This provider's $15.7M in total Medicare payments ranks in the 99th percentile of Nuclear Medicine providers nationally.
Medicare payments to this provider grew 152% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 57% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $1.8K | $487.11 | 3.74x | $1.3K | $806.8K | 2.0K | 1.8K |
| 2015 | $789.41 | $216.89 | 3.64x | $572.52 | $1.2M | 3.0K | 2.7K |
| 2016 | $865.63 | $238.87 | 3.62x | $626.76 | $1.1M | 2.7K | 2.5K |
| 2017 | $930.55 | $302.83 | 3.07x | $627.72 | $1.7M | 3.9K | 3.6K |
| 2018 | $1.1K | $288.39 | 3.64x | $762.02 | $1.5M | 4.1K | 3.5K |
| 2019 | $1.2K | $303.27 | 3.84x | $862.32 | $1.9M | 4.9K | 4.0K |
| 2020 | $784.20 | $244.20 | 3.21x | $540.00 | $1.7M | 4.5K | 3.8K |
| 2021 | $1.1K | $390.02 | 2.77x | $690.56 | $2.1M | 5.2K | 4.5K |
| 2022 | $830.28 | $249.11 | 3.33x | $581.17 | $1.6M | 5.2K | 4.4K |
| 2023 | $950.59 | $271.79 | 3.50x | $678.80 | $2.0M | 4.7K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 7.1K | $8.3M | $1.2K | 3.37x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 7.0K | $1.6M | $225.53 | 3.91x |
| 78816 | Nuclear medicine study with CT imaging whole body | 1.1K | $1.4M | $1.2K | 3.49x |
| 74177 | CT scan of abdomen and pelvis with contrast | 2.3K | $603.4K | $264.66 | 3.22x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 3.3K | $458.5K | $137.11 | 4.74x |
| 71260 | CT scan chest with contrast | 2.5K | $334.1K | $133.11 | 5.74x |
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 150 | $323.6K | $2.2K | 2.44x |
| A9586 | Florbetapir f18, diagnostic, per study dose, up to 10 millicuries | 133 | $309.1K | $2.3K | 1.33x |
| A9699 | Radiopharmaceutical, therapeutic, not otherwise classified | 22 | $225.3K | $10.2K | 3.91x |
| 78306 | Bone and/or joint imaging, whole body | 930 | $195.2K | $209.93 | 2.74x |
| 78814 | Nuclear medicine study with CT imaging | 135 | $175.7K | $1.3K | 3.16x |
| 78608 | Nuclear medicine study brain with metabolic evaluation | 128 | $169.9K | $1.3K | 2.69x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 319 | $153.2K | $480.27 | 3.11x |
| 78830 | Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, with concurrently acquired ct transmission scan, 1 day of imaging | 419 | $141.4K | $337.51 | 3.32x |
| A9520 | Technetium tc-99m, tilmanocept, diagnostic, up to 0.5 millicuries | 303 | $120.7K | $398.49 | 2.68x |
| 70491 | CT scan of neck with contrast | 751 | $113.5K | $151.18 | 5.03x |
| A9597 | Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified | 33 | $106.2K | $3.2K | 1.50x |
| 74176 | CT scan of abdomen and pelvis | 555 | $90.2K | $162.58 | 3.52x |
| 71250 | CT scan chest | 672 | $87.4K | $130.12 | 4.80x |
| A9500 | Technetium tc-99m sestamibi, diagnostic, per study dose | 917 | $79.7K | $86.90 | 5.51x |
This provider submits charges 3.5 times higher than what Medicare actually pays.
A markup ratio of 3.5x means for every $100 Medicare pays, this provider initially charges $350. 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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