means for every $100 Medicare pays, this provider initially charges $723. 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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