This provider's $3.3M in total Medicare payments ranks in the 95th percentile of Radiation Oncology providers nationally.
Medicare payments to this provider grew 17728% from 2015 to 2023.
63% of their billing comes from a single procedure code (77523 — Proton treatment delivery, intermediate).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 890% in 2016
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2015 | $192.86 | $47.53 | 4.06x | $145.33 | $6.1K | 135 | 105 |
| 2016 | $386.50 | $96.26 | 4.02x | $290.24 | $60.5K | 1.1K | 582 |
| 2017 | $862.66 | $185.96 | 4.64x | $676.70 | $209.3K | 790 | 428 |
| 2018 | $345.06 | $103.33 | 3.34x | $241.73 | $174.6K | 2.1K | 968 |
| 2019 | $337.93 | $105.61 | 3.20x | $232.32 | $186.8K | 2.3K | 722 |
| 2020 | $1.6K | $219.33 | 7.07x | $1.3K | $299.6K | 1.2K | 701 |
| 2021 | $1.4K | $192.64 | 7.11x | $1.2K | $475.9K | 1.8K | 1.1K |
| 2022 | $1.4K | $206.68 | 6.63x | $1.2K | $834.9K | 2.6K | 1.3K |
| 2023 | $1.5K | $211.35 | 7.25x | $1.3K | $1.1M | 3.2K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77523 | Proton treatment delivery, intermediate | 2.3K | $2.1M | $889.09 | 4.59x |
| 77427 | Radiation treatment management, 5 treatments | 1.5K | $250.4K | $163.31 | 3.00x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 2.5K | $192.4K | $78.22 | 6.93x |
| 77301 | Management of modulation radiotherapy planning | 187 | $175.6K | $939.20 | 10.00x |
| G6017 | Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment | 1.6K | $92.3K | $56.81 | 3.91x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 2.6K | $85.7K | $32.72 | 7.83x |
| 77338 | Design and construction of device for radiation therapy | 230 | $68.0K | $295.76 | 5.76x |
| 77263 | Management of radiation therapy, complex | 434 | $62.0K | $142.76 | 3.22x |
| 77522 | Proton treatment delivery, simple with compensation | 67 | $49.3K | $736.41 | 5.54x |
| 77334 | Radiation treatment devices, design and construction, complex | 666 | $42.2K | $63.40 | 5.28x |
| 77295 | Management of radiation therapy, 3D | 194 | $37.8K | $195.09 | 3.28x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 204 | $29.7K | $145.58 | 3.94x |
| 77336 | Radiation therapy consultation per week | 354 | $26.2K | $74.04 | 10.40x |
| 77290 | Management of radiation therapy, simulation, complex | 323 | $22.8K | $70.64 | 3.35x |
| 77300 | Calculation of radiation therapy dose | 599 | $21.3K | $35.54 | 4.44x |
| 77373 | Cranial lesion surgery using radiation over multiple sessions | 18 | $15.9K | $883.24 | 8.90x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 125 | $15.3K | $122.78 | 3.72x |
| 77470 | Special radiation treatment procedure | 146 | $15.3K | $105.11 | 4.45x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 219 | $12.4K | $56.79 | 3.81x |
| 77280 | Management of radiation therapy simulation, simple | 363 | $11.2K | $30.88 | 3.43x |
This provider submits charges 5 times higher than what Medicare actually pays.
A markup ratio of 5x means for every $100 Medicare pays, this provider initially charges $500. 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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