This provider's $11.5M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 6.27x 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 | $1.1K | $192.08 | 5.93x | $946.94 | $1.6M | 10.0K | 2.3K |
| 2015 | $1.2K | $197.16 | 6.03x | $991.81 | $1.2M | 7.8K | 1.8K |
| 2016 | $1.3K | $213.27 | 5.95x | $1.1K | $1.2M | 7.3K | 1.7K |
| 2017 | $1.1K | $202.83 | 5.67x | $946.48 | $1.1M | 6.5K | 1.7K |
| 2018 | $1.2K | $212.81 | 5.47x | $950.86 | $1.2M | 7.1K | 1.6K |
| 2019 | $1.2K | $214.73 | 5.63x | $994.32 | $1.0M | 5.7K | 1.6K |
| 2020 | $1.2K | $222.11 | 5.42x | $981.13 | $1.3M | 7.6K | 1.7K |
| 2021 | $1.2K | $224.20 | 5.38x | $981.54 | $1.1M | 6.1K | 1.5K |
| 2022 | $1.3K | $221.15 | 5.69x | $1.0K | $904.4K | 5.3K | 1.4K |
| 2023 | $1.3K | $217.63 | 5.91x | $1.1K | $869.3K | 5.4K | 1.5K |
| 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 | 9.5K | $2.6M | $272.59 | 10.10x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev | 10.2K | $1.9M | $188.62 | 3.07x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 11.4K | $1.0M | $91.66 | 6.67x |
| 77427 | Radiation treatment management, 5 treatments | 6.3K | $915.2K | $145.27 | 7.34x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev | 4.7K | $896.3K | $192.55 | 3.35x |
| 77301 | Management of modulation radiotherapy planning | 452 | $656.7K | $1.5K | 4.43x |
| 77290 | Management of radiation therapy, simulation, complex | 1.2K | $448.8K | $371.19 | 3.26x |
| 77418 | Intensity modulated radiation treatment delivery per session | 1.6K | $445.7K | $282.29 | 9.42x |
| 77336 | Radiation therapy consultation per week | 6.4K | $376.2K | $59.22 | 5.79x |
| 77413 | Radiation treatment delivery, three or more treatment areas | 2.3K | $369.5K | $157.56 | 3.46x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 277 | $283.1K | $1.0K | 4.46x |
| 77263 | Management of radiation therapy, complex | 1.4K | $180.6K | $127.53 | 8.01x |
| 77295 | Management of radiation therapy, 3D | 491 | $180.4K | $367.32 | 11.91x |
| 77280 | Management of radiation therapy simulation, simple | 879 | $180.1K | $204.87 | 3.21x |
| 77338 | Design and construction of device for radiation therapy | 466 | $174.7K | $374.83 | 7.04x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $139.4K | $123.07 | 4.11x |
| 77334 | Radiation treatment devices, design and construction, complex | 1.2K | $119.2K | $102.68 | 6.91x |
| G9678 | Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation | 567 | $90.0K | $158.77 | 1.01x |
| 77414 | Radiation treatment delivery, three or more treatment areas | 460 | $83.3K | $181.11 | 3.51x |
| 77300 | Calculation of radiation therapy dose | 1.5K | $76.5K | $49.75 | 7.34x |
This provider submits charges 6.27 times higher than what Medicare actually pays.
A markup ratio of 6.27x means for every $100 Medicare pays, this provider initially charges $627. 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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