This provider's $6.1M in total Medicare payments ranks in the 98th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 6.3x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 1408% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 616% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $1.1K | $104.57 | 10.80x | $1.0K | $96.7K | 1.3K | 579 |
| 2015 | $1.0K | $103.89 | 9.75x | $908.80 | $108.2K | 1.8K | 635 |
| 2016 | $882.06 | $96.63 | 9.13x | $785.43 | $108.0K | 2.1K | 683 |
| 2017 | $303.03 | $87.52 | 3.46x | $215.51 | $133.7K | 2.6K | 865 |
| 2018 | $256.26 | $86.91 | 2.95x | $169.35 | $152.6K | 2.9K | 1.0K |
| 2019 | $261.17 | $91.02 | 2.87x | $170.15 | $150.5K | 2.7K | 934 |
| 2020 | $625.44 | $157.83 | 3.96x | $467.61 | $1.1M | 6.6K | 1.1K |
| 2021 | $1.1K | $257.41 | 4.23x | $830.57 | $1.4M | 7.6K | 1.2K |
| 2022 | $992.62 | $223.46 | 4.44x | $769.16 | $1.5M | 8.2K | 1.2K |
| 2023 | $950.97 | $215.37 | 4.42x | $735.60 | $1.5M | 8.2K | 1.3K |
| 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 | 11.1K | $3.0M | $266.70 | 7.00x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 12.2K | $1.0M | $85.06 | 8.06x |
| 77301 | Management of modulation radiotherapy planning | 595 | $592.0K | $994.94 | 4.42x |
| 77427 | Radiation treatment management, 5 treatments | 4.2K | $587.8K | $141.00 | 3.61x |
| 77338 | Design and construction of device for radiation therapy | 788 | $230.8K | $292.89 | 4.29x |
| 77336 | Radiation therapy consultation per week | 2.3K | $138.5K | $59.10 | 5.89x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 823 | $118.4K | $143.88 | 2.89x |
| 77263 | Management of radiation therapy, complex | 825 | $101.3K | $122.83 | 3.66x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 5.7K | $86.4K | $15.28 | 4.09x |
| 77334 | Radiation treatment devices, design and construction, complex | 1.2K | $74.1K | $62.38 | 5.82x |
| 77295 | Management of radiation therapy, 3D | 292 | $48.8K | $167.17 | 7.13x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.2K | $41.1K | $34.97 | 2.64x |
| 77300 | Calculation of radiation therapy dose | 1.1K | $40.4K | $36.72 | 5.66x |
| 77290 | Management of radiation therapy, simulation, complex | 541 | $36.0K | $66.57 | 17.20x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 168 | $17.0K | $101.47 | 2.53x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 229 | $14.2K | $62.00 | 2.41x |
| 77470 | Special radiation treatment procedure | 120 | $9.4K | $77.95 | 7.99x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 48 | $5.4K | $112.21 | 2.75x |
| 77421 | X-ray guidance for radiation therapy delivery | 350 | $5.3K | $15.27 | 20.10x |
| 77280 | Management of radiation therapy simulation, simple | 161 | $4.4K | $27.21 | 3.12x |
This provider submits charges 6.3 times higher than what Medicare actually pays.
A markup ratio of 6.3x means for every $100 Medicare pays, this provider initially charges $630. 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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