This provider's $5.4M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 5.02x is significantly above the specialty median of 5.4x.
AI-generated analysis based on Medicare payment data.
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 | $688.84 | $138.14 | 4.99x | $550.70 | $511.3K | 4.8K | 4.5K |
| 2015 | $741.86 | $140.90 | 5.27x | $600.96 | $624.7K | 5.6K | 5.4K |
| 2016 | $728.54 | $135.38 | 5.38x | $593.16 | $640.0K | 5.7K | 5.3K |
| 2017 | $758.41 | $142.32 | 5.33x | $616.09 | $608.5K | 5.7K | 5.3K |
| 2018 | $742.62 | $134.88 | 5.51x | $607.74 | $505.9K | 5.1K | 4.9K |
| 2019 | $776.82 | $137.87 | 5.63x | $638.95 | $539.4K | 5.7K | 5.3K |
| 2020 | $775.76 | $138.44 | 5.60x | $637.32 | $529.2K | 5.5K | 5.2K |
| 2021 | $780.36 | $135.64 | 5.75x | $644.72 | $532.6K | 5.6K | 5.2K |
| 2022 | $776.17 | $129.21 | 6.01x | $646.96 | $493.0K | 5.5K | 5.2K |
| 2023 | $746.23 | $120.30 | 6.20x | $625.93 | $443.7K | 5.1K | 4.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 74183 | MRI scan of abdomen before and after contrast | 4.7K | $1.5M | $312.42 | 5.02x |
| 74177 | CT scan of abdomen and pelvis with contrast | 5.4K | $1.3M | $236.76 | 4.22x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 2.1K | $557.6K | $263.88 | 4.81x |
| 76700 | Ultrasound of abdomen | 3.4K | $301.1K | $89.48 | 4.46x |
| 76705 | Ultrasound of abdomen | 4.5K | $288.6K | $64.27 | 4.52x |
| 74176 | CT scan of abdomen and pelvis | 2.0K | $288.2K | $146.90 | 4.37x |
| 74181 | MRI scan of abdomen | 1.4K | $261.7K | $188.15 | 5.48x |
| 72197 | MRI scan of pelvis before and after contrast | 687 | $154.5K | $224.90 | 6.99x |
| 74261 | Diagnostic CT scan of large bowel | 741 | $128.4K | $173.31 | 8.66x |
| 74170 | CT scan abdomen before and after contrast | 509 | $96.9K | $190.39 | 5.96x |
| 71260 | CT scan chest with contrast | 627 | $78.1K | $124.50 | 7.79x |
| 74174 | CT scan of abdominal and pelvic blood vessels with contrast | 240 | $74.6K | $310.87 | 5.31x |
| 72195 | MRI scan of pelvis | 333 | $67.4K | $202.32 | 5.52x |
| 82570 | Creatinine level to test for kidney function or muscle injury | 10.4K | $60.7K | $5.81 | 3.73x |
| 74160 | CT scan abdomen with contrast | 343 | $57.6K | $168.07 | 5.83x |
| J1610 | Injection, glucagon hydrochloride, per 1 mg | 378 | $57.1K | $151.09 | 3.22x |
| 74185 | MRI scan of blood vessels of abdomen | 138 | $40.9K | $296.20 | 4.23x |
| 70480 | CT scan of cranial cavity | 339 | $34.6K | $102.18 | 7.21x |
| 91200 | Measuring the stiffness in the liver via elastography | 1.0K | $27.4K | $27.08 | 18.46x |
| 76770 | Ultrasound behind abdominal cavity | 277 | $24.1K | $86.83 | 4.28x |
This provider submits charges 5.02 times higher than what Medicare actually pays.
A markup ratio of 5.02x means for every $100 Medicare pays, this provider initially charges $502. 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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