This provider's $3.6M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 6.78x is significantly above the specialty median of 5.4x.
Medicare payments to this provider grew 299% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 199% 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 | $230.46 | $28.02 | 8.22x | $202.44 | $147.2K | 7.7K | 5.5K |
| 2015 | $255.68 | $29.16 | 8.77x | $226.52 | $142.9K | 7.3K | 5.1K |
| 2016 | $281.95 | $29.59 | 9.53x | $252.36 | $132.9K | 6.7K | 4.7K |
| 2017 | $301.00 | $31.42 | 9.58x | $269.58 | $112.5K | 5.1K | 3.8K |
| 2018 | $284.36 | $29.61 | 9.60x | $254.75 | $153.9K | 6.9K | 5.2K |
| 2019 | $277.21 | $55.19 | 5.02x | $222.02 | $251.5K | 6.6K | 6.1K |
| 2020 | $298.93 | $110.09 | 2.72x | $188.84 | $753.1K | 8.1K | 7.9K |
| 2021 | $286.55 | $106.62 | 2.69x | $179.93 | $738.1K | 7.4K | 7.2K |
| 2022 | $772.80 | $102.24 | 7.56x | $670.56 | $584.4K | 6.8K | 6.4K |
| 2023 | $1.2K | $108.85 | 10.57x | $1.0K | $587.3K | 5.5K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 72148 | MRI scan of lower spinal canal | 2.7K | $425.2K | $158.54 | 8.48x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.9K | $290.6K | $153.44 | 5.89x |
| 74176 | CT scan of abdomen and pelvis | 2.7K | $286.9K | $105.00 | 6.51x |
| 70553 | MRI scan of brain before and after contrast | 1.1K | $272.0K | $247.70 | 7.68x |
| 71250 | CT scan chest | 2.5K | $233.6K | $93.96 | 6.46x |
| 70450 | CT scan head or brain | 5.8K | $222.4K | $38.40 | 8.57x |
| 70551 | MRI scan brain | 1.5K | $212.6K | $144.25 | 8.31x |
| 72141 | MRI scan of upper spinal canal | 1.2K | $173.1K | $147.18 | 9.06x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 567 | $167.4K | $295.21 | 3.61x |
| 71046 | X-ray of chest, 2 views | 4.8K | $112.1K | $23.46 | 3.66x |
| 71010 | X-ray of chest, 1 view, front | 14.7K | $107.8K | $7.33 | 8.03x |
| 72125 | CT scan of upper spine | 1.3K | $63.6K | $48.26 | 8.78x |
| 77080 | Bone density measurement using dedicated X-ray machine | 1.4K | $57.2K | $40.63 | 2.01x |
| 71260 | CT scan chest with contrast | 542 | $55.6K | $102.66 | 5.70x |
| 71275 | CT scan of blood vessels in chest with contrast | 732 | $53.1K | $72.48 | 8.91x |
| 72146 | Mri scan of middle spinal canal | 349 | $48.0K | $137.52 | 10.11x |
| 76700 | Ultrasound of abdomen | 495 | $45.0K | $90.84 | 3.59x |
| 72131 | CT scan of lower spine | 599 | $44.6K | $74.48 | 6.94x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 799 | $43.7K | $54.72 | 4.81x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 632 | $42.0K | $66.39 | 5.00x |
This provider submits charges 6.78 times higher than what Medicare actually pays.
A markup ratio of 6.78x means for every $100 Medicare pays, this provider initially charges $678. 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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