This provider's $4.8M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 6.61x is significantly above the specialty median of 5.4x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 103% in 2018
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 | $396.63 | $62.08 | 6.39x | $334.55 | $473.9K | 9.7K | 9.4K |
| 2015 | $319.12 | $51.65 | 6.18x | $267.47 | $389.9K | 9.4K | 9.1K |
| 2016 | $275.58 | $43.30 | 6.36x | $232.28 | $230.5K | 7.8K | 7.2K |
| 2017 | $286.85 | $48.54 | 5.91x | $238.31 | $221.7K | 6.0K | 5.7K |
| 2018 | $416.44 | $64.90 | 6.42x | $351.54 | $450.1K | 7.7K | 7.5K |
| 2019 | $412.83 | $65.14 | 6.34x | $347.69 | $582.0K | 9.4K | 9.2K |
| 2020 | $413.49 | $62.12 | 6.66x | $351.37 | $602.8K | 10.3K | 10.0K |
| 2021 | $444.53 | $65.87 | 6.75x | $378.66 | $537.0K | 8.3K | 8.1K |
| 2022 | $463.96 | $62.65 | 7.41x | $401.31 | $630.9K | 9.9K | 9.6K |
| 2023 | $445.94 | $60.95 | 7.32x | $384.99 | $636.2K | 10.0K | 9.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 70553 | MRI scan of brain before and after contrast | 3.4K | $798.8K | $233.17 | 8.35x |
| 72148 | MRI scan of lower spinal canal | 3.1K | $439.9K | $140.63 | 10.18x |
| 70450 | CT scan head or brain | 11.3K | $432.4K | $38.26 | 5.88x |
| 77067 | Mammography of both breasts | 3.2K | $417.6K | $129.02 | 2.06x |
| 70551 | MRI scan brain | 3.8K | $415.3K | $110.62 | 8.79x |
| 77063 | Screening digital tomography of both breasts | 3.8K | $199.1K | $52.64 | 3.21x |
| 72141 | MRI scan of upper spinal canal | 1.3K | $164.3K | $129.37 | 9.96x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 1.1K | $122.2K | $112.90 | 1.91x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 482 | $108.9K | $225.83 | 8.38x |
| 70544 | MRA scan of head blood vessels | 1.1K | $93.1K | $88.07 | 7.28x |
| 72125 | CT scan of upper spine | 2.0K | $89.7K | $44.06 | 5.70x |
| 77080 | Bone density measurement using dedicated X-ray machine | 2.2K | $80.9K | $36.08 | 8.56x |
| 71046 | X-ray of chest, 2 views | 3.6K | $67.6K | $18.62 | 4.70x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 642 | $65.5K | $102.07 | 5.10x |
| 70486 | CT scan of face | 1.1K | $60.7K | $54.89 | 6.89x |
| 70547 | MRA scan of neck blood vessels | 875 | $60.5K | $69.11 | 8.10x |
| 71045 | X-ray of chest, 1 view | 8.3K | $57.2K | $6.90 | 4.99x |
| 72146 | MRI scan of middle spinal canal | 484 | $56.9K | $117.65 | 11.06x |
| 76641 | Ultrasound of one breast | 660 | $56.8K | $86.09 | 5.01x |
| 76700 | Ultrasound of abdomen | 628 | $52.0K | $82.83 | 4.37x |
This provider submits charges 6.61 times higher than what Medicare actually pays.
A markup ratio of 6.61x means for every $100 Medicare pays, this provider initially charges $661. 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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