This provider's $5.6M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Medicare payments to this provider grew 7778% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 579% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $2.8K | $630.57 | 4.36x | $2.1K | $14.8K | 23 | 23 |
| 2017 | $114.60 | $69.42 | 1.65x | $45.18 | $43.9K | 623 | 615 |
| 2018 | $104.06 | $63.74 | 1.63x | $40.32 | $298.3K | 4.4K | 2.8K |
| 2019 | $101.85 | $60.88 | 1.67x | $40.97 | $371.2K | 5.5K | 3.4K |
| 2020 | $489.73 | $166.57 | 2.94x | $323.16 | $827.1K | 4.5K | 3.3K |
| 2021 | $1.3K | $368.22 | 3.52x | $927.69 | $1.5M | 3.8K | 2.9K |
| 2022 | $1.3K | $358.91 | 3.64x | $946.06 | $1.4M | 4.4K | 3.2K |
| 2023 | $1.3K | $350.64 | 3.71x | $948.92 | $1.2M | 3.3K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 5.3K | $2.7M | $514.93 | 2.99x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2.3K | $933.9K | $406.57 | 1.67x |
| 74177 | CT scan of abdomen and pelvis with contrast | 5.6K | $787.8K | $140.63 | 2.95x |
| 78816 | Nuclear medicine study with CT imaging whole body | 721 | $478.7K | $663.94 | 3.33x |
| 71260 | CT scan chest with contrast | 6.1K | $389.0K | $63.44 | 4.08x |
| 74176 | CT scan of abdomen and pelvis | 1.3K | $124.1K | $99.28 | 2.88x |
| 71250 | CT scan chest | 1.8K | $103.2K | $58.72 | 5.14x |
| 70491 | CT scan of neck with contrast | 465 | $33.5K | $72.04 | 5.16x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 34 | $13.4K | $395.01 | 2.66x |
| 74160 | CT scan abdomen with contrast | 126 | $10.0K | $79.70 | 3.63x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 53 | $9.5K | $179.80 | 3.63x |
| 70470 | CT scan head or brain before and after contrast | 119 | $7.0K | $58.65 | 3.55x |
| 70490 | CT scan of neck | 52 | $2.7K | $52.32 | 2.62x |
| 74150 | CT scan abdomen | 15 | $722.25 | $48.15 | 1.60x |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2.6K | $254.31 | $0.10 | 10.52x |
This provider submits charges 2.92 times higher than what Medicare actually pays.
A markup ratio of 2.92x means for every $100 Medicare pays, this provider initially charges $292. 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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