This provider's $12.7M 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 | $694.79 | $262.15 | 2.65x | $432.64 | $1.9M | 9.8K | 2.9K |
| 2015 | $641.68 | $253.14 | 2.53x | $388.54 | $989.8K | 5.0K | 2.2K |
| 2016 | $705.60 | $276.23 | 2.55x | $429.37 | $1.2M | 6.2K | 2.6K |
| 2017 | $717.86 | $269.43 | 2.66x | $448.43 | $1.3M | 6.5K | 2.4K |
| 2018 | $597.67 | $231.08 | 2.59x | $366.59 | $1.4M | 7.0K | 2.0K |
| 2019 | $635.72 | $255.49 | 2.49x | $380.23 | $1.3M | 6.8K | 1.7K |
| 2020 | $715.39 | $270.79 | 2.64x | $444.60 | $1.3M | 6.1K | 1.8K |
| 2021 | $681.96 | $269.77 | 2.53x | $412.19 | $1.2M | 6.0K | 1.6K |
| 2022 | $656.57 | $246.44 | 2.66x | $410.13 | $1.0M | 4.9K | 1.6K |
| 2023 | $713.81 | $270.56 | 2.64x | $443.25 | $1.0M | 4.8K | 1.5K |
| 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 | 12.3K | $3.5M | $281.74 | 3.50x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 15.0K | $1.4M | $93.98 | 3.14x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 1.4K | $1.3M | $936.76 | 2.66x |
| 77301 | Management of modulation radiotherapy planning | 794 | $1.2M | $1.5K | 2.39x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev | 4.5K | $896.5K | $197.51 | 2.87x |
| 77418 | Intensity modulated radiation treatment delivery per session | 2.2K | $678.2K | $306.30 | 2.91x |
| 77427 | Radiation treatment management, 5 treatments | 4.1K | $607.0K | $147.74 | 2.19x |
| 77290 | Management of radiation therapy, simulation, complex | 1.0K | $408.3K | $392.97 | 2.16x |
| 77338 | Design and construction of device for radiation therapy | 835 | $321.5K | $384.99 | 2.18x |
| 77336 | Radiation therapy consultation per week | 4.7K | $291.4K | $61.92 | 1.99x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev | 1.3K | $268.3K | $202.78 | 2.76x |
| 77280 | Management of radiation therapy simulation, simple | 1.1K | $229.5K | $213.66 | 2.05x |
| 77334 | Radiation treatment devices, design and construction, complex | 1.7K | $178.1K | $104.89 | 2.54x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.1K | $176.2K | $161.62 | 2.15x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.2K | $176.0K | $55.23 | 2.22x |
| 77263 | Management of radiation therapy, complex | 1.3K | $165.1K | $130.65 | 2.31x |
| 77413 | Radiation treatment delivery, three or more treatment areas | 789 | $137.2K | $173.87 | 2.08x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 267 | $133.2K | $498.85 | 2.27x |
| 77295 | Management of radiation therapy, 3D | 350 | $132.2K | $377.63 | 3.15x |
| 77414 | Radiation treatment delivery, three or more treatment areas | 432 | $81.4K | $188.46 | 2.14x |
This provider submits charges 2.85 times higher than what Medicare actually pays.
A markup ratio of 2.85x means for every $100 Medicare pays, this provider initially charges $285. 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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