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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Gautam Prasad
๐ŸŽ—๏ธ
MDIndividual

Gautam Prasad, M.D.

NPI: 1275755621
Dublin, CA
10 years of data
Radiation Oncology
$9.3M
Total Payments
12.2K
Beneficiaries
21.8K
Services
4.55x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$9.3M
Specialty median$300.5K

๐Ÿ“‹ Key Findings

1Billed $9.3M over 10 years
24.55x markup ratio (above median)
398th percentile in Radiation Oncology by payments
4Payments surged 117% in 2019
520 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $9.3M in total Medicare payments ranks in the 98th percentile of Radiation Oncology providers nationally.

Medicare payments to this provider grew 828% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 117% in 2019

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$855.57$192.964.43x$662.61$132.9K673389
2015$1.2K$201.235.79x$963.76$274.5K1.8K802
2016$1.3K$219.665.70x$1.0K$292.5K1.9K817
2017$1.8K$373.714.81x$1.4K$455.0K2.1K997
2018$2.0K$477.034.18x$1.5K$653.1K1.3K846
2019$2.0K$461.884.23x$1.5K$1.4M2.3K1.5K
2020$1.7K$440.143.77x$1.2K$1.5M2.4K1.6K
2021$2.5K$579.924.27x$1.9K$1.8M3.3K1.9K
2022$2.2K$554.394.05x$1.7K$1.6M3.2K1.7K
2023$2.5K$574.434.36x$1.9K$1.2M2.9K1.6K

Top Procedures (20)

G0340Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatmeโš  5.2x markup
$3.2M
1.4K services$2.3K/svc5.24x markup
G0339Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatmentโš  4.3x markup
$1.4M
463 services$3.1K/svc4.28x markup
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment sessionโš  4.2x markup
$760.8K
2.0K services$384.05/svc4.20x markup
77290Management of radiation therapy, simulation, complexโš  4.0x markup
$556.3K
1.1K services$484.61/svc3.97x markup
77014CT scan guidance for insertion of radiation therapy fieldsโš  5.0x markup
$332.7K
3.7K services$89.66/svc4.95x markup
77295Management of radiation therapy, 3Dโš  4.7x markup
$289.8K
631 services$459.25/svc4.70x markup
77435Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment courseโš  4.0x markup
$240.8K
412 services$584.51/svc3.98x markup
55874Injection of biodegradable material next to prostateโš  3.7x markup
$233.8K
71 services$3.3K/svc3.70x markup
78815Nuclear medicine study with CT imaging skull base to mid-thighโš  3.8x markup
$228.8K
140 services$1.6K/svc3.76x markup
77280Management of radiation therapy simulation, simpleโš  4.0x markup
$202.5K
778 services$260.25/svc4.01x markup
77301Management of modulation radiotherapy planningโš  4.9x markup
$196.1K
134 services$1.5K/svc4.92x markup
G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mevโš  3.7x markup
$179.4K
672 services$267.00/svc3.66x markup
77334Radiation treatment devices, design and construction, complexโš  4.3x markup
$164.3K
1.4K services$120.55/svc4.26x markup
77427Radiation treatment management, 5 treatmentsโš  4.0x markup
$159.9K
955 services$167.44/svc3.97x markup
77263Management of radiation therapy, complexโš  4.0x markup
$122.3K
817 services$149.67/svc4.04x markup
70553MRI scan of brain before and after contrastโš  4.8x markup
$112.0K
318 services$352.32/svc4.75x markup
G6013Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mevโš  3.7x markup
$112.0K
417 services$268.51/svc3.71x markup
99205New patient office or other outpatient visit, typically 60 minutesโš  3.9x markup
$91.0K
502 services$181.33/svc3.92x markup
77336Radiation therapy consultation per weekโš  3.7x markup
$84.9K
999 services$84.97/svc3.71x markup
77470Special radiation treatment procedureโš  5.3x markup
$78.2K
610 services$128.24/svc5.32x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
G0340Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatme1.4K$3.2M$2.3K5.24x
G0339Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment463$1.4M$3.1K4.28x
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session2.0K$760.8K$384.054.20x
77290Management of radiation therapy, simulation, complex1.1K$556.3K$484.613.97x
77014CT scan guidance for insertion of radiation therapy fields3.7K$332.7K$89.664.95x
77295Management of radiation therapy, 3D631$289.8K$459.254.70x
77435Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course412$240.8K$584.513.98x
55874Injection of biodegradable material next to prostate71$233.8K$3.3K3.70x
78815Nuclear medicine study with CT imaging skull base to mid-thigh140$228.8K$1.6K3.76x
77280Management of radiation therapy simulation, simple778$202.5K$260.254.01x
77301Management of modulation radiotherapy planning134$196.1K$1.5K4.92x
G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev672$179.4K$267.003.66x
77334Radiation treatment devices, design and construction, complex1.4K$164.3K$120.554.26x
77427Radiation treatment management, 5 treatments955$159.9K$167.443.97x
77263Management of radiation therapy, complex817$122.3K$149.674.04x
70553MRI scan of brain before and after contrast318$112.0K$352.324.75x
G6013Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev417$112.0K$268.513.71x
99205New patient office or other outpatient visit, typically 60 minutes502$91.0K$181.333.92x
77336Radiation therapy consultation per week999$84.9K$84.973.71x
77470Special radiation treatment procedure610$78.2K$128.245.32x

Markup Analysis

Charge-to-Payment Ratio

4.55x

This provider submits charges 4.55 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.55x means for every $100 Medicare pays, this provider initially charges $455. This is higher than the national average.

Location

Dublin, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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