This provider's $5.1M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 7.27x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 365% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 420% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $757.80 | $125.05 | 6.06x | $632.75 | $147.4K | 1.2K | 1.1K |
| 2017 | $930.96 | $142.97 | 6.51x | $787.99 | $766.8K | 6.0K | 5.8K |
| 2018 | $947.89 | $146.97 | 6.45x | $800.92 | $730.9K | 5.3K | 5.2K |
| 2019 | $1.0K | $153.09 | 6.69x | $871.59 | $764.2K | 5.7K | 5.5K |
| 2020 | $977.44 | $145.67 | 6.71x | $831.77 | $642.9K | 4.7K | 4.6K |
| 2021 | $899.26 | $135.97 | 6.61x | $763.29 | $675.8K | 5.2K | 5.1K |
| 2022 | $835.80 | $102.78 | 8.13x | $733.02 | $695.5K | 8.4K | 8.1K |
| 2023 | $796.45 | $97.85 | 8.14x | $698.60 | $686.1K | 10.0K | 9.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 72148 | MRI scan of lower spinal canal | 3.2K | $521.7K | $164.47 | 6.74x |
| 73721 | MRI scan of leg joint | 2.7K | $472.2K | $177.25 | 6.49x |
| 70551 | MRI scan brain | 3.0K | $391.2K | $132.38 | 7.54x |
| 70553 | MRI scan of brain before and after contrast | 1.4K | $370.9K | $273.29 | 6.69x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 971 | $313.3K | $322.64 | 5.62x |
| 73221 | MRI scan of arm joint | 1.6K | $281.9K | $181.08 | 6.32x |
| 70450 | CT scan head or brain | 6.1K | $238.0K | $39.29 | 15.42x |
| 72141 | MRI scan of upper spinal canal | 1.5K | $222.3K | $151.55 | 7.31x |
| 74176 | CT scan of abdomen and pelvis | 1.1K | $183.6K | $172.04 | 5.92x |
| 70486 | CT scan of face | 1.6K | $167.6K | $105.53 | 6.75x |
| 71250 | CT scan chest | 1.3K | $164.9K | $131.19 | 6.69x |
| 73718 | MRI scan of leg | 584 | $110.7K | $189.55 | 7.41x |
| 71046 | X-ray of chest, 2 views | 3.7K | $99.9K | $27.20 | 5.81x |
| 70543 | MRI scan bones of the eye, face, and/or neck before and after contrast | 236 | $78.5K | $332.49 | 7.34x |
| 70496 | CT scan of blood vessel of head with contrast | 539 | $78.4K | $145.52 | 9.41x |
| 70544 | MRA scan of head blood vessels | 553 | $76.7K | $138.69 | 9.36x |
| 76700 | Ultrasound of abdomen | 734 | $75.1K | $102.35 | 6.20x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 422 | $73.7K | $174.60 | 6.04x |
| 70498 | CT scan of neck blood vessels with contrast | 586 | $72.6K | $123.92 | 9.93x |
| 72146 | MRI scan of middle spinal canal | 450 | $66.8K | $148.37 | 7.77x |
This provider submits charges 7.27 times higher than what Medicare actually pays.
A markup ratio of 7.27x means for every $100 Medicare pays, this provider initially charges $727. 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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