This provider's $12.0M in total Medicare payments ranks in the 99th 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.
Notable: Payments increased 81% in 2018
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 | $599.97 | $220.06 | 2.73x | $379.91 | $2.7M | 5.9K | 3.0K |
| 2015 | $647.98 | $246.99 | 2.62x | $400.99 | $756.4K | 2.3K | 1.6K |
| 2016 | $682.36 | $184.16 | 3.71x | $498.20 | $573.7K | 2.9K | 1.6K |
| 2017 | $597.81 | $174.14 | 3.43x | $423.67 | $627.2K | 2.9K | 1.7K |
| 2018 | $1.3K | $336.75 | 3.76x | $931.02 | $1.1M | 2.9K | 2.1K |
| 2019 | $2.1K | $355.53 | 5.99x | $1.8K | $1.0M | 3.0K | 2.3K |
| 2020 | $1.7K | $391.85 | 4.33x | $1.3K | $1.2M | 3.7K | 2.6K |
| 2021 | $1.6K | $424.50 | 3.86x | $1.2K | $1.3M | 3.9K | 2.6K |
| 2022 | $1.8K | $438.44 | 4.09x | $1.4K | $1.3M | 3.8K | 3.0K |
| 2023 | $1.5K | $371.05 | 3.96x | $1.1K | $1.5M | 4.3K | 3.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 0182T | High dose rate electronic brachytherapy | 1.2K | $2.1M | $1.8K | 2.06x |
| 55874 | Injection of biodegradable material next to prostate | 618 | $2.0M | $3.3K | 4.52x |
| 77290 | Management of radiation therapy, simulation, complex | 3.7K | $1.9M | $497.16 | 3.82x |
| 77318 | Radiation therapy plan | 3.3K | $1.4M | $408.73 | 3.33x |
| 77280 | Management of radiation therapy simulation, simple | 3.3K | $919.9K | $280.11 | 2.60x |
| 77778 | Application of radiation source, complex | 1.8K | $773.4K | $424.93 | 3.93x |
| 77370 | Radiation therapy consultation | 3.1K | $407.7K | $131.93 | 3.24x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 2.1K | $392.3K | $183.84 | 3.34x |
| 77295 | Management of radiation therapy, 3D | 1.8K | $374.9K | $205.86 | 4.16x |
| 77263 | Management of radiation therapy, complex | 2.1K | $304.6K | $148.03 | 3.53x |
| 77470 | Special radiation treatment procedure | 2.0K | $261.9K | $130.41 | 4.64x |
| 0394T | High dose rate electronic brachytherapy | 1.9K | $240.0K | $124.28 | 6.68x |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 580 | $217.1K | $374.35 | 2.88x |
| 77300 | Calculation of radiation therapy dose | 1.8K | $106.0K | $58.10 | 2.82x |
| 77427 | Radiation treatment management, 5 treatments | 614 | $100.4K | $163.45 | 2.55x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 355 | $69.5K | $195.65 | 3.19x |
| 77328 | Brachytherapy radiation therapy plan (over 10 applications, over 12 brachytherapy sources) | 264 | $55.0K | $208.34 | 3.82x |
| 55875 | Insertion of needles or catheters into prostate for radiation therapy | 74 | $51.5K | $695.48 | 3.60x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 661 | $49.7K | $75.19 | 3.76x |
| 77332 | Radiation treatment devices, design and construction, simple | 1.9K | $49.2K | $25.61 | 3.68x |
This provider submits charges 3.47 times higher than what Medicare actually pays.
A markup ratio of 3.47x means for every $100 Medicare pays, this provider initially charges $347. 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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