This provider's $13.3M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 5.32x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 469% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 434% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $1.4K | $260.09 | 5.20x | $1.1K | $395.9K | 2.4K | 609 |
| 2019 | $1.3K | $249.79 | 5.24x | $1.1K | $2.1M | 11.8K | 2.4K |
| 2020 | $1.2K | $227.22 | 5.20x | $955.43 | $2.7M | 14.1K | 2.9K |
| 2021 | $1.3K | $245.52 | 5.18x | $1.0K | $3.2M | 15.9K | 3.3K |
| 2022 | $1.3K | $240.76 | 5.35x | $1.0K | $2.7M | 14.2K | 2.9K |
| 2023 | $1.2K | $227.15 | 5.49x | $1.0K | $2.3M | 12.1K | 2.6K |
| 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 | 23.6K | $6.2M | $263.68 | 4.85x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 23.1K | $2.1M | $89.58 | 7.27x |
| 77301 | Management of modulation radiotherapy planning | 1.1K | $1.6M | $1.4K | 5.13x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 918 | $744.9K | $811.45 | 6.64x |
| 77427 | Radiation treatment management, 5 treatments | 4.7K | $679.5K | $144.40 | 4.49x |
| 77338 | Design and construction of device for radiation therapy | 1.2K | $412.7K | $355.19 | 4.60x |
| 77336 | Radiation therapy consultation per week | 5.3K | $310.8K | $58.75 | 4.45x |
| 77280 | Management of radiation therapy simulation, simple | 836 | $171.5K | $205.20 | 4.19x |
| 77263 | Management of radiation therapy, complex | 1.3K | $153.6K | $121.02 | 4.67x |
| 77334 | Radiation treatment devices, design and construction, complex | 1.3K | $120.5K | $92.97 | 5.64x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | 622 | $118.0K | $189.65 | 4.19x |
| 77300 | Calculation of radiation therapy dose | 2.1K | $105.9K | $49.54 | 4.54x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 193 | $95.1K | $492.50 | 4.69x |
| 77293 | Respiratory motion management simulation | 216 | $70.7K | $327.20 | 4.35x |
| 77768 | High dose brachytherapy through skin surface, 2 channels or more than 2.0 cm | 247 | $66.4K | $268.84 | 4.28x |
| 77290 | Management of radiation therapy, simulation, complex | 176 | $64.4K | $365.95 | 4.92x |
| 77767 | High dose brachytherapy through skin surface, 1 channel or up to 2.0 cm | 334 | $58.8K | $176.03 | 4.18x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 459 | $55.9K | $121.83 | 4.42x |
| 99205 | New patient outpatient visit, total time 60-74 minutes | 255 | $41.8K | $163.93 | 4.10x |
| 77295 | Management of radiation therapy, 3D | 87 | $31.9K | $366.70 | 8.59x |
This provider submits charges 5.32 times higher than what Medicare actually pays.
A markup ratio of 5.32x means for every $100 Medicare pays, this provider initially charges $532. 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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