This provider's $11.8M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 5.51x 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $1.2K | $241.53 | 4.85x | $928.70 | $1.6M | 7.4K | 1.9K |
| 2015 | $1.2K | $257.14 | 4.63x | $932.97 | $1.2M | 5.0K | 1.7K |
| 2016 | $1.2K | $251.95 | 4.85x | $968.92 | $1.0M | 4.5K | 1.5K |
| 2017 | $1.4K | $286.73 | 4.92x | $1.1K | $1.2M | 5.2K | 1.8K |
| 2018 | $1.4K | $293.83 | 4.66x | $1.1K | $1.1M | 4.7K | 1.6K |
| 2019 | $1.7K | $382.45 | 4.40x | $1.3K | $1.5M | 5.4K | 2.0K |
| 2020 | $1.8K | $367.21 | 4.84x | $1.4K | $1.4M | 4.9K | 1.8K |
| 2021 | $1.9K | $420.48 | 4.42x | $1.4K | $1.0M | 3.4K | 1.4K |
| 2022 | $1.6K | $327.87 | 4.86x | $1.3K | $1.2M | 4.1K | 1.7K |
| 2023 | $1.3K | $253.02 | 5.26x | $1.1K | $768.6K | 3.4K | 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 | 9.1K | $3.2M | $350.80 | 7.36x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 9.4K | $980.3K | $104.76 | 5.56x |
| 77301 | Management of modulation radiotherapy planning | 538 | $974.4K | $1.8K | 3.45x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 845 | $960.0K | $1.1K | 7.02x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev | 2.6K | $630.3K | $245.34 | 2.16x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev | 2.4K | $594.3K | $250.01 | 2.47x |
| 77290 | Management of radiation therapy, simulation, complex | 1.2K | $557.5K | $472.05 | 2.49x |
| 77427 | Radiation treatment management, 5 treatments | 3.3K | $552.2K | $165.22 | 6.27x |
| 77418 | Intensity modulated radiation treatment delivery per session | 1.5K | $546.4K | $365.23 | 7.07x |
| 77295 | Management of radiation therapy, 3D | 893 | $401.2K | $449.31 | 9.45x |
| 55874 | Injection of biodegradable material next to prostate | 100 | $311.8K | $3.1K | 3.65x |
| 77338 | Design and construction of device for radiation therapy | 639 | $291.3K | $455.84 | 5.62x |
| 77336 | Radiation therapy consultation per week | 3.6K | $271.4K | $76.32 | 4.36x |
| 77263 | Management of radiation therapy, complex | 1.4K | $196.3K | $144.75 | 6.85x |
| 77334 | Radiation treatment devices, design and construction, complex | 1.3K | $167.3K | $124.48 | 5.54x |
| 77414 | Radiation treatment delivery, three or more treatment areas | 685 | $162.7K | $237.58 | 2.60x |
| 77413 | Radiation treatment delivery, three or more treatment areas | 766 | $161.4K | $210.70 | 2.51x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 836 | $149.8K | $179.24 | 2.42x |
| 77300 | Calculation of radiation therapy dose | 1.6K | $98.5K | $60.76 | 5.83x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 619 | $91.7K | $148.21 | 2.33x |
This provider submits charges 5.51 times higher than what Medicare actually pays.
A markup ratio of 5.51x means for every $100 Medicare pays, this provider initially charges $551. 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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