This provider's $3.3M in total Medicare payments ranks in the 95th 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 | $250.49 | $104.19 | 2.40x | $146.30 | $306.1K | 3.4K | 2.0K |
| 2015 | $249.04 | $104.65 | 2.38x | $144.39 | $273.5K | 3.0K | 1.8K |
| 2016 | $218.66 | $93.23 | 2.35x | $125.43 | $234.4K | 2.6K | 1.6K |
| 2017 | $251.59 | $108.19 | 2.33x | $143.40 | $342.7K | 3.9K | 2.5K |
| 2018 | $274.34 | $109.75 | 2.50x | $164.59 | $483.1K | 5.8K | 3.1K |
| 2019 | $547.28 | $111.78 | 4.90x | $435.50 | $451.1K | 5.2K | 2.8K |
| 2020 | $548.60 | $114.81 | 4.78x | $433.79 | $246.7K | 2.8K | 1.6K |
| 2021 | $488.72 | $107.75 | 4.54x | $380.97 | $297.6K | 3.1K | 1.8K |
| 2022 | $379.26 | $107.39 | 3.53x | $271.87 | $289.9K | 3.1K | 1.7K |
| 2023 | $330.48 | $111.82 | 2.96x | $218.66 | $360.0K | 3.8K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77427 | Radiation treatment management, 5 treatments | 4.4K | $628.2K | $141.61 | 2.32x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 945 | $456.6K | $483.21 | 2.33x |
| 77263 | Management of radiation therapy, complex | 2.6K | $323.9K | $125.39 | 2.25x |
| 77295 | Management of radiation therapy, 3D | 1.5K | $257.8K | $170.08 | 2.37x |
| 77301 | Management of modulation radiotherapy planning | 777 | $250.6K | $322.47 | 2.24x |
| 77334 | Radiation treatment devices, design and construction, complex | 4.5K | $212.0K | $46.93 | 2.69x |
| 77290 | Management of radiation therapy, simulation, complex | 2.8K | $173.7K | $61.65 | 2.21x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 4.7K | $162.2K | $34.66 | 2.22x |
| 77338 | Design and construction of device for radiation therapy | 789 | $136.5K | $173.06 | 2.21x |
| 77470 | Special radiation treatment procedure | 1.1K | $88.5K | $82.06 | 2.27x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 662 | $82.5K | $124.58 | 2.72x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 810 | $78.0K | $96.27 | 2.37x |
| 77300 | Calculation of radiation therapy dose | 2.6K | $65.0K | $24.99 | 3.96x |
| 77432 | Stereotactic radiation treatment management of brain lesions, complete course of treatment consisting of 1 session | 167 | $53.5K | $320.47 | 2.41x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 800 | $47.9K | $59.88 | 2.39x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 2.9K | $46.1K | $15.79 | 11.69x |
| 77307 | Radiation therapy plan | 325 | $37.3K | $114.81 | 2.19x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 337 | $29.6K | $87.82 | 2.51x |
| 77280 | Management of radiation therapy simulation, simple | 918 | $25.4K | $27.64 | 2.23x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 227 | $21.3K | $93.90 | 2.82x |
This provider submits charges 2.7 times higher than what Medicare actually pays.
A markup ratio of 2.7x means for every $100 Medicare pays, this provider initially charges $270. 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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