This provider's $12.4M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 6.87x 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $1.4K | $230.88 | 6.00x | $1.2K | $1.1M | 6.3K | 1.9K |
| 2015 | $1.4K | $231.29 | 6.00x | $1.2K | $1.6M | 7.8K | 2.2K |
| 2016 | $1.2K | $200.98 | 5.92x | $988.56 | $1.5M | 8.1K | 2.7K |
| 2017 | $1.2K | $208.20 | 5.84x | $1.0K | $1.1M | 6.3K | 2.9K |
| 2018 | $1.2K | $213.37 | 5.69x | $1.0K | $1.2M | 6.9K | 2.7K |
| 2019 | $1.2K | $211.12 | 5.77x | $1.0K | $1.4M | 7.9K | 3.1K |
| 2020 | $1.3K | $233.05 | 5.72x | $1.1K | $1.1M | 5.9K | 2.4K |
| 2021 | $1.3K | $223.40 | 5.69x | $1.0K | $1.2M | 6.3K | 2.7K |
| 2022 | $1.3K | $217.51 | 6.01x | $1.1K | $1.1M | 5.9K | 2.7K |
| 2023 | $1.4K | $225.46 | 6.18x | $1.2K | $1.1M | 6.2K | 2.7K |
| 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 | 9.2K | $2.7M | $298.01 | 9.23x |
| 77301 | Management of modulation radiotherapy planning | 1.0K | $1.6M | $1.6K | 4.12x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 1.5K | $1.5M | $1.0K | 8.14x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 7.3K | $702.9K | $96.32 | 6.25x |
| 77427 | Radiation treatment management, 5 treatments | 4.4K | $651.8K | $149.63 | 7.13x |
| 77338 | Design and construction of device for radiation therapy | 1.1K | $442.2K | $396.98 | 6.63x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 7.0K | $431.3K | $61.59 | 10.32x |
| 77418 | Intensity modulated radiation treatment delivery per session | 1.3K | $399.4K | $301.00 | 8.83x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev | 1.7K | $351.5K | $209.62 | 3.02x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 312 | $343.4K | $1.1K | 4.18x |
| 77336 | Radiation therapy consultation per week | 4.7K | $310.6K | $65.39 | 5.25x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | 1.4K | $306.8K | $213.77 | 2.72x |
| 77290 | Management of radiation therapy, simulation, complex | 592 | $238.5K | $402.85 | 2.99x |
| 77334 | Radiation treatment devices, design and construction, complex | 2.3K | $217.9K | $96.46 | 6.65x |
| 77263 | Management of radiation therapy, complex | 1.7K | $216.5K | $130.75 | 7.82x |
| 77295 | Management of radiation therapy, 3D | 462 | $180.8K | $391.37 | 11.16x |
| 74177 | CT scan of abdomen and pelvis with contrast | 955 | $179.6K | $188.03 | 5.67x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.8K | $166.7K | $58.70 | 3.90x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.0K | $163.6K | $163.07 | 3.95x |
| 77280 | Management of radiation therapy simulation, simple | 671 | $148.6K | $221.52 | 2.96x |
This provider submits charges 6.87 times higher than what Medicare actually pays.
A markup ratio of 6.87x means for every $100 Medicare pays, this provider initially charges $687. 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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