This provider's $3.8M in total Medicare payments ranks in the 96th percentile of Radiation Oncology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $364.81 | $94.74 | 3.85x | $270.07 | $435.0K | 5.7K | 2.0K |
| 2015 | $456.23 | $113.85 | 4.01x | $342.38 | $420.3K | 5.4K | 2.0K |
| 2016 | $447.60 | $109.70 | 4.08x | $337.90 | $435.4K | 5.6K | 2.0K |
| 2017 | $450.18 | $112.72 | 3.99x | $337.46 | $419.6K | 5.2K | 1.9K |
| 2018 | $470.30 | $119.78 | 3.93x | $350.52 | $338.3K | 4.1K | 1.7K |
| 2019 | $501.52 | $129.78 | 3.86x | $371.74 | $325.8K | 3.9K | 1.6K |
| 2020 | $517.82 | $136.01 | 3.81x | $381.81 | $290.3K | 3.5K | 1.4K |
| 2021 | $436.21 | $116.17 | 3.75x | $320.04 | $292.0K | 3.6K | 1.5K |
| 2022 | $494.89 | $129.04 | 3.84x | $365.85 | $366.2K | 4.9K | 1.6K |
| 2023 | $500.10 | $127.96 | 3.91x | $372.14 | $460.0K | 5.8K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77427 | Radiation treatment management, 5 treatments | 7.8K | $1.2M | $152.85 | 3.58x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 21.7K | $779.6K | $35.88 | 5.41x |
| 77301 | Management of modulation radiotherapy planning | 782 | $266.4K | $340.71 | 4.98x |
| 77263 | Management of radiation therapy, complex | 1.9K | $247.5K | $132.45 | 4.02x |
| 77338 | Design and construction of device for radiation therapy | 1.3K | $231.2K | $182.65 | 4.04x |
| 77295 | Management of radiation therapy, 3D | 1.0K | $187.5K | $182.59 | 4.13x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.3K | $180.5K | $138.31 | 2.92x |
| 77334 | Radiation treatment devices, design and construction, complex | 2.8K | $138.5K | $50.18 | 4.09x |
| 77290 | Management of radiation therapy, simulation, complex | 1.6K | $106.5K | $64.96 | 3.96x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.0K | $86.3K | $43.43 | 2.21x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 158 | $82.2K | $520.13 | 4.19x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 552 | $58.1K | $105.26 | 2.77x |
| 77470 | Special radiation treatment procedure | 512 | $44.9K | $87.75 | 3.93x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 434 | $41.6K | $95.94 | 2.64x |
| 77300 | Calculation of radiation therapy dose | 1.4K | $38.4K | $26.58 | 3.88x |
| 77280 | Management of radiation therapy simulation, simple | 1.1K | $33.9K | $30.06 | 3.90x |
| 77307 | Radiation therapy plan | 252 | $29.5K | $116.88 | 3.88x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 272 | $18.8K | $69.01 | 2.29x |
| 31575 | Diagnostic examination of voice box using flexible endoscope | 79 | $4.3K | $54.36 | 3.88x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 26 | $4.2K | $161.00 | 2.61x |
This provider submits charges 4.1 times higher than what Medicare actually pays.
A markup ratio of 4.1x means for every $100 Medicare pays, this provider initially charges $410. 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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