This provider's $4.9M in total Medicare payments ranks in the 97th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 5.97x is significantly above the specialty median of 5.0x.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid β the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $487.37 | $113.23 | 4.30x | $374.14 | $397.1K | 4.2K | 3.0K |
| 2015 | $560.50 | $124.39 | 4.51x | $436.11 | $464.2K | 4.3K | 3.1K |
| 2016 | $594.46 | $132.84 | 4.48x | $461.62 | $475.5K | 4.3K | 3.2K |
| 2017 | $763.96 | $126.86 | 6.02x | $637.10 | $502.2K | 4.9K | 3.3K |
| 2018 | $1.4K | $139.86 | 10.09x | $1.3K | $475.5K | 4.7K | 3.2K |
| 2019 | $862.88 | $139.64 | 6.18x | $723.24 | $488.5K | 4.4K | 3.2K |
| 2020 | $835.03 | $128.68 | 6.49x | $706.35 | $480.5K | 4.1K | 3.4K |
| 2021 | $866.74 | $133.53 | 6.49x | $733.21 | $554.4K | 5.3K | 3.5K |
| 2022 | $864.84 | $135.84 | 6.37x | $729.00 | $604.2K | 6.1K | 3.7K |
| 2023 | $869.38 | $135.36 | 6.42x | $734.02 | $505.7K | 5.2K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 1.6K | $952.6K | $583.00 | 5.93x |
| 77427 | Radiation treatment management, 5 treatments | 4.8K | $838.5K | $173.83 | 5.94x |
| 77295 | Management of radiation therapy, 3D | 2.8K | $553.7K | $199.47 | 5.79x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 11.4K | $526.2K | $46.35 | 5.96x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 3.3K | $509.2K | $153.88 | 5.61x |
| 77263 | Management of radiation therapy, complex | 2.8K | $421.0K | $151.00 | 5.60x |
| 77334 | Radiation treatment devices, design and construction, complex | 5.3K | $290.3K | $54.98 | 6.03x |
| 77290 | Management of radiation therapy, simulation, complex | 2.9K | $213.6K | $73.05 | 5.64x |
| 55876 | Insertion of radiation therapy devices in prostate gland for radiation therapy guidance | 1.4K | $126.5K | $90.77 | 10.37x |
| 77301 | Management of modulation radiotherapy planning | 305 | $116.8K | $382.79 | 5.98x |
| 77300 | Calculation of radiation therapy dose | 3.2K | $95.3K | $29.35 | 6.05x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 1.8K | $73.6K | $40.70 | 5.71x |
| 77338 | Design and construction of device for radiation therapy | 265 | $55.1K | $208.01 | 5.95x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 2.1K | $39.5K | $18.46 | 6.23x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 1.4K | $38.8K | $27.81 | 7.96x |
| 31575 | Diagnostic examination of voice box using flexible endoscope | 268 | $17.7K | $66.01 | 7.41x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 607 | $16.0K | $26.39 | 4.47x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 134 | $14.5K | $108.19 | 5.08x |
| 77280 | Management of radiation therapy simulation, simple | 290 | $9.6K | $32.94 | 7.17x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 103 | $8.2K | $80.08 | 6.87x |
This provider submits charges 5.97 times higher than what Medicare actually pays.
A markup ratio of 5.97x means for every $100 Medicare pays, this provider initially charges $597. 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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