This provider's $4.3M in total Medicare payments ranks in the 97th percentile of Radiation Oncology providers nationally.
Medicare payments to this provider grew 1253% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1252% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $736.44 | $196.38 | 3.75x | $540.06 | $153.2K | 679 | 191 |
| 2022 | $2.1K | $538.00 | 3.83x | $1.5K | $2.1M | 8.2K | 971 |
| 2023 | $1.9K | $503.39 | 3.73x | $1.4K | $2.1M | 8.0K | 1.2K |
| 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 | 6.5K | $2.3M | $359.81 | 3.92x |
| 77014 | Ct scan guidance for insertion of radiation therapy fields | 6.4K | $745.3K | $116.84 | 3.78x |
| G0340 | Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatme | 86 | $285.5K | $3.3K | 3.70x |
| 77301 | High precision radiation therapy planning | 129 | $230.4K | $1.8K | 3.81x |
| 77427 | Radiation treatment management, 5 treatments | 1.0K | $181.4K | $180.54 | 3.73x |
| 77338 | Design and construction of radiation treatment device for high precision radiation therapy | 296 | $131.0K | $442.41 | 3.76x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | 526 | $123.5K | $234.71 | 4.11x |
| 55874 | Injection of biodegradable material next to prostate | 25 | $71.6K | $2.9K | 3.65x |
| 77336 | Continuing radiation therapy consultation per week | 802 | $68.9K | $85.97 | 3.67x |
| 99205 | New patient outpatient visit, total time 60-74 minutes | 229 | $47.4K | $207.10 | 3.79x |
| 77334 | Radiation treatment devices, design and construction, complex | 175 | $20.1K | $114.93 | 3.90x |
| 77300 | Calculation of radiation therapy dose | 297 | $18.7K | $62.94 | 3.76x |
| 77263 | Management of radiation therapy, complex | 95 | $14.9K | $156.93 | 3.77x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 145 | $11.6K | $79.93 | 4.00x |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 20 | $5.3K | $264.45 | 3.65x |
| 77290 | Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved | 12 | $5.2K | $434.71 | 4.19x |
| A4648 | Tissue marker, implantable, any type, each | 25 | $2.6K | $105.97 | 3.44x |
| 55876 | Placement of device in prostate for radiation therapy | 25 | $1.8K | $73.64 | 7.30x |
| 76942 | Ultrasonic guidance for needle placement | 25 | $1.4K | $55.99 | 3.65x |
| 96372 | Injection of drug or substance under skin or into muscle | 25 | $335.50 | $13.42 | 3.65x |
This provider submits charges 3.86 times higher than what Medicare actually pays.
A markup ratio of 3.86x means for every $100 Medicare pays, this provider initially charges $386. 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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