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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 Selva
๐ŸŽ—๏ธ
MDIndividual

Michael Selva, MD

NPI: 1164450581
San Antonio, TX
10 years of data
Radiation Oncology
$24.1M
Total Payments
16.9K
Beneficiaries
140.6K
Services
6.5x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$24.1M
Specialty median$300.5K

๐Ÿ“‹ Key Findings

1Billed $24.1M over 10 years
26.5x markup ratio (above median)
399th percentile in Radiation Oncology by payments
456 services/day โ€” unusually high
516 procedures with >3x markup

This provider averages 56 services per working day

Based on 140.6K total services over 10 years (250 working days/year). Learn about impossible service volumes โ†’

๐Ÿ”Ž Data Analysis

This provider's $24.1M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.

Their average markup ratio of 6.5x is significantly above the specialty median of 5.0x.

Averaging 56 services per working day raises questions about billing patterns.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

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
2014$1.1K$208.545.08x$850.57$2.1M12.6K1.7K
2015$1.2K$197.065.90x$965.22$2.7M16.2K2.0K
2016$1.1K$194.535.67x$909.30$2.1M13.6K1.7K
2017$1.1K$193.825.83x$936.17$2.7M17.0K2.0K
2018$1.4K$231.486.16x$1.2K$2.8M16.8K1.9K
2019$1.6K$265.236.08x$1.3K$2.4M13.4K1.6K
2020$1.5K$252.745.87x$1.2K$2.5M13.8K1.6K
2021$1.4K$247.795.77x$1.2K$2.9M15.7K1.8K
2022$1.4K$242.145.90x$1.2K$1.9M10.6K1.3K
2023$1.6K$439.673.66x$1.2K$2.0M10.9K1.4K

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  6.7x markup
$12.5M
46.4K services$268.71/svc6.73x markup
77014CT scan guidance for insertion of radiation therapy fieldsโš  6.3x markup
$4.5M
52.2K services$85.54/svc6.34x markup
77301Management of modulation radiotherapy planningโš  6.0x markup
$1.7M
1.2K services$1.4K/svc6.00x markup
77427Radiation treatment management, 5 treatmentsโš  6.0x markup
$1.6M
10.8K services$144.05/svc6.04x markup
77418Intensity modulated radiation treatment delivery per sessionโš  8.5x markup
$1.2M
4.2K services$277.66/svc8.47x markup
77336Radiation therapy consultation per weekโš  6.0x markup
$635.8K
10.8K services$58.82/svc6.02x markup
77338Design and construction of device for radiation therapyโš  6.0x markup
$441.4K
1.3K services$347.57/svc6.02x markup
G6013Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mevโš  5.8x markup
$424.0K
2.2K services$192.57/svc5.75x markup
77280Management of radiation therapy simulation, simpleโš  5.8x markup
$214.0K
1.1K services$188.06/svc5.82x markup
99215Established patient office or other outpatient, visit typically 40 minutes
$206.4K
2.0K services$104.99/svc2.49x markup
77334Radiation treatment devices, design and construction, complexโš  6.9x markup
$164.6K
1.8K services$89.60/svc6.88x markup
77263Management of radiation therapy, complexโš  6.3x markup
$155.0K
1.3K services$121.72/svc6.29x markup
77290Management of radiation therapy, simulation, complexโš  5.3x markup
$98.0K
319 services$307.36/svc5.26x markup
77414Radiation treatment delivery, three or more treatment areasโš  4.1x markup
$90.3K
499 services$181.03/svc4.12x markup
77300Calculation of radiation therapy doseโš  6.4x markup
$79.2K
1.7K services$46.92/svc6.41x markup
G0340Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatme
$68.5K
45 services$1.5K/svc2.55x markup
77307Radiation therapy plan
$54.6K
258 services$211.67/svc2.90x markup
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapyโš  6.3x markup
$45.4K
1.2K services$39.34/svc6.25x markup
77295Management of radiation therapy, 3Dโš  6.5x markup
$31.6K
118 services$267.39/svc6.50x markup
99205New patient office or other outpatient visit, typically 60 minutes
$30.0K
203 services$147.59/svc2.38x 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 session46.4K$12.5M$268.716.73x
77014CT scan guidance for insertion of radiation therapy fields52.2K$4.5M$85.546.34x
77301Management of modulation radiotherapy planning1.2K$1.7M$1.4K6.00x
77427Radiation treatment management, 5 treatments10.8K$1.6M$144.056.04x
77418Intensity modulated radiation treatment delivery per session4.2K$1.2M$277.668.47x
77336Radiation therapy consultation per week10.8K$635.8K$58.826.02x
77338Design and construction of device for radiation therapy1.3K$441.4K$347.576.02x
G6013Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev2.2K$424.0K$192.575.75x
77280Management of radiation therapy simulation, simple1.1K$214.0K$188.065.82x
99215Established patient office or other outpatient, visit typically 40 minutes2.0K$206.4K$104.992.49x
77334Radiation treatment devices, design and construction, complex1.8K$164.6K$89.606.88x
77263Management of radiation therapy, complex1.3K$155.0K$121.726.29x
77290Management of radiation therapy, simulation, complex319$98.0K$307.365.26x
77414Radiation treatment delivery, three or more treatment areas499$90.3K$181.034.12x
77300Calculation of radiation therapy dose1.7K$79.2K$46.926.41x
G0340Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatme45$68.5K$1.5K2.55x
77307Radiation therapy plan258$54.6K$211.672.90x
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy1.2K$45.4K$39.346.25x
77295Management of radiation therapy, 3D118$31.6K$267.396.50x
99205New patient office or other outpatient visit, typically 60 minutes203$30.0K$147.592.38x

Markup Analysis

Charge-to-Payment Ratio

6.5x

This provider submits charges 6.5 times higher than what Medicare actually pays.

What This Means

A markup ratio of 6.5x means for every $100 Medicare pays, this provider initially charges $650. This is higher than the national average.

Location

San Antonio, 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.

Believe this data is inaccurate? Dispute this data