This provider's $19.0M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $1.8K | $348.63 | 5.05x | $1.4K | $1.3M | 3.7K | 1.3K |
| 2015 | $1.8K | $352.34 | 5.05x | $1.4K | $1.8M | 5.0K | 1.8K |
| 2016 | $1.7K | $327.20 | 5.20x | $1.4K | $2.4M | 7.8K | 2.8K |
| 2017 | $1.8K | $340.69 | 5.15x | $1.4K | $2.4M | 9.0K | 3.3K |
| 2018 | $1.6K | $305.71 | 5.13x | $1.3K | $2.3M | 8.9K | 3.1K |
| 2019 | $1.6K | $295.54 | 5.32x | $1.3K | $1.9M | 7.5K | 2.5K |
| 2020 | $1.1K | $247.03 | 4.26x | $804.33 | $2.1M | 9.0K | 2.9K |
| 2021 | $998.73 | $267.83 | 3.73x | $730.90 | $2.1M | 8.2K | 3.1K |
| 2022 | $1.1K | $269.76 | 3.92x | $787.03 | $1.4M | 5.7K | 2.2K |
| 2023 | $1.0K | $247.46 | 4.07x | $758.75 | $1.3M | 6.1K | 2.4K |
| 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 | 18.3K | $6.2M | $337.75 | 4.64x |
| 77301 | Management of modulation radiotherapy planning | 1.4K | $2.4M | $1.8K | 4.72x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 1.7K | $2.1M | $1.2K | 5.12x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev | 8.3K | $2.0M | $238.67 | 4.69x |
| 77427 | Radiation treatment management, 5 treatments | 5.1K | $858.9K | $168.44 | 4.62x |
| 77338 | Design and construction of device for radiation therapy | 1.3K | $582.0K | $452.92 | 4.79x |
| 77295 | Management of radiation therapy, 3D | 1.3K | $567.9K | $439.57 | 4.88x |
| 77290 | Management of radiation therapy, simulation, complex | 1.2K | $565.6K | $458.69 | 4.90x |
| 77334 | Radiation treatment devices, design and construction, complex | 3.7K | $449.9K | $121.87 | 5.14x |
| 77280 | Management of radiation therapy simulation, simple | 1.8K | $441.4K | $251.09 | 4.90x |
| 77336 | Radiation therapy consultation per week | 5.2K | $393.9K | $76.27 | 4.56x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.3K | $308.5K | $135.70 | 3.64x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.8K | $307.7K | $64.09 | 3.71x |
| 77263 | Management of radiation therapy, complex | 2.1K | $307.6K | $146.67 | 4.70x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 3.1K | $216.1K | $70.15 | 4.57x |
| 77418 | Intensity modulated radiation treatment delivery per session | 568 | $204.7K | $360.43 | 5.11x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 282 | $155.7K | $552.06 | 5.10x |
| 77300 | Calculation of radiation therapy dose | 2.5K | $151.0K | $60.17 | 4.80x |
| 77778 | Application of radiation source, complex | 192 | $145.8K | $759.29 | 4.65x |
| 55875 | Insertion of needles or catheters into prostate for radiation therapy | 193 | $132.0K | $683.81 | 4.73x |
This provider submits charges 4.71 times higher than what Medicare actually pays.
A markup ratio of 4.71x means for every $100 Medicare pays, this provider initially charges $471. 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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