This provider's $6.3M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 62391% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 8694% in 2015
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 | $58.50 | $8.90 | 6.57x | $49.60 | $1.3K | 136 | 134 |
| 2015 | $110.04 | $35.06 | 3.14x | $74.98 | $110.5K | 3.9K | 3.6K |
| 2016 | $153.96 | $52.05 | 2.96x | $101.91 | $469.4K | 12.0K | 10.9K |
| 2017 | $190.59 | $67.47 | 2.82x | $123.12 | $619.5K | 11.0K | 10.1K |
| 2018 | $259.49 | $95.71 | 2.71x | $163.78 | $911.9K | 11.0K | 10.5K |
| 2019 | $214.20 | $78.30 | 2.74x | $135.90 | $897.3K | 11.4K | 11.0K |
| 2020 | $296.62 | $91.24 | 3.25x | $205.38 | $830.0K | 8.4K | 8.0K |
| 2021 | $289.10 | $89.58 | 3.23x | $199.52 | $957.6K | 8.6K | 8.2K |
| 2022 | $744.13 | $83.46 | 8.92x | $660.67 | $743.5K | 7.7K | 7.4K |
| 2023 | $881.82 | $74.01 | 11.91x | $807.81 | $785.5K | 7.9K | 7.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 3.3K | $1.6M | $476.35 | 3.31x |
| 72197 | MRI scan of pelvis before and after contrast | 4.4K | $1.2M | $274.19 | 5.29x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.1K | $419.1K | $393.90 | 2.31x |
| 74183 | MRI scan of abdomen before and after contrast | 1.2K | $242.0K | $208.26 | 6.17x |
| 74176 | CT scan of abdomen and pelvis | 2.5K | $225.4K | $89.14 | 4.50x |
| 74177 | CT scan of abdomen and pelvis with contrast | 2.1K | $222.2K | $106.99 | 4.45x |
| 70553 | MRI scan of brain before and after contrast | 1.1K | $189.6K | $175.71 | 5.48x |
| 71250 | CT scan chest | 3.3K | $187.0K | $56.35 | 4.99x |
| 70450 | CT scan head or brain | 4.9K | $174.5K | $35.95 | 5.96x |
| 72148 | MRI scan of lower spinal canal | 1.3K | $166.1K | $131.62 | 5.43x |
| 70551 | MRI scan brain | 1.3K | $135.0K | $107.47 | 5.59x |
| 78816 | Nuclear medicine study with CT imaging whole body | 323 | $115.0K | $356.03 | 3.51x |
| 71260 | CT scan chest with contrast | 1.4K | $85.2K | $59.45 | 4.81x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 373 | $77.3K | $207.15 | 3.46x |
| 71275 | CT scan of blood vessels in chest with contrast | 979 | $72.3K | $73.82 | 5.32x |
| 71045 | X-ray of chest, 1 view | 9.5K | $71.1K | $7.50 | 8.02x |
| 71046 | X-ray of chest, 2 views | 4.3K | $69.6K | $16.05 | 4.13x |
| 72141 | MRI scan of upper spinal canal | 555 | $68.8K | $123.89 | 6.29x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 1.4K | $61.8K | $44.03 | 4.71x |
| 72125 | CT scan of upper spine | 1.4K | $59.7K | $42.73 | 6.35x |
This provider submits charges 4.44 times higher than what Medicare actually pays.
A markup ratio of 4.44x means for every $100 Medicare pays, this provider initially charges $444. 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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