This provider's $3.5M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 980% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1205% 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 | $221.00 | $79.67 | 2.77x | $141.33 | $54.7K | 735 | 731 |
| 2015 | $78.71 | $23.98 | 3.28x | $54.73 | $8.5K | 509 | 503 |
| 2017 | $417.06 | $89.32 | 4.67x | $327.74 | $111.1K | 1.4K | 1.4K |
| 2018 | $165.25 | $62.64 | 2.64x | $102.61 | $433.4K | 5.3K | 5.2K |
| 2019 | $178.19 | $66.07 | 2.70x | $112.12 | $637.4K | 7.4K | 7.4K |
| 2020 | $202.83 | $83.34 | 2.43x | $119.49 | $501.2K | 6.1K | 6.0K |
| 2021 | $198.84 | $81.16 | 2.45x | $117.68 | $580.2K | 7.5K | 7.5K |
| 2022 | $350.50 | $78.55 | 4.46x | $271.95 | $592.8K | 8.5K | 8.4K |
| 2023 | $438.32 | $82.45 | 5.32x | $355.87 | $590.8K | 8.8K | 8.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 11.2K | $1.5M | $136.72 | 2.65x |
| 77063 | Screening digital tomography of both breasts | 11.3K | $633.7K | $55.97 | 2.62x |
| 77080 | Bone density measurement using dedicated X-ray machine | 12.0K | $469.4K | $39.19 | 5.29x |
| 76641 | Ultrasound of one breast | 2.4K | $212.8K | $89.14 | 3.36x |
| 77066 | Mammography of both breasts | 1.3K | $170.2K | $130.02 | 3.39x |
| 77065 | Mammography of one breast | 885 | $89.0K | $100.58 | 3.44x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 1.9K | $79.3K | $41.62 | 3.45x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 517 | $69.1K | $133.58 | 2.87x |
| 76642 | Ultrasound of one breast | 945 | $62.4K | $66.02 | 3.39x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 130 | $20.0K | $153.62 | 2.82x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 193 | $18.0K | $93.25 | 2.87x |
| 71046 | X-ray of chest, 2 views | 737 | $17.6K | $23.94 | 2.73x |
| 74176 | CT scan of abdomen and pelvis | 102 | $12.7K | $124.68 | 3.77x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 42 | $12.1K | $288.21 | 4.98x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 78 | $10.6K | $135.65 | 3.19x |
| 71250 | CT scan chest | 76 | $10.0K | $132.19 | 4.78x |
| 76536 | Ultrasound of head and neck | 105 | $9.1K | $87.12 | 3.18x |
| 76700 | Ultrasound of abdomen | 97 | $9.1K | $94.29 | 3.18x |
| 76645 | Ultrasound of breasts | 90 | $7.2K | $80.34 | 4.58x |
| 74177 | CT scan of abdomen and pelvis with contrast | 36 | $5.5K | $153.68 | 4.18x |
This provider submits charges 3.18 times higher than what Medicare actually pays.
A markup ratio of 3.18x means for every $100 Medicare pays, this provider initially charges $318. 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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