This provider's $29.2M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 6.37x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 79% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 94% in 2017
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 | $1.3K | $275.02 | 4.66x | $1.0K | $2.1M | 7.6K | 18 |
| 2015 | $1.6K | $251.57 | 6.35x | $1.3K | $1.7M | 6.8K | 25 |
| 2016 | $1.6K | $253.14 | 6.45x | $1.4K | $2.0M | 7.8K | 26 |
| 2017 | $1.9K | $305.45 | 6.37x | $1.6K | $3.8M | 12.5K | 20 |
| 2018 | $1.9K | $288.56 | 6.49x | $1.6K | $2.4M | 8.2K | 18 |
| 2019 | $1.9K | $281.52 | 6.71x | $1.6K | $3.0M | 10.5K | 21 |
| 2020 | $2.0K | $296.72 | 6.61x | $1.7K | $3.0M | 10.0K | 19 |
| 2021 | $2.0K | $316.58 | 6.33x | $1.7K | $3.9M | 12.3K | 17 |
| 2022 | $2.0K | $309.67 | 6.40x | $1.7K | $3.6M | 11.7K | 19 |
| 2023 | $2.1K | $312.11 | 6.75x | $1.8K | $3.8M | 12.1K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77522 | Simple proton beam radiation treatment with compensation | 25.3K | $16.6M | $658.76 | 6.74x |
| 77523 | Intermediate proton beam radiation treatment | 6.8K | $4.7M | $691.69 | 6.51x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 30.3K | $1.8M | $59.30 | 5.15x |
| 77525 | Complex proton beam radiation treatment | 2.3K | $1.8M | $777.12 | 6.63x |
| 77427 | Radiation treatment management, 5 treatment sessions | 6.6K | $985.2K | $148.57 | 5.05x |
| 77334 | Design and construction of complex radiation treatment device | 6.5K | $664.1K | $102.74 | 5.49x |
| 77336 | Continuing radiation therapy consultation per week | 5.9K | $371.9K | $63.20 | 4.89x |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 1.7K | $365.9K | $217.02 | 5.07x |
| 77295 | 3d radiation therapy planning | 905 | $333.2K | $368.14 | 5.15x |
| 77301 | High precision radiation therapy planning | 235 | $310.3K | $1.3K | 5.36x |
| 77290 | Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved | 769 | $267.4K | $347.72 | 5.23x |
| 77263 | Complex radiation therapy planning | 1.6K | $204.0K | $129.45 | 5.15x |
| 77300 | Calculation of radiation therapy dose | 3.1K | $148.1K | $48.11 | 5.09x |
| 77421 | X-ray guidance for radiation therapy delivery | 2.3K | $131.4K | $56.99 | 5.58x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 818 | $99.9K | $122.16 | 4.53x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.1K | $54.5K | $51.77 | 3.87x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 1.2K | $41.1K | $35.39 | 5.16x |
| 77520 | Proton treatment delivery, simple | 64 | $40.1K | $626.52 | 6.70x |
| 77307 | Radiation therapy plan | 173 | $38.3K | $221.65 | 5.15x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 374 | $30.5K | $81.63 | 4.31x |
This provider submits charges 6.37 times higher than what Medicare actually pays.
A markup ratio of 6.37x means for every $100 Medicare pays, this provider initially charges $637. 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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