This provider's $10.9M 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 | $371.83 | $134.05 | 2.77x | $237.78 | $1.1M | 8.8K | 8.6K |
| 2015 | $372.98 | $135.77 | 2.75x | $237.21 | $910.2K | 8.4K | 8.1K |
| 2016 | $300.72 | $107.84 | 2.79x | $192.88 | $1.1M | 10.1K | 9.9K |
| 2017 | $335.89 | $118.30 | 2.84x | $217.59 | $1.0M | 9.8K | 9.6K |
| 2018 | $321.30 | $108.76 | 2.95x | $212.54 | $1.4M | 12.5K | 12.3K |
| 2019 | $336.36 | $123.04 | 2.73x | $213.32 | $1.6M | 16.7K | 16.5K |
| 2020 | $319.75 | $116.92 | 2.73x | $202.83 | $1.3M | 13.9K | 13.8K |
| 2021 | $379.02 | $138.83 | 2.73x | $240.19 | $1.1M | 12.6K | 12.5K |
| 2022 | $329.27 | $119.33 | 2.76x | $209.94 | $910.2K | 10.0K | 10.0K |
| 2023 | $318.61 | $109.70 | 2.90x | $208.91 | $528.6K | 6.8K | 6.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 2.3K | $2.5M | $1.1K | 2.79x |
| 77080 | Bone density measurement using dedicated X-ray machine | 30.6K | $1.2M | $39.01 | 2.13x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2.4K | $912.9K | $377.72 | 2.54x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 8.8K | $881.3K | $100.62 | 3.69x |
| 71250 | CT scan chest | 3.6K | $396.3K | $109.71 | 2.93x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.5K | $356.9K | $140.12 | 2.95x |
| 72148 | MRI scan of lower spinal canal | 3.3K | $345.8K | $105.98 | 2.75x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 1.2K | $332.0K | $268.64 | 2.76x |
| 71260 | CT scan chest with contrast | 1.6K | $235.0K | $147.69 | 3.01x |
| 73721 | MRI scan of leg joint | 2.1K | $229.8K | $107.24 | 2.76x |
| 73221 | MRI scan of arm joint | 2.4K | $210.7K | $87.55 | 2.58x |
| 76536 | Ultrasound of head and neck | 1.7K | $144.1K | $82.74 | 2.92x |
| 74176 | CT scan of abdomen and pelvis | 981 | $142.0K | $144.74 | 2.84x |
| 74177 | CT scan of abdomen and pelvis with contrast | 561 | $137.5K | $245.15 | 2.71x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 761 | $136.0K | $178.65 | 2.82x |
| 78306 | Bone and/or joint imaging, whole body | 577 | $127.4K | $220.86 | 2.70x |
| G0297 | Low dose ct scan (ldct) for lung cancer screening | 508 | $116.6K | $229.44 | 2.20x |
| 72141 | MRI scan of upper spinal canal | 954 | $110.1K | $115.39 | 2.93x |
| 70553 | MRI scan of brain before and after contrast | 386 | $101.0K | $261.63 | 2.85x |
| 76700 | Ultrasound of abdomen | 1.1K | $97.8K | $88.31 | 2.91x |
This provider submits charges 2.78 times higher than what Medicare actually pays.
A markup ratio of 2.78x means for every $100 Medicare pays, this provider initially charges $278. 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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