This provider's $3.8M in total Medicare payments ranks in the 98th percentile of Diagnostic Radiology providers nationally.
Their average markup ratio of 5.19x is significantly above the specialty median of 5.4x.
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 | $465.04 | $124.77 | 3.73x | $340.27 | $321.8K | 2.8K | 2.8K |
| 2015 | $468.94 | $121.35 | 3.86x | $347.59 | $322.8K | 3.0K | 3.0K |
| 2016 | $582.44 | $141.92 | 4.10x | $440.52 | $421.0K | 2.6K | 2.6K |
| 2017 | $615.06 | $154.87 | 3.97x | $460.19 | $464.5K | 2.9K | 2.8K |
| 2018 | $650.18 | $163.78 | 3.97x | $486.40 | $383.3K | 2.3K | 2.3K |
| 2019 | $520.75 | $135.79 | 3.83x | $384.96 | $408.8K | 2.4K | 2.4K |
| 2020 | $854.91 | $180.70 | 4.73x | $674.21 | $312.4K | 1.9K | 1.9K |
| 2021 | $887.93 | $176.66 | 5.03x | $711.27 | $347.2K | 1.9K | 1.9K |
| 2022 | $1.0K | $204.91 | 4.98x | $816.02 | $382.3K | 2.3K | 2.3K |
| 2023 | $920.08 | $167.81 | 5.48x | $752.27 | $441.9K | 2.5K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 829 | $958.1K | $1.2K | 3.40x |
| 72148 | MRI scan of lower spinal canal | 5.9K | $913.4K | $154.18 | 7.49x |
| 70553 | MRI scan of brain before and after contrast | 1.3K | $360.0K | $273.80 | 4.95x |
| 70551 | MRI scan brain | 1.6K | $261.1K | $165.01 | 6.87x |
| 72141 | MRI scan of upper spinal canal | 1.8K | $250.8K | $141.54 | 8.18x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 886 | $170.5K | $192.49 | 1.29x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 566 | $144.6K | $255.43 | 5.34x |
| 71250 | CT scan chest | 573 | $65.9K | $115.05 | 5.46x |
| 72156 | MRI scan of upper spinal canal before and after contrast | 200 | $50.4K | $252.20 | 5.42x |
| 78816 | Nuclear medicine study with CT imaging whole body | 40 | $44.9K | $1.1K | 3.72x |
| 74177 | CT scan of abdomen and pelvis with contrast | 166 | $40.0K | $240.89 | 3.41x |
| 77080 | Bone density measurement using dedicated X-ray machine | 941 | $39.6K | $42.08 | 4.82x |
| 76770 | Ultrasound behind abdominal cavity | 458 | $39.1K | $85.31 | 3.19x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 138 | $37.5K | $271.59 | 3.72x |
| 76700 | Ultrasound of abdomen | 329 | $29.6K | $89.84 | 2.86x |
| 72131 | CT scan of lower spine | 250 | $27.5K | $110.15 | 5.73x |
| 70544 | MRA scan of head blood vessels | 115 | $26.8K | $232.74 | 4.87x |
| G0202 | Screening mammography, producing direct digital image, bilateral, all views | 182 | $24.1K | $132.69 | 1.45x |
| 71260 | CT scan chest with contrast | 174 | $22.9K | $131.47 | 5.56x |
| 71020 | X-ray of chest, 2 views, front and side | 1.1K | $22.3K | $20.83 | 3.70x |
This provider submits charges 5.19 times higher than what Medicare actually pays.
A markup ratio of 5.19x means for every $100 Medicare pays, this provider initially charges $519. 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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