This provider's $3.6M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 5.76x is significantly above the specialty median of 5.4x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 80% 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 | $488.80 | $85.37 | 5.73x | $403.43 | $286.7K | 3.4K | 3.3K |
| 2015 | $602.81 | $129.92 | 4.64x | $472.89 | $515.4K | 4.6K | 4.6K |
| 2016 | $594.13 | $122.57 | 4.85x | $471.56 | $412.2K | 3.8K | 3.7K |
| 2017 | $645.09 | $132.24 | 4.88x | $512.85 | $355.3K | 3.1K | 3.1K |
| 2018 | $665.72 | $144.57 | 4.60x | $521.15 | $449.3K | 4.0K | 4.0K |
| 2019 | $1.0K | $220.68 | 4.64x | $802.36 | $401.3K | 3.2K | 3.1K |
| 2020 | $784.77 | $184.16 | 4.26x | $600.61 | $310.7K | 2.6K | 2.6K |
| 2021 | $646.83 | $154.15 | 4.20x | $492.68 | $310.9K | 2.9K | 2.9K |
| 2022 | $692.50 | $161.53 | 4.29x | $530.97 | $314.9K | 3.2K | 3.1K |
| 2023 | $668.03 | $157.38 | 4.24x | $510.65 | $256.9K | 3.1K | 3.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 70551 | MRI scan brain | 4.4K | $539.3K | $122.91 | 6.89x |
| 70553 | MRI scan of brain before and after contrast | 2.3K | $400.3K | $171.34 | 8.23x |
| 72148 | MRI scan of lower spinal canal | 3.1K | $348.2K | $111.36 | 7.32x |
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 139 | $266.4K | $1.9K | 1.40x |
| 72141 | MRI scan of upper spinal canal | 1.8K | $195.0K | $110.10 | 7.50x |
| 78608 | Nuclear medicine study brain with metabolic evaluation | 264 | $191.3K | $724.76 | 3.22x |
| 70544 | MRA scan of head blood vessels | 1.1K | $175.1K | $163.99 | 5.39x |
| 70486 | CT scan of face | 1.5K | $120.1K | $78.49 | 5.71x |
| 70450 | CT scan head or brain | 2.2K | $114.3K | $52.93 | 6.06x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 386 | $106.7K | $276.30 | 3.55x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 2.0K | $101.6K | $49.57 | 4.94x |
| 74176 | CT scan of abdomen and pelvis | 614 | $79.7K | $129.83 | 3.66x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 121 | $75.0K | $620.23 | 3.93x |
| 70543 | MRI scan bones of the eye, face, and/or neck before and after contrast | 364 | $70.7K | $194.15 | 6.67x |
| 70547 | MRA scan of neck blood vessels | 411 | $64.4K | $156.64 | 5.43x |
| 72146 | MRI scan of middle spinal canal | 557 | $63.1K | $113.27 | 7.71x |
| 74177 | CT scan of abdomen and pelvis with contrast | 337 | $62.1K | $184.17 | 3.78x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 275 | $49.2K | $178.87 | 8.34x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 643 | $46.9K | $72.98 | 4.25x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 396 | $46.0K | $116.17 | 4.30x |
This provider submits charges 5.76 times higher than what Medicare actually pays.
A markup ratio of 5.76x means for every $100 Medicare pays, this provider initially charges $576. 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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