This provider's $5.5M in total Medicare payments ranks in the 98th percentile of Nuclear Medicine providers nationally.
Medicare payments to this provider grew 529% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 38962% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $554.75 | $187.27 | 2.96x | $367.48 | $519.5K | 2.8K | 11 |
| 2017 | $647.22 | $157.21 | 4.12x | $490.01 | $686.2K | 4.4K | 15 |
| 2018 | $2.1K | $288.94 | 7.29x | $1.8K | $308.3K | 1.1K | 14 |
| 2019 | $189.95 | $67.66 | 2.81x | $122.29 | $555.6K | 8.2K | 25 |
| 2020 | $74.54 | $23.97 | 3.11x | $50.57 | $126.4K | 5.3K | 19 |
| 2021 | $197.85 | $36.08 | 5.48x | $161.77 | $18.1K | 502 | 10 |
| 2022 | $384.08 | $32.04 | 11.99x | $352.04 | $8.4K | 261 | 6 |
| 2023 | $1.9K | $471.19 | 4.05x | $1.4K | $3.3M | 6.9K | 9 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 2.9K | $3.1M | $1.1K | 3.87x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 1.6K | $779.0K | $486.24 | 5.32x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2.2K | $733.6K | $334.08 | 2.73x |
| 78816 | Nuclear medicine study with CT imaging whole body | 540 | $412.8K | $764.36 | 4.66x |
| A9587 | Gallium ga-68, dotatate, diagnostic, 0.1 millicurie | 1.8K | $93.3K | $50.81 | 3.94x |
| 77080 | Bone density measurement using dedicated x-ray machine | 925 | $43.9K | $47.47 | 6.05x |
| 74177 | Ct scan of abdomen and pelvis with contrast | 231 | $38.0K | $164.47 | 5.69x |
| 74176 | Ct scan of abdomen and pelvis without contrast | 248 | $32.3K | $130.26 | 5.32x |
| 78306 | Bone and/or joint imaging, whole body | 197 | $25.5K | $129.51 | 2.82x |
| A9584 | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries | 11 | $22.5K | $2.0K | 1.49x |
| 78814 | Nuclear medicine study with CT imaging | 27 | $19.7K | $729.26 | 3.34x |
| 78608 | Nuclear medicine study brain with metabolic evaluation | 24 | $19.2K | $799.96 | 1.96x |
| 76700 | Ultrasound of abdomen | 148 | $15.2K | $102.98 | 2.52x |
| 77085 | Bone density measurement using dedicated x-ray machine | 196 | $12.6K | $64.41 | 2.64x |
| 74178 | Ct scan of abdomen and pelvis before and after contrast | 38 | $12.4K | $326.92 | 3.78x |
| 78320 | Nuclear medicine study of bone and/or joint | 52 | $7.9K | $150.97 | 3.50x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 64 | $7.1K | $111.54 | 2.16x |
| 71260 | Diagnostic ct scan of chest with contrast | 71 | $6.6K | $93.47 | 6.95x |
| 71275 | Ct scan of blood vessels of chest with contrast | 78 | $6.3K | $81.03 | 6.24x |
| 76770 | Ultrasound behind abdominal cavity | 62 | $5.9K | $94.75 | 2.86x |
This provider submits charges 4.01 times higher than what Medicare actually pays.
A markup ratio of 4.01x means for every $100 Medicare pays, this provider initially charges $401. 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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