This provider's $7.0M in total Medicare payments ranks in the 98th percentile of Radiation Oncology providers nationally.
Medicare payments to this provider grew 825% from 2014 to 2023.
70% 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 533% in 2022
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 | $349.83 | $109.87 | 3.18x | $239.96 | $155.9K | 2.7K | 947 |
| 2015 | $388.49 | $115.38 | 3.37x | $273.11 | $208.0K | 2.7K | 933 |
| 2016 | $319.50 | $96.93 | 3.30x | $222.57 | $106.2K | 2.0K | 509 |
| 2017 | $487.09 | $96.35 | 5.06x | $390.74 | $75.4K | 1.3K | 420 |
| 2018 | $391.56 | $112.79 | 3.47x | $278.77 | $78.4K | 1.3K | 431 |
| 2019 | $332.80 | $104.16 | 3.20x | $228.64 | $92.0K | 1.5K | 420 |
| 2020 | $647.47 | $191.89 | 3.37x | $455.58 | $223.4K | 2.3K | 717 |
| 2021 | $744.68 | $182.94 | 4.07x | $561.74 | $630.9K | 2.6K | 785 |
| 2022 | $1.3K | $250.63 | 5.34x | $1.1K | $4.0M | 10.7K | 1.8K |
| 2023 | $1.3K | $249.11 | 5.24x | $1.1K | $1.4M | 3.7K | 836 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77523 | Proton treatment delivery, intermediate | 5.6K | $4.9M | $876.24 | 5.02x |
| 77427 | Radiation treatment management, 5 treatments | 3.7K | $522.1K | $142.02 | 3.51x |
| 77301 | Management of modulation radiotherapy planning | 410 | $393.0K | $958.43 | 5.04x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 9.6K | $381.2K | $39.90 | 5.76x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 3.3K | $151.4K | $46.06 | 3.74x |
| 77336 | Radiation therapy consultation per week | 1.6K | $94.0K | $58.69 | 2.83x |
| 77334 | Radiation treatment devices, design and construction, complex | 1.1K | $72.0K | $63.23 | 4.13x |
| 77263 | Management of radiation therapy, complex | 522 | $65.4K | $125.27 | 2.95x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 457 | $48.5K | $106.10 | 3.11x |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 159 | $44.8K | $281.45 | 3.91x |
| 77295 | Management of radiation therapy, 3D | 222 | $42.0K | $189.25 | 4.23x |
| 77290 | Management of radiation therapy, simulation, complex | 391 | $39.9K | $101.94 | 3.70x |
| 77338 | Design and construction of device for radiation therapy | 210 | $39.8K | $189.34 | 2.89x |
| 77300 | Calculation of radiation therapy dose | 920 | $33.4K | $36.30 | 4.13x |
| 77373 | Cranial lesion surgery using radiation over multiple sessions | 40 | $29.5K | $737.40 | 6.18x |
| 99205 | New patient outpatient visit, total time 60-74 minutes | 187 | $28.3K | $151.12 | 3.34x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev | 114 | $22.0K | $192.73 | 2.72x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 527 | $21.6K | $40.99 | 4.37x |
| 77280 | Management of radiation therapy simulation, simple | 440 | $20.2K | $45.85 | 3.86x |
| 77421 | X-ray guidance for radiation therapy delivery | 1.0K | $15.1K | $15.01 | 3.52x |
This provider submits charges 4.8 times higher than what Medicare actually pays.
A markup ratio of 4.8x means for every $100 Medicare pays, this provider initially charges $480. 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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