This provider's $5.0M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 187% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 259% in 2015
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 | $428.05 | $131.10 | 3.27x | $296.95 | $154.8K | 1.2K | 1.1K |
| 2015 | $378.94 | $130.07 | 2.91x | $248.87 | $555.2K | 4.3K | 4.0K |
| 2016 | $375.73 | $137.40 | 2.73x | $238.33 | $670.0K | 4.9K | 4.6K |
| 2017 | $356.51 | $126.21 | 2.82x | $230.30 | $704.4K | 4.9K | 4.6K |
| 2018 | $393.87 | $139.90 | 2.82x | $253.97 | $499.3K | 3.3K | 3.2K |
| 2019 | $360.74 | $129.40 | 2.79x | $231.34 | $526.2K | 3.3K | 3.1K |
| 2020 | $352.27 | $130.10 | 2.71x | $222.17 | $425.0K | 2.1K | 1.9K |
| 2021 | $397.79 | $145.64 | 2.73x | $252.15 | $498.2K | 2.1K | 2.0K |
| 2022 | $387.13 | $136.07 | 2.85x | $251.06 | $528.6K | 2.2K | 2.1K |
| 2023 | $405.64 | $139.27 | 2.91x | $266.37 | $444.9K | 2.1K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 2.2K | $2.4M | $1.1K | 2.97x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2.0K | $313.4K | $157.03 | 1.49x |
| 74183 | MRI scan of abdomen before and after contrast | 974 | $300.5K | $308.54 | 3.56x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.4K | $295.5K | $213.33 | 2.39x |
| G0297 | Low dose ct scan (ldct) for lung cancer screening | 1.1K | $228.5K | $212.57 | 1.82x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 916 | $225.6K | $246.27 | 2.36x |
| 71260 | CT scan chest with contrast | 1.2K | $157.8K | $127.70 | 3.37x |
| 71250 | CT scan chest | 1.5K | $152.1K | $104.08 | 3.37x |
| 74176 | CT scan of abdomen and pelvis | 1.0K | $128.2K | $127.29 | 2.62x |
| 78306 | Bone and/or joint imaging, whole body | 383 | $80.0K | $208.83 | 2.45x |
| 71275 | CT scan of blood vessels in chest with contrast | 318 | $60.6K | $190.62 | 3.21x |
| 72197 | MRI scan of pelvis before and after contrast | 204 | $50.1K | $245.50 | 4.14x |
| 76770 | Ultrasound behind abdominal cavity | 650 | $47.3K | $72.79 | 2.56x |
| 71271 | Low dose ct scan of chest for lung cancer screening | 421 | $45.2K | $107.45 | 3.17x |
| 74160 | CT scan abdomen with contrast | 280 | $45.1K | $160.91 | 2.85x |
| 76700 | Ultrasound of abdomen | 485 | $38.1K | $78.64 | 2.78x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 85 | $37.0K | $435.62 | 1.57x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 276 | $35.6K | $128.84 | 2.51x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 623 | $32.6K | $52.38 | 3.67x |
| 74174 | CT scan of abdominal and pelvic blood vessels with contrast | 122 | $32.5K | $266.73 | 2.68x |
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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