This provider's $3.7M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 74% from 2014 to 2023.
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 | $190.00 | $105.29 | 1.80x | $84.71 | $249.0K | 2.3K | 2.3K |
| 2015 | $146.61 | $89.28 | 1.64x | $57.33 | $345.7K | 4.1K | 3.9K |
| 2016 | $146.75 | $85.37 | 1.72x | $61.38 | $346.4K | 4.1K | 4.0K |
| 2017 | $146.73 | $86.31 | 1.70x | $60.42 | $370.6K | 4.3K | 4.1K |
| 2018 | $146.65 | $89.08 | 1.65x | $57.57 | $388.1K | 4.5K | 4.3K |
| 2019 | $146.67 | $86.68 | 1.69x | $59.99 | $393.7K | 4.6K | 4.4K |
| 2020 | $146.70 | $86.89 | 1.69x | $59.81 | $372.8K | 4.3K | 4.2K |
| 2021 | $146.76 | $88.51 | 1.66x | $58.25 | $414.1K | 4.7K | 4.6K |
| 2022 | $146.65 | $85.61 | 1.71x | $61.04 | $415.8K | 4.9K | 4.7K |
| 2023 | $146.67 | $83.64 | 1.75x | $63.03 | $433.6K | 5.2K | 5.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 6.0K | $801.8K | $133.24 | 1.43x |
| 77066 | Mammography of both breasts | 5.1K | $595.2K | $116.90 | 1.63x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 4.0K | $463.3K | $117.26 | 1.62x |
| 77063 | Screening digital tomography of both breasts | 8.4K | $451.3K | $53.79 | 1.12x |
| 76641 | Ultrasound of one breast | 4.6K | $391.9K | $84.67 | 2.25x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 8.8K | $365.1K | $41.59 | 1.44x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 2.6K | $346.7K | $132.87 | 1.43x |
| 77065 | Mammography of one breast | 2.2K | $200.0K | $90.15 | 2.11x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 761 | $68.4K | $89.94 | 2.11x |
| 76645 | Ultrasound of breasts | 581 | $46.1K | $79.37 | 2.39x |
This provider submits charges 1.59 times higher than what Medicare actually pays.
A markup ratio of 1.59x means for every $100 Medicare pays, this provider initially charges $159. This is lower 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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