Top billers · Codes · 70551

Who bills 70551?

70551 is the CPT code for: Mri scan of brain without contrast. In 2024, 13,540 providers billed 70551 1,120,274 times, with an estimated $79.7M paid by Medicare.

$195.40
2026 PFS national rate (office)
13,540
Providers billing it (2024)
1,120,274
Services billed
$79.7M
Est. Medicare paid
The fee

What does Medicare pay for 70551?

Medicare's 2026 Physician Fee Schedule national rate for 70551 is $195.40 in the office setting. National amounts before geographic adjustment — your locality's rate differs slightly.

Office (non-facility) rate$195.40
Facility rateNo separate facility rate
Fee schedule2026 Medicare Physician Fee Schedule

What Medicare actually paid per service in 2024, on average: $71.15 (observed payment across all settings and modifiers — not a fee-schedule rate).

The list

Who bills 70551 the most.

The top 5 billers nationally, ranked by 2024 Medicare service volume.

#ProviderSpecialtyLocationServicesEst. Medicare paid
1Jason Sinner, M.D.Diagnostic RadiologyBurbank, CA2,850$323K
2John Melnick, M.D.Diagnostic RadiologyNew York, NY1,752$204K
3Kevin Berger, M.D.Diagnostic RadiologyAnnapolis, MD1,557$119K
4Michael Singer, M.D.Diagnostic RadiologyHewlett, NY1,266$220K
5Sanjay Saini, MDDiagnostic RadiologyBoston, MA1,166$134K

13,535 more providers billed 70551 in 2024. The full ranked list — filtered to your exact territory, with phone numbers and year-over-year history — is one search in Prospect 811.

See the full list
The breakdown

Where 70551 gets billed.

Top states by volume

California125,791 services
Texas82,877 services
New York82,776 services
Florida81,726 services
Pennsylvania44,486 services
Illinois40,571 services
Massachusetts40,133 services
North Carolina38,441 services

About this code

CMS descriptionMri scan of brain without contrast
Code typeCPT (Level I HCPCS)
Providers billing it (2024)13,540
Services billed (2024)1,120,274
Avg. Medicare payment per service (2024)$71.15
Where these numbers come from. Rates are CMS's own public fee-schedule files — the Physician Fee Schedule, Clinical Laboratory Fee Schedule, ASP drug pricing, DMEPOS, and the OPPS/ASC addenda — each labeled with its file year on this page; national amounts are shown before geographic adjustment. Codes with no separate rate render the fee schedule's own status in words, never a fake $0. Utilization comes from CMS's public Medicare Provider Utilization & Payment data for 2024, the most recent year released. It covers traditional Medicare fee-for-service only (no commercial insurance, no Medicare Advantage), and CMS suppresses any provider-and-code line with fewer than 11 beneficiaries before publishing, so low-volume billers don't appear at all. "Est. Medicare paid" is each billing line's average Medicare payment times its service count, summed — actual per-claim payment varies by setting and modifiers. For drug and supply codes, a "service" is a billed unit (a milligram, a milliliter, a square centimeter), not a patient visit. Code descriptions are CMS's own, from the utilization files. Prospect 811 organizes public data; it doesn't add to or alter it. Not affiliated with or endorsed by CMS. Full detail on the data page.

One code, one year, top 5. The app has all of it.

Prospect 811 answers "what is this code, what does it pay, and who bills it?" for every billable code — then filters the answer to your exact territory, with phone numbers. $79/month, no contract, 14-day refund.

Start prospecting
Sign in with Google or a magic link · or grab the free DIY guide first.