This provider's $3.3M in total Medicare payments ranks in the 97th percentile of Nuclear Medicine providers nationally.
Medicare payments to this provider grew 2057% from 2014 to 2023.
64% of their billing comes from a single procedure code (78815 — Nuclear medicine study with CT imaging skull base to mid-thigh).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 110% in 2023
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 | $487.93 | $48.45 | 10.07x | $439.48 | $60.4K | 1.2K | 1.1K |
| 2015 | $513.58 | $49.15 | 10.45x | $464.43 | $64.3K | 1.2K | 1.2K |
| 2016 | $579.23 | $51.41 | 11.27x | $527.82 | $71.1K | 1.5K | 1.4K |
| 2017 | $778.78 | $119.82 | 6.50x | $658.96 | $117.1K | 1.4K | 1.3K |
| 2018 | $712.93 | $118.79 | 6.00x | $594.14 | $150.8K | 1.9K | 1.8K |
| 2019 | $797.37 | $228.39 | 3.49x | $568.98 | $251.0K | 2.2K | 2.1K |
| 2020 | $858.82 | $288.76 | 2.97x | $570.06 | $283.2K | 1.8K | 1.8K |
| 2021 | $861.12 | $268.39 | 3.21x | $592.73 | $370.8K | 2.4K | 2.4K |
| 2022 | $934.44 | $301.43 | 3.10x | $633.01 | $618.5K | 3.0K | 2.9K |
| 2023 | $877.71 | $210.79 | 4.16x | $666.92 | $1.3M | 2.7K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 2.9K | $2.1M | $703.61 | 4.08x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.1K | $254.5K | $229.68 | 2.16x |
| A9587 | Gallium ga-68, dotatate, diagnostic, 0.1 millicurie | 77 | $173.1K | $2.2K | 1.34x |
| 78816 | Nuclear medicine study with CT imaging whole body | 231 | $122.0K | $528.32 | 4.05x |
| 77080 | Bone density measurement using dedicated X-ray machine | 6.3K | $117.8K | $18.83 | 11.84x |
| 78608 | Nuclear medicine study brain with metabolic evaluation | 761 | $110.6K | $145.30 | 7.89x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 1.4K | $96.9K | $70.44 | 8.54x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 151 | $68.2K | $451.97 | 3.60x |
| 78830 | Spect nuclear medicine localization of tumor or inflammation or study of distribution of radioactive tracer in single area, with concurrently acquired ct transmission scan, 1 day of imaging | 787 | $48.9K | $62.09 | 8.05x |
| 78582 | Nuclear medicine study of lung ventilation and blood circulation in the lungs | 724 | $33.9K | $46.83 | 7.94x |
| 78812 | Nuclear medicine imaging from skull base to mid-thigh | 291 | $23.3K | $80.08 | 12.49x |
| 78306 | Bone and/or joint imaging, whole body | 660 | $22.4K | $33.91 | 15.10x |
| 78195 | Imaging of lymphatic tissue and lymph node | 427 | $21.4K | $50.18 | 4.94x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 30 | $18.0K | $599.35 | 1.25x |
| 78803 | Nuclear medicine study of radioactive material distribution | 354 | $16.2K | $45.76 | 8.74x |
| 78226 | Imaging of liver and bile duct system | 348 | $11.3K | $32.61 | 7.36x |
| 78315 | Bone and/or joint imaging, 3 phase study | 233 | $10.5K | $45.13 | 12.08x |
| 78607 | Nuclear medicine study of brain | 206 | $10.5K | $51.03 | 14.65x |
| 78580 | Nuclear medicine study of blood circulation in the lungs | 267 | $8.7K | $32.52 | 6.52x |
| 78278 | Acute digestive tract blood loss imaging | 168 | $7.4K | $43.96 | 7.03x |
This provider submits charges 4.72 times higher than what Medicare actually pays.
A markup ratio of 4.72x means for every $100 Medicare pays, this provider initially charges $472. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data