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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Mark Smith
๐Ÿ“ก
MDIndividual

Mark Smith, MD

NPI: 1831374289
Rancho Mirage, CA
7 years of data
Diagnostic Radiology
$5.6M
Total Payments
67.7K
Beneficiaries
69.9K
Services
2.87x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$5.6M
Specialty median$115.6K

๐Ÿ“‹ Key Findings

1Billed $5.6M over 7 years
22.87x markup ratio (above median)
399th percentile in Diagnostic Radiology by payments
4Payments surged 11085% in 2018
511 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $5.6M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.

Medicare payments to this provider grew 33393% from 2017 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 11085% in 2018

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2017$156.40$21.147.40x$135.26$3.0K245229
2018$255.92$87.642.92x$168.28$339.9K5.1K5.0K
2019$265.87$90.492.94x$175.38$935.5K11.7K11.4K
2020$271.28$97.202.79x$174.08$974.7K11.0K10.6K
2021$295.60$104.612.83x$190.99$1.2M12.5K12.1K
2022$281.70$98.652.86x$183.05$1.1M13.7K13.3K
2023$230.16$76.483.01x$153.68$1.0M15.6K15.0K

Top Procedures (20)

78815Nuclear medicine study with ct imaging skull base to mid-thigh
$845.0K
623 services$1.4K/svc2.10x markup
74178CT scan of abdomen and pelvis before and after contrast
$479.8K
2.2K services$215.44/svc2.62x markup
71250CT scan chestโš  3.3x markup
$463.3K
4.5K services$102.68/svc3.34x markup
70553MRI scan of brain before and after contrast
$299.6K
1.2K services$244.76/svc2.86x markup
72148MRI scan of lower spinal canal
$287.2K
1.8K services$163.07/svc2.82x markup
74176CT scan of abdomen and pelvisโš  3.1x markup
$216.3K
2.4K services$90.47/svc3.08x markup
71270CT scan chest before and after contrastโš  4.1x markup
$206.1K
1.6K services$131.35/svc4.10x markup
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
$203.1K
763 services$266.23/svc1.88x markup
74183MRI scan of abdomen before and after contrastโš  3.5x markup
$180.9K
629 services$287.68/svc3.48x markup
76536Ultrasound of head and neck
$154.9K
1.7K services$93.23/svc2.70x markup
78816Nuclear medicine study with ct imaging whole body
$108.7K
80 services$1.4K/svc2.09x markup
70551MRI scan brain
$106.9K
914 services$116.97/svc2.94x markup
70450CT scan head or brainโš  3.4x markup
$106.6K
2.8K services$38.28/svc3.36x markup
72141MRI scan of upper spinal canalโš  3.0x markup
$103.4K
668 services$154.78/svc3.04x markup
78830Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, with concurrently acquired ct transmission scan, 1 day of imagingโš  3.3x markup
$94.3K
228 services$413.77/svc3.30x markup
71046X-ray of chest, 2 viewsโš  3.4x markup
$94.0K
6.2K services$15.22/svc3.40x markup
72158MRI scan of lower spinal canal before and after contrastโš  3.0x markup
$87.2K
349 services$249.93/svc3.04x markup
70492CT scan of neck before and after contrastโš  3.2x markup
$73.6K
405 services$181.80/svc3.22x markup
71275CT scan of blood vessels in chest with contrastโš  3.4x markup
$67.1K
807 services$83.11/svc3.41x markup
72156MRI scan of upper spinal canal before and after contrast
$58.7K
219 services$268.04/svc2.92x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78815Nuclear medicine study with ct imaging skull base to mid-thigh623$845.0K$1.4K2.10x
74178CT scan of abdomen and pelvis before and after contrast2.2K$479.8K$215.442.62x
71250CT scan chest4.5K$463.3K$102.683.34x
70553MRI scan of brain before and after contrast1.2K$299.6K$244.762.86x
72148MRI scan of lower spinal canal1.8K$287.2K$163.072.82x
74176CT scan of abdomen and pelvis2.4K$216.3K$90.473.08x
71270CT scan chest before and after contrast1.6K$206.1K$131.354.10x
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries763$203.1K$266.231.88x
74183MRI scan of abdomen before and after contrast629$180.9K$287.683.48x
76536Ultrasound of head and neck1.7K$154.9K$93.232.70x
78816Nuclear medicine study with ct imaging whole body80$108.7K$1.4K2.09x
70551MRI scan brain914$106.9K$116.972.94x
70450CT scan head or brain2.8K$106.6K$38.283.36x
72141MRI scan of upper spinal canal668$103.4K$154.783.04x
78830Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, with concurrently acquired ct transmission scan, 1 day of imaging228$94.3K$413.773.30x
71046X-ray of chest, 2 views6.2K$94.0K$15.223.40x
72158MRI scan of lower spinal canal before and after contrast349$87.2K$249.933.04x
70492CT scan of neck before and after contrast405$73.6K$181.803.22x
71275CT scan of blood vessels in chest with contrast807$67.1K$83.113.41x
72156MRI scan of upper spinal canal before and after contrast219$58.7K$268.042.92x

Markup Analysis

Charge-to-Payment Ratio

2.87x

This provider submits charges 2.87 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.87x means for every $100 Medicare pays, this provider initially charges $287. This is higher than the national average.

Location

Rancho Mirage, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Diagnostic Radiology providers in CA for peer comparison.

Mark Smith (you)
$5.6M
Stephen Liu, M.D.
$37.2M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Stephen Liu, M.D.Modesto, CA$37.2Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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