This provider's $4.1M in total Medicare payments ranks in the 96th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 5.28x is significantly above the specialty median of 5.0x.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 278% in 2023
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 | $556.11 | $161.94 | 3.43x | $394.17 | $605.7K | 5.9K | 2.0K |
| 2015 | $464.04 | $102.14 | 4.54x | $361.90 | $398.8K | 6.1K | 2.2K |
| 2016 | $443.20 | $102.16 | 4.34x | $341.04 | $411.9K | 5.9K | 2.3K |
| 2017 | $437.55 | $95.87 | 4.56x | $341.68 | $370.8K | 5.5K | 2.0K |
| 2018 | $506.43 | $107.50 | 4.71x | $398.93 | $257.1K | 3.5K | 1.4K |
| 2019 | $467.26 | $105.80 | 4.42x | $361.46 | $372.9K | 5.0K | 1.9K |
| 2020 | $508.73 | $114.36 | 4.45x | $394.37 | $316.1K | 4.0K | 1.6K |
| 2021 | $485.09 | $108.77 | 4.46x | $376.32 | $308.1K | 4.1K | 1.5K |
| 2022 | $524.51 | $114.90 | 4.56x | $409.61 | $212.2K | 2.8K | 1.1K |
| 2023 | $1.1K | $210.06 | 5.31x | $905.37 | $801.6K | 1.7K | 404 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77427 | Radiation treatment management, 5 treatments | 5.6K | $808.4K | $144.41 | 2.29x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 19.8K | $763.7K | $38.58 | 9.68x |
| 77523 | Intermediate proton beam radiation treatment | 785 | $709.3K | $903.62 | 4.52x |
| 77301 | Management of modulation radiotherapy planning | 818 | $288.7K | $352.87 | 10.83x |
| 77263 | Management of radiation therapy, complex | 1.6K | $203.9K | $124.54 | 2.30x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 347 | $173.1K | $498.92 | 2.46x |
| 77418 | Intensity modulated radiation treatment delivery per session | 583 | $165.8K | $284.36 | 3.23x |
| 77338 | Design and construction of device for radiation therapy | 813 | $145.7K | $179.21 | 5.48x |
| 77295 | Management of radiation therapy, 3D | 722 | $124.7K | $172.75 | 2.48x |
| 77334 | Radiation treatment devices, design and construction, complex | 2.5K | $119.2K | $48.14 | 6.61x |
| 77290 | Management of radiation therapy, simulation, complex | 1.7K | $104.1K | $62.09 | 2.48x |
| 77470 | Special radiation treatment procedure | 893 | $73.3K | $82.13 | 2.67x |
| 77280 | Management of radiation therapy simulation, simple | 2.4K | $72.0K | $30.56 | 11.41x |
| 77300 | Calculation of radiation therapy dose | 1.6K | $41.9K | $25.83 | 5.50x |
| 77307 | Radiation therapy plan | 327 | $38.0K | $116.08 | 2.54x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 861 | $34.1K | $39.62 | 3.49x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 268 | $34.1K | $127.21 | 3.19x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 517 | $32.0K | $61.99 | 3.29x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 251 | $25.2K | $100.44 | 3.17x |
| 77293 | Respiratory motion management simulation | 185 | $14.9K | $80.63 | 2.72x |
This provider submits charges 5.28 times higher than what Medicare actually pays.
A markup ratio of 5.28x means for every $100 Medicare pays, this provider initially charges $528. 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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