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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. David Herold
๐ŸŽ—๏ธ
MDIndividual

David Herold, M.D.

NPI: 1306873724
Palm Beach Gardens, FL
10 years of data
Radiation Oncology
$16.5M
Total Payments
19.8K
Beneficiaries
94.6K
Services
2.46x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$16.5M
Specialty median$300.5K

๐Ÿ“‹ Key Findings

1Billed $16.5M over 10 years
22.46x markup ratio (above median)
399th percentile in Radiation Oncology by payments
4Payments surged 152% in 2015
51 procedure with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $16.5M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.

Medicare payments to this provider grew 380% 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 152% in 2015

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$302.55$111.232.72x$191.32$434.8K4.4K1.7K
2015$357.76$129.992.75x$227.77$1.1M7.1K1.7K
2016$355.34$136.222.61x$219.12$1.8M9.9K2.3K
2017$335.14$136.752.45x$198.39$1.4M8.0K1.8K
2018$348.83$142.702.44x$206.13$1.8M9.7K1.8K
2019$337.64$140.872.40x$196.77$1.8M9.7K1.9K
2020$328.35$134.702.44x$193.65$1.7M9.5K1.9K
2021$407.48$162.972.50x$244.51$2.1M11.3K2.2K
2022$407.09$150.782.70x$256.31$2.2M12.9K2.3K
2023$384.29$146.972.61x$237.32$2.1M12.2K2.3K

Top Procedures (20)

G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev
$9.4M
45.7K services$204.80/svc2.36x markup
77290Management of radiation therapy, simulation, complex
$2.1M
5.5K services$386.49/svc2.60x markup
77427Radiation treatment management, 5 treatments
$1.5M
9.6K services$157.48/svc2.57x markup
77280Management of radiation therapy simulation, simple
$1.1M
5.3K services$215.98/svc2.57x markup
77336Radiation therapy consultation per week
$599.9K
9.0K services$66.97/svc2.45x markup
77334Radiation treatment devices, design and construction, complex
$592.8K
5.6K services$105.58/svc2.75x markup
77300Calculation of radiation therapy dose
$307.7K
5.8K services$52.70/svc2.62x markup
77263Management of radiation therapy, complex
$293.7K
2.1K services$139.12/svc2.80x markup
99204New patient office or other outpatient visit, typically 45 minutes
$201.9K
1.6K services$128.54/svc2.39x markup
77413Radiation treatment delivery, three or more treatment areas
$104.5K
616 services$169.62/svc2.75x markup
77331Special radiation therapy planning
$48.3K
956 services$50.47/svc2.57x markup
77470Special radiation treatment procedure
$31.7K
281 services$112.85/svc2.63x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$27.6K
366 services$75.39/svc2.78x markup
77332Radiation treatment devices, design and construction, simpleโš  3.6x markup
$24.9K
529 services$47.15/svc3.56x markup
77333Radiation treatment devices, design and construction, intermediate
$24.7K
533 services$46.32/svc2.33x markup
77295Management of radiation therapy, 3D
$16.3K
90 services$181.20/svc2.68x markup
77338Design and construction of device for radiation therapy
$11.5K
63 services$182.19/svc2.52x markup
77421X-ray guidance for radiation therapy delivery
$11.4K
713 services$16.01/svc2.50x markup
77301Management of modulation radiotherapy planning
$7.4K
22 services$338.21/svc2.50x markup
99203New patient office or other outpatient visit, typically 30 minutes
$6.2K
67 services$92.13/svc2.15x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev45.7K$9.4M$204.802.36x
77290Management of radiation therapy, simulation, complex5.5K$2.1M$386.492.60x
77427Radiation treatment management, 5 treatments9.6K$1.5M$157.482.57x
77280Management of radiation therapy simulation, simple5.3K$1.1M$215.982.57x
77336Radiation therapy consultation per week9.0K$599.9K$66.972.45x
77334Radiation treatment devices, design and construction, complex5.6K$592.8K$105.582.75x
77300Calculation of radiation therapy dose5.8K$307.7K$52.702.62x
77263Management of radiation therapy, complex2.1K$293.7K$139.122.80x
99204New patient office or other outpatient visit, typically 45 minutes1.6K$201.9K$128.542.39x
77413Radiation treatment delivery, three or more treatment areas616$104.5K$169.622.75x
77331Special radiation therapy planning956$48.3K$50.472.57x
77470Special radiation treatment procedure281$31.7K$112.852.63x
99214Established patient office or other outpatient, visit typically 25 minutes366$27.6K$75.392.78x
77332Radiation treatment devices, design and construction, simple529$24.9K$47.153.56x
77333Radiation treatment devices, design and construction, intermediate533$24.7K$46.322.33x
77295Management of radiation therapy, 3D90$16.3K$181.202.68x
77338Design and construction of device for radiation therapy63$11.5K$182.192.52x
77421X-ray guidance for radiation therapy delivery713$11.4K$16.012.50x
77301Management of modulation radiotherapy planning22$7.4K$338.212.50x
99203New patient office or other outpatient visit, typically 30 minutes67$6.2K$92.132.15x

Markup Analysis

Charge-to-Payment Ratio

2.46x

This provider submits charges 2.46 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.46x means for every $100 Medicare pays, this provider initially charges $246. This is higher than the national average.

Location

Palm Beach Gardens, FL

Provider Verification

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

Similar Providers

Other Radiation Oncology providers in FL for peer comparison.

David Herold (you)
$16.5M
Timothy Kerwin, MD
$42.2M
Scot Ackerman, MD
$37.7M
Constantine Mantz, MD
$33.8M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Timothy Kerwin, MDNaples, FL$42.2Mโœ“ Clear
Scot Ackerman, MDJacksonville, FL$37.7Mโœ“ Clear
Constantine Mantz, MDCape Coral, FL$33.8Mโœ“ Clear

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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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