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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 77280
  4. Cost Analysis

How Much Does Obtaining data needed to develop the optimal radiation treatment, 1 treatment area Cost on Medicare?

Cost analysis for CPT 77280 — Obtaining data needed to develop the optimal radiation treatment, 1 treatment area

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Average Medicare Payment

$93.79

2023 data

Total Payments (2023)

$75.4M

Services (2023)

431.6K

Price Change (2014–2023)

+4.4%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$89.82$36.1M318.9K—
2015$90.53$34.1M310.6K+0.8%
2016$88.69$35.3M318.5K-2.0%
2017$88.84$38.6M304.1K+0.2%
2018$92.85$46.9M326.4K+4.5%
2019$92.42$55.2M357.1K-0.5%
2020$93.69$54.7M336.9K+1.4%
2021$96.45$60.7M354.2K+2.9%
2022$92.66$65.2M385.5K-3.9%
2023$93.79$75.4M431.6K+1.2%

🗺️ State-by-State Cost Variation

The most expensive state pays 7.4x more than the cheapest for this procedure. CA averages $217.75 vs VT at $29.27.

StateAvg PaymentTotal PaymentsServicesProviders
CA$217.75$11.0M50.4K304
MN$202.72$1.4M6.7K51
AZ$198.32$3.5M17.8K94
AK$197.02$174.2K8849
TX$196.44$7.7M39.3K186
FL$190.80$8.5M44.5K310
NM$187.22$412.1K2.2K9
MT$184.15$491.3K2.7K17
ND$183.64$259.3K1.4K10
AL$181.48$2.8M15.3K45
IL$180.60$3.8M21.3K144
SC$179.59$2.6M14.3K54
OR$179.09$859.3K4.8K48
SD$178.59$523.6K2.9K15
IN$177.68$3.5M19.8K85
NC$176.59$3.3M18.9K117
LA$173.91$920.0K5.3K41
GA$172.26$2.6M15.1K106
IA$165.33$1.8M11.2K37
AR$165.12$339.0K2.1K18
ID$164.50$327.4K2.0K15
OK$162.96$1.2M7.2K41
NY$162.43$1.5M9.1K165
TN$162.15$2.0M12.4K79
KY$161.83$1.2M7.1K47
DE$160.50$314.9K2.0K13
CT$158.64$732.0K4.6K50
UT$157.11$374.9K2.4K33
MS$152.45$887.9K5.8K27
NV$148.78$250.3K1.7K24
NJ$148.56$1.3M8.9K74
WA$143.77$775.2K5.4K95
MO$141.99$1.4M9.5K69
VA$138.49$1.0M7.5K75
CO$135.60$360.3K2.7K55
PA$135.43$2.0M15.1K189
MI$132.57$1.2M9.0K94
WI$127.55$416.6K3.3K63
OH$113.10$649.2K5.7K124
RI$112.10$38.8K34612
HI$103.26$51.1K49513
MD$103.03$385.6K3.7K72
WV$92.42$68.8K74415
NH$91.01$92.8K1.0K25
NE$90.22$80.5K89223
WY$75.79$13.8K1823
KS$65.26$76.0K1.2K26
ME$48.90$14.5K29612
MA$47.32$196.1K4.1K99
DC$33.47$10.1K3018
VT$29.27$7.6K2617

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Kenny RodriguezOtolaryngologyIA$1.5M7.5K$195.27
Liqiao MaDermatologyTX$1.4M6.6K$204.24
Brandon CoakleyDermatologySC$1.2M6.2K$195.13
Dennis PolleyDermatologyNC$1.1M5.2K$204.27
Daniel TaheriDermatologyCA$810.8K3.4K$236.94
Jesse MitchellDermatologyCA$796.7K3.5K$227.56
Alpesh DesaiDermatologyTX$753.2K3.6K$211.70
Randall OliverInterventional Pain ManagementIN$750.1K3.8K$196.88
Donna SerureDermatologyNY$718.6K2.8K$258.02
Angelo MancusoDermatologyAL$693.5K3.7K$188.90
Anand HaryaniMicrographic Dermatologic SurgeryFL$687.1K3.2K$212.40
David GreeneRadiation OncologyCA$685.5K2.9K$239.02
Craig KraffertDermatologyCA$661.1K2.9K$228.43
Coyle ConnollyDermatologyNJ$659.9K2.7K$240.14
David HsuRadiation OncologyCA$595.9K2.3K$254.01
Vikram KhannaDermatologyIL$592.5K2.6K$231.16
Sadra JazayeriDermatologyAZ$546.8K2.6K$211.19
Zainab RashidMicrographic Dermatologic SurgeryAZ$538.4K2.6K$210.49
Johnny GurgenDermatologyFL$513.4K2.5K$201.64
Mohiba TareenDermatologyMN$505.6K2.3K$220.01

🤔 Is Obtaining data needed to develop the optimal radiation treatment, 1 treatment area Overpriced?

The data suggests significant pricing inconsistencies for CPT 77280. With a 7.4x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.

Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.