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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Michael Herman
๐ŸŽ—๏ธ
MDIndividual

Michael Herman, M.D.

NPI: 1134419955
Round Rock, TX
9 years of data
Radiation Oncology
$10.6M
Total Payments
18.3K
Beneficiaries
56.8K
Services
7.16x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$10.6M
Specialty median$300.5K

๐Ÿ“‹ Key Findings

1Billed $10.6M over 9 years
27.16x markup ratio (above median)
399th percentile in Radiation Oncology by payments
4Payments surged 304% in 2016
519 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $10.6M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.

Their average markup ratio of 7.16x is significantly above the specialty median of 5.0x.

Medicare payments to this provider grew 900% from 2015 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 304% in 2016

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2015$1.5K$274.195.65x$1.3K$161.4K873181
2016$895.93$145.266.17x$750.67$652.9K4.8K1.9K
2017$1.4K$220.986.38x$1.2K$961.8K5.1K1.4K
2018$1.4K$235.366.00x$1.2K$1.2M6.0K1.8K
2019$1.5K$249.056.03x$1.3K$1.2M6.3K2.0K
2020$1.4K$238.205.82x$1.1K$1.4M7.2K2.4K
2021$1.3K$233.925.75x$1.1K$1.7M8.3K2.8K
2022$1.4K$226.256.05x$1.1K$1.8M9.4K3.0K
2023$1.4K$224.366.38x$1.2K$1.6M8.8K2.7K

Top Procedures (20)

G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment sessionโš  9.8x markup
$3.0M
10.8K services$279.95/svc9.85x markup
77301Management of modulation radiotherapy planningโš  4.3x markup
$1.6M
1.1K services$1.5K/svc4.31x markup
77014CT scan guidance for insertion of radiation therapy fieldsโš  6.4x markup
$1.3M
13.7K services$95.36/svc6.39x markup
77373Stereotactic body radiation therapy 1 or more lesions using imaging guidanceโš  8.7x markup
$859.1K
906 services$948.26/svc8.66x markup
77427Radiation treatment management, 5 treatmentsโš  7.2x markup
$544.7K
3.7K services$148.31/svc7.19x markup
77338Design and construction of device for radiation therapyโš  7.0x markup
$438.0K
1.2K services$378.92/svc6.95x markup
G6013Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mevโš  3.3x markup
$334.8K
1.7K services$195.80/svc3.33x markup
77336Radiation therapy consultation per weekโš  5.4x markup
$252.3K
4.0K services$63.50/svc5.40x markup
78815Nuclear medicine study with CT imaging skull base to mid-thighโš  4.1x markup
$228.7K
201 services$1.1K/svc4.14x markup
G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mevโš  3.1x markup
$225.2K
1.1K services$199.45/svc3.09x markup
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapyโš  10.8x markup
$224.6K
3.9K services$57.62/svc10.85x markup
77263Management of radiation therapy, complexโš  7.8x markup
$161.4K
1.2K services$130.35/svc7.84x markup
77334Radiation treatment devices, design and construction, complexโš  7.0x markup
$150.1K
1.5K services$99.78/svc7.04x markup
99205New patient office or other outpatient visit, typically 60 minutesโš  4.2x markup
$137.4K
836 services$164.31/svc4.23x markup
77290Management of radiation therapy, simulation, complexโš  3.2x markup
$133.8K
351 services$381.07/svc3.16x markup
77295Management of radiation therapy, 3Dโš  11.6x markup
$102.2K
270 services$378.68/svc11.55x markup
G9678Oncology Care Model service
$98.8K
624 services$158.29/svc1.01x markup
77293Respiratory motion management simulationโš  5.2x markup
$92.5K
262 services$352.96/svc5.19x markup
77435Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment courseโš  7.2x markup
$88.3K
175 services$504.60/svc7.15x markup
74177CT scan of abdomen and pelvis with contrastโš  5.5x markup
$78.4K
407 services$192.55/svc5.54x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session10.8K$3.0M$279.959.85x
77301Management of modulation radiotherapy planning1.1K$1.6M$1.5K4.31x
77014CT scan guidance for insertion of radiation therapy fields13.7K$1.3M$95.366.39x
77373Stereotactic body radiation therapy 1 or more lesions using imaging guidance906$859.1K$948.268.66x
77427Radiation treatment management, 5 treatments3.7K$544.7K$148.317.19x
77338Design and construction of device for radiation therapy1.2K$438.0K$378.926.95x
G6013Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev1.7K$334.8K$195.803.33x
77336Radiation therapy consultation per week4.0K$252.3K$63.505.40x
78815Nuclear medicine study with CT imaging skull base to mid-thigh201$228.7K$1.1K4.14x
G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev1.1K$225.2K$199.453.09x
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy3.9K$224.6K$57.6210.85x
77263Management of radiation therapy, complex1.2K$161.4K$130.357.84x
77334Radiation treatment devices, design and construction, complex1.5K$150.1K$99.787.04x
99205New patient office or other outpatient visit, typically 60 minutes836$137.4K$164.314.23x
77290Management of radiation therapy, simulation, complex351$133.8K$381.073.16x
77295Management of radiation therapy, 3D270$102.2K$378.6811.55x
G9678Oncology Care Model service624$98.8K$158.291.01x
77293Respiratory motion management simulation262$92.5K$352.965.19x
77435Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course175$88.3K$504.607.15x
74177CT scan of abdomen and pelvis with contrast407$78.4K$192.555.54x

Markup Analysis

Charge-to-Payment Ratio

7.16x

This provider submits charges 7.16 times higher than what Medicare actually pays.

What This Means

A markup ratio of 7.16x means for every $100 Medicare pays, this provider initially charges $716. This is higher than the national average.

Location

Round Rock, TX

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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