This provider's $5.4M in total Medicare payments ranks in the 97th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 5.9x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 61% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 105% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $801.03 | $141.32 | 5.67x | $659.71 | $352.4K | 2.6K | 620 |
| 2015 | $968.81 | $154.23 | 6.28x | $814.58 | $265.3K | 1.7K | 486 |
| 2016 | $1.5K | $258.43 | 5.82x | $1.2K | $542.9K | 3.1K | 1.1K |
| 2017 | $1.2K | $190.47 | 6.52x | $1.1K | $456.0K | 2.8K | 947 |
| 2018 | $1.3K | $236.51 | 5.34x | $1.0K | $508.0K | 3.0K | 1.2K |
| 2019 | $1.2K | $220.65 | 5.49x | $989.68 | $624.3K | 4.1K | 1.6K |
| 2020 | $1.2K | $220.71 | 5.57x | $1.0K | $684.9K | 4.5K | 1.6K |
| 2021 | $1.1K | $186.14 | 6.01x | $932.06 | $760.0K | 5.1K | 1.5K |
| 2022 | $1.4K | $203.02 | 6.72x | $1.2K | $609.5K | 4.0K | 1.4K |
| 2023 | $1.3K | $225.29 | 5.94x | $1.1K | $567.4K | 3.7K | 1.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev | 5.7K | $1.1M | $201.97 | 2.98x |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 2.6K | $748.1K | $286.62 | 9.63x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev | 2.4K | $474.5K | $201.42 | 3.23x |
| 77427 | Radiation treatment management, 5 treatments | 2.5K | $366.0K | $149.14 | 7.15x |
| 77290 | Management of radiation therapy, simulation, complex | 710 | $278.1K | $391.66 | 3.10x |
| 77295 | Management of radiation therapy, 3D | 651 | $250.4K | $384.62 | 11.37x |
| 77301 | Management of modulation radiotherapy planning | 139 | $211.3K | $1.5K | 4.23x |
| 77280 | Management of radiation therapy simulation, simple | 724 | $157.2K | $217.09 | 3.04x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 2.6K | $156.7K | $60.01 | 10.62x |
| 77336 | Radiation therapy consultation per week | 2.5K | $155.0K | $63.25 | 5.42x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 1.5K | $147.1K | $96.07 | 6.37x |
| 74177 | CT scan of abdomen and pelvis with contrast | 787 | $143.1K | $181.78 | 5.87x |
| 77413 | Radiation treatment delivery, three or more treatment areas | 815 | $140.9K | $172.93 | 3.15x |
| 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 | 2.3K | $115.3K | $50.33 | 13.51x |
| G9678 | Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation | 608 | $96.3K | $158.34 | 1.01x |
| 77334 | Radiation treatment devices, design and construction, complex | 889 | $93.1K | $104.76 | 6.74x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 558 | $89.8K | $161.02 | 4.13x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 81 | $81.1K | $1.0K | 8.20x |
| 77263 | Management of radiation therapy, complex | 622 | $79.6K | $128.00 | 7.98x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 65 | $71.9K | $1.1K | 4.20x |
This provider submits charges 5.9 times higher than what Medicare actually pays.
A markup ratio of 5.9x means for every $100 Medicare pays, this provider initially charges $590. 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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