This provider's $14.0M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $500.43 | $131.05 | 3.82x | $369.38 | $1.6M | 19.1K | 13.8K |
| 2015 | $515.39 | $136.05 | 3.79x | $379.34 | $2.0M | 22.6K | 14.7K |
| 2016 | $514.83 | $135.86 | 3.79x | $378.97 | $1.5M | 17.1K | 11.4K |
| 2017 | $508.86 | $132.52 | 3.84x | $376.34 | $1.5M | 16.9K | 11.2K |
| 2018 | $500.34 | $132.20 | 3.78x | $368.14 | $1.4M | 13.8K | 8.9K |
| 2019 | $786.11 | $237.99 | 3.30x | $548.12 | $1.5M | 8.4K | 4.2K |
| 2020 | $1.2K | $266.99 | 4.45x | $919.86 | $1.5M | 7.2K | 3.2K |
| 2021 | $1.2K | $278.36 | 4.46x | $964.06 | $1.6M | 7.9K | 3.4K |
| 2022 | $1.2K | $266.07 | 4.47x | $923.21 | $650.4K | 3.5K | 2.1K |
| 2023 | $1.1K | $247.49 | 4.63x | $897.25 | $867.4K | 5.6K | 2.5K |
| 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 | 16.5K | $4.5M | $274.83 | 5.85x |
| 77290 | Management of radiation therapy, simulation, complex | 4.6K | $1.6M | $342.82 | 3.21x |
| 77338 | Design and construction of device for radiation therapy | 2.1K | $792.9K | $382.29 | 3.85x |
| 77301 | Management of modulation radiotherapy planning | 495 | $728.8K | $1.5K | 2.77x |
| 77427 | Radiation treatment management, 5 treatments | 3.8K | $561.0K | $149.52 | 3.53x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 4.4K | $522.5K | $120.01 | 3.27x |
| 55874 | Injection of biodegradable material next to prostate | 229 | $445.4K | $1.9K | 3.67x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 4.9K | $439.9K | $89.94 | 5.20x |
| 77418 | Intensity modulated radiation treatment delivery per session | 1.4K | $427.9K | $298.22 | 6.24x |
| 76872 | Ultrasound of rectum | 4.7K | $392.7K | $83.52 | 4.27x |
| 93980 | Ultrasound scan of penile arterial inflow and venous outflow | 4.0K | $367.7K | $91.97 | 6.36x |
| 74176 | CT scan of abdomen and pelvis | 2.3K | $317.6K | $137.44 | 6.50x |
| 55875 | Insertion of needles or catheters into prostate for radiation therapy | 436 | $270.3K | $619.98 | 3.57x |
| 77336 | Radiation therapy consultation per week | 3.8K | $229.3K | $60.86 | 5.26x |
| 77778 | Application of radiation source, complex | 437 | $164.9K | $377.29 | 4.42x |
| 77293 | Respiratory motion management simulation | 414 | $143.8K | $347.33 | 2.59x |
| J3315 | Injection, triptorelin pamoate, 3.75 mg | 557 | $138.1K | $247.90 | 4.33x |
| 71250 | CT scan chest | 1.2K | $116.3K | $94.26 | 8.57x |
| 77300 | Calculation of radiation therapy dose | 2.1K | $109.2K | $51.22 | 4.74x |
| 77295 | Management of radiation therapy, 3D | 258 | $96.7K | $374.77 | 7.67x |
This provider submits charges 4.59 times higher than what Medicare actually pays.
A markup ratio of 4.59x means for every $100 Medicare pays, this provider initially charges $459. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Radiation Oncology providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Timothy Kerwin, MD | Naples, FL | $42.2M | ✓ Clear |
| Scot Ackerman, MD | Jacksonville, FL | $37.7M | ✓ Clear |
| Constantine Mantz, MD | Cape Coral, FL | $33.8M | ✓ Clear |
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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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