This provider's $7.8M in total Medicare payments ranks in the 98th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 5.51x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 5293% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 4251% in 2015
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 | $523.28 | $82.44 | 6.35x | $440.84 | $13.7K | 164 | 119 |
| 2015 | $1.4K | $287.08 | 4.77x | $1.1K | $594.4K | 2.5K | 926 |
| 2016 | $1.4K | $288.09 | 4.78x | $1.1K | $795.6K | 3.6K | 1.2K |
| 2017 | $1.7K | $333.02 | 4.99x | $1.3K | $1.1M | 4.8K | 1.6K |
| 2018 | $1.4K | $305.33 | 4.66x | $1.1K | $1.0M | 4.2K | 1.5K |
| 2019 | $1.5K | $320.79 | 4.80x | $1.2K | $1.0M | 4.2K | 1.5K |
| 2020 | $1.6K | $345.59 | 4.77x | $1.3K | $1.0M | 3.8K | 1.5K |
| 2021 | $1.6K | $319.05 | 4.94x | $1.3K | $681.4K | 2.5K | 1.1K |
| 2022 | $1.6K | $303.58 | 5.29x | $1.3K | $766.7K | 2.9K | 1.2K |
| 2023 | $1.5K | $276.50 | 5.40x | $1.2K | $736.8K | 3.2K | 1.4K |
| 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 | 7.3K | $2.5M | $349.42 | 7.39x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev | 2.8K | $706.9K | $251.38 | 2.45x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 571 | $655.3K | $1.1K | 6.95x |
| 77301 | Management of modulation radiotherapy planning | 328 | $595.1K | $1.8K | 3.44x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev | 2.3K | $569.6K | $246.38 | 2.15x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 5.3K | $551.4K | $104.56 | 5.55x |
| 77427 | Radiation treatment management, 5 treatments | 2.4K | $399.2K | $167.03 | 6.19x |
| 77290 | Management of radiation therapy, simulation, complex | 793 | $366.3K | $461.95 | 2.54x |
| 77295 | Management of radiation therapy, 3D | 589 | $266.9K | $453.15 | 9.37x |
| 77336 | Radiation therapy consultation per week | 2.5K | $194.2K | $78.19 | 4.26x |
| 77338 | Design and construction of device for radiation therapy | 404 | $184.9K | $457.79 | 5.60x |
| 77263 | Management of radiation therapy, complex | 985 | $144.4K | $146.57 | 6.72x |
| 77334 | Radiation treatment devices, design and construction, complex | 1.0K | $122.8K | $120.31 | 5.68x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 495 | $89.7K | $181.19 | 2.39x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 444 | $66.4K | $149.44 | 2.31x |
| 77300 | Calculation of radiation therapy dose | 1.1K | $65.5K | $60.58 | 5.79x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 112 | $64.0K | $571.54 | 6.13x |
| 77293 | Respiratory motion management simulation | 123 | $53.0K | $430.59 | 4.15x |
| 77771 | High dose brachytherapy , 2- 12 channels | 55 | $31.4K | $570.55 | 4.23x |
| 77370 | Radiation therapy consultation | 191 | $23.6K | $123.31 | 3.16x |
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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