This provider's $4.8M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $358.93 | $139.46 | 2.57x | $219.47 | $390.1K | 3.7K | 3.4K |
| 2015 | $377.04 | $153.76 | 2.45x | $223.28 | $433.0K | 3.9K | 3.7K |
| 2016 | $371.52 | $157.24 | 2.36x | $214.28 | $452.5K | 3.6K | 3.5K |
| 2017 | $417.16 | $162.29 | 2.57x | $254.87 | $464.1K | 3.6K | 3.4K |
| 2018 | $521.60 | $164.93 | 3.16x | $356.67 | $477.0K | 3.7K | 3.6K |
| 2019 | $525.80 | $155.24 | 3.39x | $370.56 | $494.3K | 4.5K | 4.3K |
| 2020 | $528.79 | $161.14 | 3.28x | $367.65 | $478.9K | 4.4K | 4.3K |
| 2021 | $506.25 | $143.05 | 3.54x | $363.20 | $505.6K | 5.3K | 5.2K |
| 2022 | $439.88 | $151.75 | 2.90x | $288.13 | $633.2K | 6.4K | 6.2K |
| 2023 | $542.67 | $137.31 | 3.95x | $405.36 | $514.9K | 5.4K | 5.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77067 | Mammography of both breasts | 11.2K | $1.5M | $137.96 | 2.25x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 7.0K | $941.0K | $134.49 | 2.23x |
| 76641 | Ultrasound of one breast | 6.0K | $616.8K | $102.39 | 2.86x |
| 77063 | Screening digital tomography of both breasts | 8.4K | $461.5K | $55.03 | 1.59x |
| 19083 | Biopsy of breast accessed throught the skin with ultrasound guidance | 398 | $196.4K | $493.36 | 1.77x |
| 19081 | Biopsy of breast accessed throught the skin with stereotactic guidance | 371 | $188.5K | $508.09 | 4.08x |
| G0206 | Diagnostic mammography, producing direct digital image, unilateral, all views | 1.3K | $115.3K | $89.35 | 2.55x |
| 77065 | Mammography of one breast | 1.2K | $113.5K | $94.43 | 2.87x |
| 77049 | MRI of both breasts with and without contrast | 364 | $107.4K | $295.00 | 2.92x |
| 77080 | Bone density measurement using dedicated X-ray machine | 2.6K | $106.1K | $41.48 | 6.57x |
| 77059 | MRI scan of both breasts with contrast | 217 | $87.8K | $404.66 | 1.54x |
| 76642 | Ultrasound of one breast | 824 | $55.4K | $67.26 | 2.75x |
| G0204 | Diagnostic mammography, producing direct digital image, bilateral, all views | 410 | $45.2K | $110.31 | 2.47x |
| 76645 | Ultrasound of breasts | 633 | $44.4K | $70.15 | 4.14x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 600 | $30.6K | $51.05 | 1.37x |
| 76536 | Ultrasound of head and neck | 359 | $29.4K | $81.98 | 4.82x |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to g0204 or g0206) | 617 | $24.9K | $40.42 | 2.12x |
| 77085 | Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment | 508 | $20.9K | $41.22 | 4.12x |
| 77066 | Mammography of both breasts | 180 | $19.9K | $110.29 | 2.66x |
| 76830 | Ultrasound pelvis through vagina | 200 | $19.0K | $95.04 | 5.53x |
This provider submits charges 2.5 times higher than what Medicare actually pays.
A markup ratio of 2.5x means for every $100 Medicare pays, this provider initially charges $250. 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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