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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. Ryan Perkins
๐ŸŽ—๏ธ
MDIndividual

Ryan Perkins, M.D.

NPI: 1366447682
Jacksonville, FL
10 years of data
Radiation Oncology
$22.4M
Total Payments
35.7K
Beneficiaries
95.3K
Services
4.47x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$22.4M
Specialty median$300.5K

๐Ÿ“‹ Key Findings

1Billed $22.4M over 10 years
24.47x markup ratio (above median)
399th percentile in Radiation Oncology by payments
419 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $22.4M 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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

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$908.74$208.224.36x$700.52$2.1M10.7K3.8K
2015$850.85$227.763.74x$623.09$2.1M9.8K3.4K
2016$894.84$226.173.96x$668.67$3.0M12.2K3.9K
2017$982.36$241.664.07x$740.70$2.9M11.2K4.0K
2018$1.2K$288.224.22x$928.68$3.1M11.4K4.5K
2019$1.1K$256.674.20x$821.38$2.3M8.7K3.9K
2020$1.0K$248.244.11x$773.13$2.0M8.6K3.5K
2021$1.2K$286.144.28x$937.15$1.8M8.6K3.1K
2022$1.3K$255.285.22x$1.1K$1.7M7.7K2.9K
2023$1.2K$229.915.28x$984.53$1.5M6.5K2.6K

Top Procedures (20)

77523Proton treatment delivery, intermediateโš  5.2x markup
$6.8M
8.4K services$809.16/svc5.15x markup
78815Nuclear medicine study with CT imaging skull base to mid-thighโš  4.5x markup
$2.7M
2.4K services$1.1K/svc4.46x markup
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment sessionโš  4.4x markup
$1.7M
6.1K services$276.60/svc4.37x markup
77014CT scan guidance for insertion of radiation therapy fieldsโš  4.6x markup
$949.3K
10.6K services$89.85/svc4.58x markup
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
$882.3K
2.4K services$373.72/svc2.50x markup
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapyโš  4.2x markup
$755.0K
13.0K services$57.86/svc4.15x markup
77522Proton treatment delivery, simple with compensationโš  5.1x markup
$731.7K
942 services$776.74/svc5.09x markup
77290Management of radiation therapy, simulation, complexโš  3.8x markup
$726.5K
1.9K services$378.97/svc3.84x markup
77301Management of modulation radiotherapy planningโš  4.3x markup
$707.0K
491 services$1.4K/svc4.29x markup
77427Radiation treatment management, 5 treatmentsโš  4.0x markup
$691.6K
4.6K services$148.95/svc4.00x markup
G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mevโš  3.9x markup
$642.3K
3.4K services$189.92/svc3.91x markup
77418Intensity modulated radiation treatment delivery per sessionโš  5.0x markup
$508.0K
1.7K services$296.05/svc4.96x markup
77373Stereotactic body radiation therapy 1 or more lesions using imaging guidanceโš  4.0x markup
$452.9K
471 services$961.67/svc4.01x markup
77295Management of radiation therapy, 3Dโš  4.1x markup
$374.7K
994 services$376.94/svc4.11x markup
77280Management of radiation therapy simulation, simpleโš  3.1x markup
$351.8K
1.7K services$201.59/svc3.10x markup
99213Established patient office or other outpatient visit, typically 15 minutesโš  3.1x markup
$333.0K
6.2K services$53.72/svc3.06x markup
77336Radiation therapy consultation per weekโš  3.4x markup
$280.8K
4.6K services$60.76/svc3.44x markup
77338Design and construction of device for radiation therapyโš  4.0x markup
$277.8K
744 services$373.45/svc3.98x markup
77332Radiation treatment devices, design and construction, simpleโš  4.0x markup
$260.9K
4.6K services$57.10/svc4.02x markup
77334Radiation treatment devices, design and construction, complexโš  4.6x markup
$257.6K
2.5K services$101.91/svc4.62x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
77523Proton treatment delivery, intermediate8.4K$6.8M$809.165.15x
78815Nuclear medicine study with CT imaging skull base to mid-thigh2.4K$2.7M$1.1K4.46x
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session6.1K$1.7M$276.604.37x
77014CT scan guidance for insertion of radiation therapy fields10.6K$949.3K$89.854.58x
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries2.4K$882.3K$373.722.50x
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy13.0K$755.0K$57.864.15x
77522Proton treatment delivery, simple with compensation942$731.7K$776.745.09x
77290Management of radiation therapy, simulation, complex1.9K$726.5K$378.973.84x
77301Management of modulation radiotherapy planning491$707.0K$1.4K4.29x
77427Radiation treatment management, 5 treatments4.6K$691.6K$148.954.00x
G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev3.4K$642.3K$189.923.91x
77418Intensity modulated radiation treatment delivery per session1.7K$508.0K$296.054.96x
77373Stereotactic body radiation therapy 1 or more lesions using imaging guidance471$452.9K$961.674.01x
77295Management of radiation therapy, 3D994$374.7K$376.944.11x
77280Management of radiation therapy simulation, simple1.7K$351.8K$201.593.10x
99213Established patient office or other outpatient visit, typically 15 minutes6.2K$333.0K$53.723.06x
77336Radiation therapy consultation per week4.6K$280.8K$60.763.44x
77338Design and construction of device for radiation therapy744$277.8K$373.453.98x
77332Radiation treatment devices, design and construction, simple4.6K$260.9K$57.104.02x
77334Radiation treatment devices, design and construction, complex2.5K$257.6K$101.914.62x

Markup Analysis

Charge-to-Payment Ratio

4.47x

This provider submits charges 4.47 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.47x means for every $100 Medicare pays, this provider initially charges $447. This is higher than the national average.

Location

Jacksonville, 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.

Ryan Perkins (you)
$22.4M
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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