This provider's $8.6M in total Medicare payments ranks in the 98th percentile of Radiation Oncology providers nationally.
Medicare payments to this provider grew 895% from 2014 to 2023.
65% of their billing comes from a single procedure code (77523 — Proton treatment delivery, intermediate).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 450% in 2020
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 | $616.27 | $110.59 | 5.57x | $505.68 | $214.9K | 3.7K | 1.5K |
| 2015 | $675.67 | $118.42 | 5.71x | $557.25 | $152.3K | 2.2K | 992 |
| 2016 | $438.86 | $110.07 | 3.99x | $328.79 | $164.5K | 2.4K | 1.1K |
| 2017 | $352.28 | $90.35 | 3.90x | $261.93 | $154.7K | 2.7K | 1.1K |
| 2018 | $355.89 | $91.98 | 3.87x | $263.91 | $127.0K | 2.3K | 978 |
| 2019 | $436.11 | $115.46 | 3.78x | $320.65 | $159.4K | 2.5K | 1.1K |
| 2020 | $1.5K | $295.95 | 4.90x | $1.2K | $876.1K | 2.2K | 514 |
| 2021 | $1.2K | $258.00 | 4.72x | $958.93 | $2.2M | 5.3K | 1.2K |
| 2022 | $1.4K | $275.09 | 5.15x | $1.1K | $2.4M | 5.8K | 1.2K |
| 2023 | $960.04 | $281.61 | 3.41x | $678.43 | $2.1M | 4.9K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77523 | Proton treatment delivery, intermediate | 6.3K | $5.5M | $875.66 | 4.33x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 9.5K | $722.7K | $75.85 | 4.83x |
| 77525 | Proton treatment delivery, complex | 743 | $649.8K | $874.62 | 5.49x |
| 77427 | Radiation treatment management, 5 treatments | 3.2K | $455.4K | $141.69 | 4.55x |
| 77301 | Management of modulation radiotherapy planning | 440 | $412.4K | $937.33 | 4.76x |
| 77263 | Management of radiation therapy, complex | 806 | $100.9K | $125.15 | 6.38x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 713 | $95.4K | $133.74 | 3.01x |
| 77295 | Management of radiation therapy, 3D | 447 | $74.8K | $167.27 | 4.92x |
| 77373 | Cranial lesion surgery using radiation over multiple sessions | 97 | $69.7K | $718.56 | 5.21x |
| 77336 | Radiation therapy consultation per week | 1.1K | $64.4K | $59.09 | 2.64x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 3.8K | $59.0K | $15.57 | 3.77x |
| 77334 | Radiation treatment devices, design and construction, complex | 1.0K | $58.4K | $56.53 | 4.61x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 87 | $41.6K | $477.79 | 4.80x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 513 | $41.0K | $79.90 | 3.83x |
| 77338 | Design and construction of device for radiation therapy | 215 | $36.3K | $168.70 | 3.61x |
| 77290 | Management of radiation therapy, simulation, complex | 471 | $28.6K | $60.80 | 7.94x |
| 77421 | X-ray guidance for radiation therapy delivery | 1.6K | $24.0K | $15.04 | 6.53x |
| 77470 | Special radiation treatment procedure | 261 | $23.4K | $89.54 | 4.89x |
| 77280 | Management of radiation therapy simulation, simple | 652 | $17.8K | $27.24 | 10.87x |
| 77300 | Calculation of radiation therapy dose | 692 | $17.0K | $24.57 | 4.14x |
This provider submits charges 4.53 times higher than what Medicare actually pays.
A markup ratio of 4.53x means for every $100 Medicare pays, this provider initially charges $453. 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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