This provider's $7.7M in total Medicare payments ranks in the 98th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 6.62x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 24585% from 2016 to 2023.
69% of their billing comes from a single procedure code (A9607 — Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1683% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $115.16 | $48.75 | 2.36x | $66.41 | $18.6K | 381 | 6 |
| 2017 | $126.72 | $54.02 | 2.35x | $72.70 | $93.9K | 1.7K | 14 |
| 2018 | $116.28 | $48.12 | 2.42x | $68.16 | $38.3K | 796 | 11 |
| 2019 | $2.6K | $172.38 | 14.86x | $2.4K | $683.0K | 4.0K | 22 |
| 2020 | $2.6K | $176.84 | 14.50x | $2.4K | $754.7K | 4.3K | 20 |
| 2021 | $2.2K | $172.89 | 13.00x | $2.1K | $637.5K | 3.7K | 19 |
| 2022 | $836.22 | $186.19 | 4.49x | $650.03 | $867.3K | 4.7K | 11 |
| 2023 | $723.60 | $193.10 | 3.75x | $530.50 | $4.6M | 23.7K | 8 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A9607 | Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie | 27.1K | $5.2M | $192.68 | 3.69x |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 2.7K | $747.2K | $271.89 | 21.10x |
| 77014 | Ct guidance for insertion of radiation therapy fields | 3.1K | $280.9K | $91.89 | 14.95x |
| 77427 | Radiation treatment management, 5 treatment sessions | 1.2K | $178.3K | $147.36 | 6.24x |
| 77301 | Management of modulation radiotherapy planning | 141 | $176.4K | $1.3K | 6.69x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev | 915 | $176.3K | $192.72 | 4.42x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 124 | $114.1K | $919.80 | 16.11x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | 581 | $111.8K | $192.43 | 4.16x |
| 78832 | Nuclear medicine study, spect imaging with concurrent ct scan, at least 2 areas or separate acquisitions, single day imaging, or single area or acquisition over multiple days | 139 | $86.4K | $621.90 | 3.52x |
| 77334 | Design and construction of complex radiation treatment device | 1.1K | $82.5K | $74.42 | 9.90x |
| 77338 | Design and construction of device for radiation therapy | 162 | $55.7K | $344.05 | 6.91x |
| 77336 | Continuing radiation therapy consultation per week | 842 | $50.4K | $59.86 | 11.77x |
| 77290 | Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved | 211 | $49.0K | $232.14 | 10.00x |
| 77295 | 3d radiation therapy planning | 161 | $48.9K | $303.72 | 24.38x |
| 77300 | Calculation of radiation therapy dose | 1.1K | $48.4K | $42.08 | 9.14x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 253 | $38.1K | $150.46 | 3.25x |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 263 | $37.1K | $141.13 | 9.35x |
| 77263 | Complex radiation therapy planning | 278 | $36.0K | $129.64 | 13.76x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 1.2K | $24.5K | $19.78 | 9.05x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 192 | $22.0K | $114.64 | 2.89x |
This provider submits charges 6.62 times higher than what Medicare actually pays.
A markup ratio of 6.62x means for every $100 Medicare pays, this provider initially charges $662. 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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