This provider's $19.2M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 5.69x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 135% from 2014 to 2023.
69% 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 103% in 2016
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 | $1.3K | $292.74 | 4.36x | $984.73 | $938.0K | 2.4K | 643 |
| 2015 | $1.1K | $241.66 | 4.58x | $865.39 | $850.4K | 2.3K | 897 |
| 2016 | $1.0K | $217.13 | 4.70x | $803.19 | $1.7M | 4.4K | 999 |
| 2017 | $1.1K | $256.60 | 4.43x | $879.51 | $1.9M | 4.2K | 981 |
| 2018 | $1.6K | $263.01 | 6.20x | $1.4K | $1.7M | 3.8K | 774 |
| 2019 | $3.2K | $495.84 | 6.54x | $2.7K | $1.7M | 3.6K | 974 |
| 2020 | $3.1K | $448.40 | 6.83x | $2.6K | $2.5M | 5.3K | 1.3K |
| 2021 | $3.5K | $538.84 | 6.49x | $3.0K | $2.5M | 4.8K | 1.2K |
| 2022 | $1.8K | $374.86 | 4.78x | $1.4K | $3.2M | 7.4K | 1.5K |
| 2023 | $1.6K | $348.06 | 4.52x | $1.2K | $2.2M | 5.6K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77523 | Proton treatment delivery, intermediate | 15.2K | $13.3M | $876.41 | 5.61x |
| 77525 | Proton treatment delivery, complex | 2.2K | $2.3M | $1.0K | 6.05x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 8.6K | $897.9K | $104.86 | 6.00x |
| 55874 | Injection of biodegradable material next to prostate | 265 | $718.5K | $2.7K | 6.51x |
| 77301 | Management of modulation radiotherapy planning | 325 | $496.4K | $1.5K | 5.15x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 8.2K | $480.1K | $58.21 | 6.01x |
| 77427 | Radiation treatment management, 5 treatments | 2.0K | $295.1K | $149.02 | 4.72x |
| 77336 | Radiation therapy consultation per week | 2.3K | $154.4K | $66.77 | 4.86x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 95 | $94.7K | $996.64 | 6.74x |
| 77421 | X-ray guidance for radiation therapy delivery | 933 | $57.4K | $61.53 | 6.22x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 335 | $53.9K | $160.76 | 3.33x |
| 77338 | Design and construction of device for radiation therapy | 120 | $50.2K | $418.73 | 3.80x |
| 77334 | Radiation treatment devices, design and construction, complex | 475 | $50.1K | $105.52 | 6.04x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 409 | $35.7K | $87.31 | 3.13x |
| 77263 | Management of radiation therapy, complex | 261 | $34.0K | $130.23 | 4.85x |
| 77290 | Management of radiation therapy, simulation, complex | 72 | $30.7K | $426.45 | 4.02x |
| 77280 | Management of radiation therapy simulation, simple | 125 | $28.2K | $225.45 | 2.58x |
| 77300 | Calculation of radiation therapy dose | 469 | $24.6K | $52.38 | 5.07x |
| 55876 | Insertion of radiation therapy devices in prostate gland for radiation therapy guidance | 268 | $16.5K | $61.44 | 11.45x |
| 77470 | Special radiation treatment procedure | 130 | $15.7K | $120.67 | 10.26x |
This provider submits charges 5.69 times higher than what Medicare actually pays.
A markup ratio of 5.69x means for every $100 Medicare pays, this provider initially charges $569. 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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