This provider's $3.4M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 8.14x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 104% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 153% 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 | $454.86 | $64.95 | 7.00x | $389.91 | $215.9K | 5.0K | 4.6K |
| 2015 | $500.47 | $66.93 | 7.48x | $433.54 | $178.7K | 4.3K | 4.0K |
| 2016 | $500.90 | $70.37 | 7.12x | $430.53 | $224.7K | 4.3K | 4.1K |
| 2017 | $450.22 | $62.37 | 7.22x | $387.85 | $181.1K | 4.4K | 4.1K |
| 2018 | $503.90 | $71.09 | 7.09x | $432.81 | $178.5K | 4.1K | 3.8K |
| 2019 | $529.84 | $71.96 | 7.36x | $457.88 | $257.9K | 5.0K | 4.8K |
| 2020 | $1.7K | $117.08 | 14.77x | $1.6K | $652.8K | 5.5K | 4.9K |
| 2021 | $833.10 | $179.21 | 4.65x | $653.89 | $599.4K | 4.7K | 4.1K |
| 2022 | $746.24 | $162.21 | 4.60x | $584.03 | $458.3K | 4.0K | 3.6K |
| 2023 | $808.48 | $185.54 | 4.36x | $622.94 | $440.1K | 4.0K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 853 | $817.6K | $958.48 | 6.12x |
| 74177 | CT scan of abdomen and pelvis with contrast | 4.3K | $703.5K | $162.89 | 10.23x |
| 71260 | CT scan chest with contrast | 4.0K | $294.4K | $72.92 | 14.00x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 753 | $159.2K | $211.36 | 3.20x |
| 78816 | Nuclear medicine study with ct imaging whole body | 138 | $129.9K | $941.55 | 5.99x |
| 74176 | CT scan of abdomen and pelvis | 1.1K | $106.8K | $94.30 | 10.87x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 1.9K | $90.7K | $48.35 | 3.85x |
| 71250 | CT scan chest | 990 | $66.0K | $66.64 | 10.37x |
| 72148 | MRI scan of lower spinal canal | 592 | $63.9K | $107.89 | 9.98x |
| 70491 | Ct scan of neck with contrast | 639 | $61.4K | $96.03 | 9.85x |
| 70450 | CT scan head or brain | 1.9K | $58.5K | $31.51 | 8.77x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 283 | $58.2K | $205.67 | 14.59x |
| 78306 | Bone and/or joint imaging, whole body | 243 | $48.3K | $198.66 | 4.12x |
| 70551 | MRI scan brain | 540 | $42.1K | $77.91 | 8.28x |
| 74160 | Ct scan abdomen with contrast | 276 | $41.3K | $149.80 | 9.51x |
| 70553 | MRI scan of brain before and after contrast | 233 | $40.4K | $173.46 | 9.23x |
| 71275 | CT scan of blood vessels in chest with contrast | 497 | $37.5K | $75.44 | 6.66x |
| 77067 | Mammography of both breasts | 703 | $35.9K | $51.03 | 4.26x |
| 72197 | MRI scan of pelvis before and after contrast | 307 | $34.3K | $111.68 | 6.92x |
| 76700 | Ultrasound of abdomen | 700 | $33.3K | $47.57 | 5.86x |
This provider submits charges 8.14 times higher than what Medicare actually pays.
A markup ratio of 8.14x means for every $100 Medicare pays, this provider initially charges $814. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data