This provider's $4.6M in total Medicare payments ranks in the 97th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 5.07x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 1629% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 393% in 2022
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $473.68 | $107.83 | 4.39x | $365.85 | $82.7K | 1.2K | 458 |
| 2015 | $554.85 | $139.45 | 3.98x | $415.40 | $124.2K | 1.8K | 646 |
| 2016 | $562.52 | $124.53 | 4.52x | $437.99 | $225.3K | 1.9K | 635 |
| 2017 | $777.19 | $204.75 | 3.80x | $572.44 | $533.2K | 3.3K | 752 |
| 2018 | $556.77 | $125.10 | 4.45x | $431.67 | $319.0K | 2.5K | 644 |
| 2019 | $560.00 | $140.65 | 3.98x | $419.35 | $107.2K | 1.4K | 508 |
| 2020 | $813.85 | $231.17 | 3.52x | $582.68 | $285.6K | 1.8K | 543 |
| 2021 | $551.56 | $140.81 | 3.92x | $410.75 | $254.5K | 1.7K | 545 |
| 2022 | $1.6K | $216.13 | 7.30x | $1.4K | $1.3M | 3.0K | 1.1K |
| 2023 | $1.9K | $254.02 | 7.58x | $1.7K | $1.4M | 3.3K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77523 | Intermediate proton beam radiation treatment | 2.4K | $2.2M | $897.81 | 4.54x |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 2.6K | $776.9K | $303.97 | 6.11x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 8.9K | $596.4K | $67.03 | 5.00x |
| 77427 | Radiation treatment management, 5 treatments | 1.6K | $244.6K | $157.73 | 5.08x |
| 77301 | Management of modulation radiotherapy planning | 332 | $222.6K | $670.60 | 6.33x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 556 | $88.6K | $159.34 | 2.86x |
| 77338 | Design and construction of device for radiation therapy | 300 | $77.1K | $257.04 | 4.38x |
| 77263 | Management of radiation therapy, complex | 516 | $71.4K | $138.41 | 3.07x |
| 77336 | Radiation therapy consultation per week | 714 | $51.1K | $71.53 | 7.00x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 715 | $44.9K | $62.81 | 10.12x |
| 77334 | Radiation treatment devices, design and construction, complex | 566 | $37.6K | $66.34 | 8.44x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 832 | $37.0K | $44.46 | 3.52x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 64 | $34.9K | $544.83 | 3.04x |
| 77295 | Management of radiation therapy, 3D | 151 | $27.9K | $184.62 | 3.40x |
| 77280 | Management of radiation therapy simulation, simple | 369 | $25.0K | $67.80 | 6.50x |
| 77373 | Cranial lesion surgery using radiation over multiple sessions | 24 | $21.4K | $890.11 | 8.83x |
| 77300 | Calculation of radiation therapy dose | 537 | $18.2K | $33.86 | 6.64x |
| 77290 | Management of radiation therapy, simulation, complex | 165 | $11.1K | $67.14 | 12.01x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 68 | $9.4K | $137.59 | 2.18x |
| G6017 | Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment | 140 | $8.5K | $60.91 | 10.95x |
This provider submits charges 5.07 times higher than what Medicare actually pays.
A markup ratio of 5.07x means for every $100 Medicare pays, this provider initially charges $507. 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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