This provider's $14.5M 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 | $829.57 | $206.96 | 4.01x | $622.61 | $1.5M | 8.4K | 2.4K |
| 2015 | $863.18 | $233.50 | 3.70x | $629.68 | $1.6M | 9.5K | 2.8K |
| 2016 | $825.85 | $225.79 | 3.66x | $600.06 | $1.6M | 9.2K | 2.6K |
| 2017 | $845.70 | $234.93 | 3.60x | $610.77 | $2.0M | 11.2K | 2.7K |
| 2018 | $890.14 | $256.40 | 3.47x | $633.74 | $1.3M | 6.7K | 2.1K |
| 2019 | $895.78 | $251.43 | 3.56x | $644.35 | $1.4M | 7.2K | 2.3K |
| 2020 | $875.55 | $242.25 | 3.61x | $633.30 | $1.5M | 7.8K | 2.3K |
| 2021 | $947.13 | $263.63 | 3.59x | $683.50 | $1.6M | 7.7K | 2.4K |
| 2022 | $762.42 | $205.31 | 3.71x | $557.11 | $1.3M | 6.7K | 2.2K |
| 2023 | $738.42 | $213.03 | 3.47x | $525.39 | $845.4K | 4.7K | 1.7K |
| 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 | 11.4K | $3.0M | $265.83 | 3.83x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev | 10.5K | $2.0M | $187.63 | 3.17x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 1.8K | $1.6M | $900.42 | 3.68x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 11.3K | $983.0K | $86.88 | 3.83x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev | 5.1K | $937.7K | $183.21 | 3.09x |
| 77427 | Radiation treatment management, 5 treatments | 6.3K | $887.1K | $141.17 | 3.05x |
| 77301 | Management of modulation radiotherapy planning | 538 | $760.0K | $1.4K | 3.13x |
| 77290 | Management of radiation therapy, simulation, complex | 1.8K | $663.0K | $361.69 | 3.25x |
| 77295 | Management of radiation therapy, 3D | 1.3K | $449.6K | $357.97 | 6.97x |
| 77280 | Management of radiation therapy simulation, simple | 1.9K | $373.6K | $199.89 | 2.95x |
| 77418 | Intensity modulated radiation treatment delivery per session | 1.3K | $371.5K | $279.76 | 5.17x |
| 77336 | Radiation therapy consultation per week | 6.3K | $360.0K | $57.05 | 4.05x |
| 77334 | Radiation treatment devices, design and construction, complex | 3.1K | $312.3K | $99.85 | 3.79x |
| 77338 | Design and construction of device for radiation therapy | 778 | $285.0K | $366.39 | 3.17x |
| 77414 | Radiation treatment delivery, three or more treatment areas | 1.2K | $216.0K | $178.96 | 3.13x |
| 77263 | Management of radiation therapy, complex | 1.7K | $211.2K | $124.98 | 3.20x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.2K | $187.6K | $152.19 | 2.64x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 341 | $163.6K | $479.65 | 3.19x |
| 77413 | Radiation treatment delivery, three or more treatment areas | 893 | $141.7K | $158.73 | 3.12x |
| 77300 | Calculation of radiation therapy dose | 2.5K | $119.4K | $48.37 | 3.66x |
This provider submits charges 3.63 times higher than what Medicare actually pays.
A markup ratio of 3.63x means for every $100 Medicare pays, this provider initially charges $363. 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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