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Methodology•Download Data
  1. Home
  2. Providers
  3. Medina Kushen
⚕️
MDIndividual

Medina Kushen, M.D.

NPI: 1992984512
Naples, FL
10 years of data
Nuclear Medicine
$10.6M
Total Payments
43.9K
Beneficiaries
53.4K
Services
3.09x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$10.6M
Specialty median$185.4K

📋 Key Findings

1Billed $10.6M over 10 years
23.09x markup ratio (above median)
399th percentile in Nuclear Medicine by payments
4Payments surged 304% in 2020
510 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

This provider's $10.6M in total Medicare payments ranks in the 99th percentile of Nuclear Medicine providers nationally.

Medicare payments to this provider grew 181% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

📈

Notable: Payments increased 304% in 2020

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$430.96$152.292.83x$278.67$760.8K5.2K4.7K
2015$641.38$194.393.30x$446.99$629.7K4.5K4.3K
2016$761.28$270.342.82x$490.94$562.8K3.5K3.4K
2017$296.99$116.742.54x$180.25$400.7K4.5K4.1K
2018$96.75$61.801.57x$34.95$340.7K4.9K3.9K
2019$101.27$63.311.60x$37.96$353.0K4.9K3.9K
2020$550.69$175.713.13x$374.98$1.4M6.5K5.1K
2021$1.1K$275.754.01x$829.67$2.2M6.9K5.2K
2022$1.2K$295.254.12x$920.63$1.8M6.0K4.5K
2023$1.4K$368.703.67x$983.71$2.1M6.6K4.8K

Top Procedures (20)

78815Nuclear medicine study with CT imaging skull base to mid-thigh
$5.0M
11.3K services$442.31/svc3.00x markup
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
$1.6M
3.9K services$400.36/svc1.70x markup
74177CT scan of abdomen and pelvis with contrast⚠ 3.4x markup
$1.2M
7.9K services$153.76/svc3.41x markup
71260CT scan chest with contrast⚠ 4.7x markup
$708.1K
10.6K services$66.79/svc4.69x markup
78816Nuclear medicine study with CT imaging whole body⚠ 3.4x markup
$705.6K
1.5K services$459.98/svc3.35x markup
71250CT scan chest⚠ 5.4x markup
$211.6K
3.4K services$61.65/svc5.44x markup
74176CT scan of abdomen and pelvis⚠ 3.3x markup
$192.2K
1.9K services$101.72/svc3.33x markup
A9562Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries
$127.9K
289 services$442.56/svc1.65x markup
74178CT scan of abdomen and pelvis before and after contrast⚠ 4.8x markup
$108.3K
829 services$130.67/svc4.79x markup
70491CT scan of neck with contrast⚠ 5.8x markup
$84.5K
1.1K services$74.76/svc5.81x markup
A9570Indium in-111 labeled autologous white blood cells, diagnostic, per study dose
$75.9K
55 services$1.4K/svc2.15x markup
78306Bone and/or joint imaging, whole body
$62.7K
299 services$209.54/svc2.86x markup
A9599Radiopharmaceutical, diagnostic, for beta-amyloid positron emission tomography (pet) imaging, per study dose
$50.6K
23 services$2.2K/svc2.05x markup
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies
$45.8K
116 services$394.55/svc1.97x markup
78315Bone and/or joint imaging, 3 phase study
$40.7K
150 services$271.04/svc2.29x markup
78708Nuclear medicine study of kidney with assessment of blood flow and function⚠ 4.3x markup
$39.1K
271 services$144.16/svc4.33x markup
78320Nuclear medicine study of bone and/or joint⚠ 5.8x markup
$32.4K
225 services$144.14/svc5.79x markup
78071Imaging of parathyroid with nuclear medicine study
$32.0K
109 services$293.13/svc2.92x markup
78014Nuclear medicine imaging for thyroid uptake measurements
$27.2K
137 services$198.28/svc1.79x markup
78814Nuclear medicine study with CT imaging⚠ 3.6x markup
$25.9K
23 services$1.1K/svc3.58x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
78815Nuclear medicine study with CT imaging skull base to mid-thigh11.3K$5.0M$442.313.00x
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries3.9K$1.6M$400.361.70x
74177CT scan of abdomen and pelvis with contrast7.9K$1.2M$153.763.41x
71260CT scan chest with contrast10.6K$708.1K$66.794.69x
78816Nuclear medicine study with CT imaging whole body1.5K$705.6K$459.983.35x
71250CT scan chest3.4K$211.6K$61.655.44x
74176CT scan of abdomen and pelvis1.9K$192.2K$101.723.33x
A9562Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries289$127.9K$442.561.65x
74178CT scan of abdomen and pelvis before and after contrast829$108.3K$130.674.79x
70491CT scan of neck with contrast1.1K$84.5K$74.765.81x
A9570Indium in-111 labeled autologous white blood cells, diagnostic, per study dose55$75.9K$1.4K2.15x
78306Bone and/or joint imaging, whole body299$62.7K$209.542.86x
A9599Radiopharmaceutical, diagnostic, for beta-amyloid positron emission tomography (pet) imaging, per study dose23$50.6K$2.2K2.05x
78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies116$45.8K$394.551.97x
78315Bone and/or joint imaging, 3 phase study150$40.7K$271.042.29x
78708Nuclear medicine study of kidney with assessment of blood flow and function271$39.1K$144.164.33x
78320Nuclear medicine study of bone and/or joint225$32.4K$144.145.79x
78071Imaging of parathyroid with nuclear medicine study109$32.0K$293.132.92x
78014Nuclear medicine imaging for thyroid uptake measurements137$27.2K$198.281.79x
78814Nuclear medicine study with CT imaging23$25.9K$1.1K3.58x

Markup Analysis

Charge-to-Payment Ratio

3.09x

This provider submits charges 3.09 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.09x means for every $100 Medicare pays, this provider initially charges $309. This is higher than the national average.

Location

Naples, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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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