This provider's $11.5M 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 | $549.99 | $170.12 | 3.23x | $379.87 | $1.3M | 8.5K | 2.2K |
| 2015 | $590.45 | $184.24 | 3.20x | $406.21 | $1.1M | 7.0K | 2.0K |
| 2016 | $664.04 | $209.37 | 3.17x | $454.67 | $1.2M | 8.0K | 2.0K |
| 2017 | $665.92 | $214.38 | 3.11x | $451.54 | $1.1M | 6.9K | 1.7K |
| 2018 | $638.57 | $212.10 | 3.01x | $426.47 | $1.2M | 7.6K | 1.8K |
| 2019 | $646.12 | $206.98 | 3.12x | $439.14 | $1.2M | 7.5K | 1.7K |
| 2020 | $683.78 | $218.33 | 3.13x | $465.45 | $1.1M | 6.6K | 1.6K |
| 2021 | $697.45 | $220.08 | 3.17x | $477.37 | $1.1M | 6.9K | 1.7K |
| 2022 | $694.68 | $206.55 | 3.36x | $488.13 | $1.2M | 7.7K | 1.9K |
| 2023 | $697.70 | $206.48 | 3.38x | $491.22 | $1.1M | 7.3K | 1.7K |
| 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 | 12.9K | $3.4M | $261.22 | 4.50x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev | 7.8K | $1.4M | $184.40 | 2.83x |
| 77427 | Radiation treatment management, 5 treatments | 7.3K | $1.0M | $142.77 | 3.12x |
| 77301 | Management of modulation radiotherapy planning | 559 | $782.4K | $1.4K | 2.42x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 8.1K | $717.7K | $88.66 | 4.65x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev | 3.6K | $655.4K | $181.05 | 2.39x |
| 77295 | Management of radiation therapy, 3D | 1.3K | $462.5K | $355.20 | 4.42x |
| 77418 | Intensity modulated radiation treatment delivery per session | 1.6K | $452.1K | $277.71 | 4.32x |
| 77336 | Radiation therapy consultation per week | 7.0K | $402.7K | $57.54 | 2.42x |
| 77290 | Management of radiation therapy, simulation, complex | 1.0K | $352.9K | $348.68 | 3.04x |
| 77334 | Radiation treatment devices, design and construction, complex | 2.8K | $278.5K | $98.72 | 3.60x |
| 77280 | Management of radiation therapy simulation, simple | 1.2K | $230.5K | $194.66 | 2.12x |
| 77338 | Design and construction of device for radiation therapy | 536 | $193.6K | $361.13 | 2.88x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 6.1K | $183.6K | $30.26 | 12.93x |
| 77263 | Management of radiation therapy, complex | 1.3K | $159.8K | $125.65 | 2.98x |
| 77414 | Radiation treatment delivery, three or more treatment areas | 782 | $140.4K | $179.52 | 2.98x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.0K | $126.7K | $120.86 | 5.05x |
| 77413 | Radiation treatment delivery, three or more treatment areas | 769 | $121.5K | $158.00 | 2.78x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.2K | $110.6K | $50.35 | 5.42x |
| 77300 | Calculation of radiation therapy dose | 2.1K | $101.6K | $48.87 | 3.33x |
This provider submits charges 3.76 times higher than what Medicare actually pays.
A markup ratio of 3.76x means for every $100 Medicare pays, this provider initially charges $376. 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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