This provider's $4.8M in total Medicare payments ranks in the 97th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 6.32x is significantly above the specialty median of 5.0x.
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 | $1.0K | $186.27 | 5.61x | $859.08 | $448.9K | 3.1K | 1.3K |
| 2015 | $913.56 | $155.76 | 5.87x | $757.80 | $347.0K | 2.5K | 1.1K |
| 2016 | $920.06 | $161.50 | 5.70x | $758.56 | $436.3K | 3.0K | 1.3K |
| 2017 | $1.1K | $204.84 | 5.26x | $871.95 | $533.7K | 3.3K | 1.3K |
| 2018 | $888.53 | $164.51 | 5.40x | $724.02 | $556.4K | 3.6K | 1.4K |
| 2019 | $1.2K | $221.04 | 5.25x | $939.41 | $525.3K | 3.0K | 1.3K |
| 2020 | $1.2K | $223.13 | 5.57x | $1.0K | $387.4K | 2.4K | 941 |
| 2021 | $1.3K | $239.34 | 5.53x | $1.1K | $573.6K | 3.1K | 985 |
| 2022 | $1.3K | $230.06 | 5.65x | $1.1K | $490.6K | 2.9K | 1.1K |
| 2023 | $1.2K | $219.19 | 5.69x | $1.0K | $541.2K | 3.4K | 1.2K |
| 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 | 4.8K | $1.3M | $262.31 | 8.84x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 5.6K | $466.7K | $83.82 | 5.73x |
| 77301 | Management of modulation radiotherapy planning | 271 | $376.3K | $1.4K | 3.83x |
| 77427 | Radiation treatment management, 5 treatments | 2.0K | $298.9K | $146.51 | 4.57x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev | 1.3K | $239.2K | $184.89 | 3.69x |
| G6014 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20mev or greater | 1.2K | $232.9K | $188.31 | 4.26x |
| 77295 | Management of radiation therapy, 3D | 517 | $181.7K | $351.48 | 12.70x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 212 | $181.3K | $855.30 | 6.43x |
| 77290 | Management of radiation therapy, simulation, complex | 486 | $167.9K | $345.55 | 3.59x |
| 77280 | Management of radiation therapy simulation, simple | 732 | $141.5K | $193.31 | 3.39x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.8K | $136.8K | $75.35 | 3.75x |
| 77336 | Radiation therapy consultation per week | 2.3K | $134.9K | $58.38 | 7.51x |
| 77338 | Design and construction of device for radiation therapy | 359 | $130.3K | $362.87 | 4.60x |
| 77418 | Intensity modulated radiation treatment delivery per session | 410 | $115.7K | $282.21 | 8.27x |
| 77263 | Management of radiation therapy, complex | 685 | $88.5K | $129.19 | 4.97x |
| 77334 | Radiation treatment devices, design and construction, complex | 859 | $81.2K | $94.48 | 6.68x |
| G9678 | Oncology Care Model service | 353 | $55.4K | $156.80 | 1.02x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 434 | $52.8K | $121.62 | 3.67x |
| 77771 | High dose brachytherapy , 2- 12 channels | 109 | $49.2K | $451.53 | 4.32x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 939 | $46.0K | $48.96 | 10.57x |
This provider submits charges 6.32 times higher than what Medicare actually pays.
A markup ratio of 6.32x means for every $100 Medicare pays, this provider initially charges $632. 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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