⚠️ This provider averages 407 services per working day — physically unusual for an individual practitioner
Based on 1.0M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $23.8M in total Medicare payments ranks in the 99th percentile of Diagnostic Radiology providers nationally.
Averaging 407 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 640% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 385% in 2020
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 | $383.09 | $118.47 | 3.23x | $264.62 | $771.4K | 6.5K | 24 |
| 2015 | $590.70 | $178.40 | 3.31x | $412.30 | $514.1K | 2.9K | 20 |
| 2016 | $577.69 | $180.97 | 3.19x | $396.72 | $651.3K | 3.6K | 23 |
| 2017 | $107.15 | $73.88 | 1.45x | $33.27 | $516.8K | 7.0K | 17 |
| 2018 | $129.17 | $74.56 | 1.73x | $54.61 | $661.7K | 8.9K | 19 |
| 2019 | $118.53 | $74.29 | 1.60x | $44.24 | $682.8K | 9.2K | 17 |
| 2020 | $66.67 | $23.91 | 2.79x | $42.76 | $3.3M | 138.3K | 20 |
| 2021 | $61.57 | $20.76 | 2.97x | $40.81 | $5.8M | 279.1K | 21 |
| 2022 | $59.02 | $17.87 | 3.30x | $41.15 | $5.2M | 292.7K | 22 |
| 2023 | $69.67 | $21.24 | 3.28x | $48.43 | $5.7M | 268.9K | 22 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 24.2K | $12.5M | $515.52 | 3.01x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 10.0K | $4.0M | $403.11 | 1.69x |
| 74177 | Ct scan of abdomen and pelvis with contrast | 11.3K | $1.9M | $166.52 | 3.24x |
| 78816 | Nuclear medicine study whole body with ct scan | 2.6K | $1.6M | $602.32 | 3.32x |
| 71260 | Ct scan of chest with contrast | 14.4K | $1.1M | $73.58 | 4.43x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 944 | $437.5K | $463.49 | 3.20x |
| 74176 | Ct scan of abdomen and pelvis without contrast | 3.7K | $401.7K | $109.28 | 3.30x |
| 71250 | Ct scan of chest without contrast | 5.3K | $342.8K | $65.07 | 5.80x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 676 | $262.5K | $388.25 | 2.70x |
| 74178 | Ct scan of abdomen and pelvis before and after contrast | 1.2K | $200.7K | $170.94 | 3.97x |
| A9587 | Gallium ga-68, dotatate, diagnostic, 0.1 millicurie | 3.6K | $193.3K | $54.01 | 3.33x |
| A9592 | Copper cu-64, dotatate, diagnostic, 1 millicurie | 112 | $157.9K | $1.4K | 2.28x |
| 70491 | Ct scan of soft tissue of neck with contrast | 1.7K | $150.1K | $89.51 | 5.71x |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 931.6K | $92.4K | $0.10 | 10.12x |
| 74160 | Ct scan of abdomen with contrast | 792 | $74.0K | $93.45 | 3.98x |
| 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 172 | $67.2K | $390.69 | 1.99x |
| 71275 | Ct scan of blood vessels of chest with contrast | 454 | $52.7K | $116.02 | 4.65x |
| 78306 | Bone and/or joint imaging, whole body | 220 | $46.0K | $209.05 | 2.87x |
| 70470 | Ct scan of head or brain before and after contrast | 537 | $43.9K | $81.81 | 5.12x |
| 71270 | Ct scan of chest before and after contrast | 381 | $37.3K | $97.86 | 8.12x |
This provider submits charges 3.01 times higher than what Medicare actually pays.
A markup ratio of 3.01x means for every $100 Medicare pays, this provider initially charges $301. 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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