This provider's $20.3M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $419.28 | $155.10 | 2.70x | $264.18 | $1.7M | 9.3K | 1.2K |
| 2015 | $384.13 | $144.64 | 2.66x | $239.49 | $1.7M | 9.6K | 1.2K |
| 2016 | $531.42 | $202.05 | 2.63x | $329.37 | $2.2M | 12.5K | 1.5K |
| 2017 | $741.75 | $284.32 | 2.61x | $457.43 | $1.9M | 10.2K | 1.1K |
| 2018 | $678.25 | $261.02 | 2.60x | $417.23 | $2.1M | 11.3K | 1.3K |
| 2019 | $669.08 | $263.88 | 2.54x | $405.20 | $2.4M | 12.1K | 1.5K |
| 2020 | $666.25 | $264.96 | 2.51x | $401.29 | $2.0M | 10.2K | 1.3K |
| 2021 | $669.22 | $264.60 | 2.53x | $404.62 | $2.2M | 10.5K | 1.4K |
| 2022 | $651.58 | $257.34 | 2.53x | $394.24 | $1.9M | 9.5K | 1.3K |
| 2023 | $720.83 | $286.63 | 2.51x | $434.20 | $2.2M | 11.1K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 37.2K | $10.9M | $292.78 | 2.54x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 40.8K | $4.0M | $97.18 | 2.58x |
| 77301 | Management of modulation radiotherapy planning | 1.1K | $1.4M | $1.3K | 2.54x |
| 77427 | Radiation treatment management, 5 treatments | 7.8K | $1.2M | $150.64 | 2.53x |
| 77418 | Intensity modulated radiation treatment delivery per session | 3.5K | $1.1M | $309.25 | 3.13x |
| 77336 | Radiation therapy consultation per week | 8.3K | $533.2K | $64.53 | 2.52x |
| 77338 | Design and construction of device for radiation therapy | 1.4K | $494.5K | $345.58 | 2.54x |
| 77263 | Management of radiation therapy, complex | 1.2K | $153.5K | $128.97 | 2.63x |
| 77334 | Radiation treatment devices, design and construction, complex | 1.2K | $127.1K | $106.30 | 2.56x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 714 | $88.7K | $124.25 | 2.69x |
| 77290 | Management of radiation therapy, simulation, complex | 196 | $76.8K | $391.95 | 2.71x |
| 77300 | Calculation of radiation therapy dose | 1.5K | $70.0K | $47.24 | 2.53x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 721 | $61.6K | $85.45 | 2.63x |
| 77373 | Cranial lesion surgery using radiation over multiple sessions | 52 | $43.1K | $829.57 | 2.51x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 220 | $33.5K | $152.33 | 2.74x |
| 77470 | Special radiation treatment procedure | 265 | $31.7K | $119.46 | 2.74x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 137 | $8.3K | $60.73 | 2.74x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16 | $1.7K | $103.63 | 2.50x |
| 36415 | Insertion of needle into vein for collection of blood sample | 103 | $299.88 | $2.91 | 2.06x |
| 84153 | PSA (prostate specific antigen) measurement | 12 | $294.36 | $24.53 | 2.04x |
This provider submits charges 2.58 times higher than what Medicare actually pays.
A markup ratio of 2.58x means for every $100 Medicare pays, this provider initially charges $258. 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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