This provider averages 51 services per working day
Based on 128.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.2M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Averaging 51 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 54% in 2020
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 | $384.74 | $80.10 | 4.80x | $304.64 | $617.4K | 11.1K | 10.9K |
| 2015 | $375.51 | $76.70 | 4.90x | $298.81 | $666.3K | 12.1K | 12.0K |
| 2016 | $358.65 | $79.90 | 4.49x | $278.75 | $597.2K | 11.8K | 11.6K |
| 2017 | $278.35 | $59.62 | 4.67x | $218.73 | $749.3K | 12.8K | 12.6K |
| 2018 | $276.29 | $63.02 | 4.38x | $213.27 | $598.3K | 8.8K | 8.7K |
| 2019 | $217.32 | $50.88 | 4.27x | $166.44 | $696.4K | 11.0K | 10.9K |
| 2020 | $255.57 | $58.19 | 4.39x | $197.38 | $1.1M | 14.5K | 14.4K |
| 2021 | $262.89 | $59.33 | 4.43x | $203.56 | $1.2M | 16.2K | 16.1K |
| 2022 | $254.27 | $54.02 | 4.71x | $200.25 | $1.1M | 17.0K | 16.8K |
| 2023 | $237.08 | $52.07 | 4.55x | $185.01 | $873.6K | 12.9K | 12.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 22.1K | $2.8M | $125.51 | 2.09x |
| 77063 | Screening digital tomography of both breasts | 27.4K | $1.4M | $52.55 | 3.24x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 8.2K | $1.0M | $122.97 | 1.91x |
| 77080 | Bone density measurement using dedicated X-ray machine | 10.1K | $379.6K | $37.54 | 8.61x |
| 76641 | Ultrasound of one breast | 2.8K | $236.9K | $84.87 | 4.86x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.8K | $161.8K | $90.80 | 4.78x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 340 | $155.8K | $458.24 | 4.53x |
| 77049 | MRI of both breasts with and without contrast | 505 | $143.7K | $284.54 | 4.18x |
| 74176 | CT scan of abdomen and pelvis | 1.8K | $133.2K | $74.92 | 4.96x |
| 72020 | X-ray of spine, 1 view | 8.0K | $121.0K | $15.22 | 4.65x |
| 77066 | Mammography of both breasts | 971 | $117.1K | $120.59 | 2.68x |
| 77065 | Mammography of one breast | 1.1K | $105.1K | $94.91 | 2.93x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 99 | $99.8K | $1.0K | 3.80x |
| 77059 | MRI scan of both breasts with contrast | 222 | $84.2K | $379.18 | 5.00x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 712 | $81.9K | $115.04 | 2.45x |
| 19081 | Biopsy of breast accessed throught the skin with stereotactic guidance | 172 | $81.7K | $474.77 | 4.33x |
| 71250 | CT scan chest | 1.3K | $80.4K | $64.00 | 6.17x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 817 | $72.2K | $88.42 | 2.72x |
| 76700 | Ultrasound of abdomen | 765 | $60.2K | $78.71 | 4.34x |
| 76536 | Ultrasound of head and neck | 647 | $52.4K | $80.92 | 3.75x |
This provider submits charges 3.31 times higher than what Medicare actually pays.
A markup ratio of 3.31x means for every $100 Medicare pays, this provider initially charges $331. 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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