This provider's $6.4M in total Medicare payments ranks in the 98th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 6.23x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 2697% from 2017 to 2023.
76% of their billing comes from a single procedure code (77523 — Proton treatment delivery, intermediate).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 826% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $1.1K | $203.93 | 5.20x | $857.24 | $87.6K | 338 | 212 |
| 2018 | $1.5K | $216.72 | 6.87x | $1.3K | $811.6K | 2.4K | 1.1K |
| 2019 | $1.3K | $190.31 | 7.03x | $1.1K | $1.2M | 3.2K | 1.2K |
| 2020 | $1.6K | $262.77 | 6.16x | $1.4K | $427.0K | 954 | 121 |
| 2021 | $2.0K | $318.85 | 6.36x | $1.7K | $899.0K | 2.1K | 430 |
| 2022 | $1.6K | $240.04 | 6.63x | $1.4K | $586.0K | 1.7K | 527 |
| 2023 | $2.2K | $289.45 | 7.60x | $1.9K | $2.5M | 8.5K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77523 | Proton treatment delivery, intermediate | 5.5K | $4.8M | $870.62 | 5.86x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 4.0K | $269.3K | $67.76 | 7.08x |
| 77301 | Management of modulation radiotherapy planning | 215 | $218.7K | $1.0K | 8.20x |
| 77427 | Radiation treatment management, 5 treatments | 1.3K | $196.8K | $154.95 | 5.50x |
| 77373 | Cranial lesion surgery using radiation over multiple sessions | 184 | $146.0K | $793.35 | 9.57x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 2.7K | $135.4K | $51.03 | 8.05x |
| G6017 | Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment | 2.1K | $128.9K | $61.07 | 8.33x |
| 55874 | Injection of biodegradable material next to prostate | 36 | $83.4K | $2.3K | 8.17x |
| 77338 | Design and construction of device for radiation therapy | 250 | $67.5K | $269.92 | 6.49x |
| 77336 | Radiation therapy consultation per week | 827 | $54.3K | $65.64 | 7.59x |
| 77522 | Proton treatment delivery, simple with compensation | 72 | $53.3K | $740.10 | 5.51x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | 260 | $48.6K | $187.01 | 7.82x |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 136 | $38.8K | $285.34 | 6.70x |
| 77263 | Management of radiation therapy, complex | 194 | $26.4K | $135.92 | 5.31x |
| 77334 | Radiation treatment devices, design and construction, complex | 292 | $21.5K | $73.52 | 7.02x |
| 77435 | Management of cranial lesion surgery using radiation over multiple sessions | 32 | $16.9K | $526.71 | 6.73x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 264 | $16.5K | $62.57 | 4.81x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 106 | $13.7K | $129.13 | 5.74x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev | 54 | $9.8K | $180.62 | 8.10x |
| 77470 | Special radiation treatment procedure | 109 | $8.6K | $78.49 | 5.60x |
This provider submits charges 6.23 times higher than what Medicare actually pays.
A markup ratio of 6.23x means for every $100 Medicare pays, this provider initially charges $623. 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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