This provider's $13.0M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 7.28x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 47647% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 6076% in 2017
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 | $616.00 | $147.67 | 4.17x | $468.33 | $4.1K | 28 | 13 |
| 2017 | $1.2K | $215.63 | 5.51x | $973.47 | $255.4K | 1.4K | 513 |
| 2018 | $1.4K | $219.34 | 6.24x | $1.1K | $1.9M | 9.9K | 2.3K |
| 2019 | $1.1K | $180.82 | 6.32x | $961.42 | $2.3M | 12.5K | 3.3K |
| 2020 | $1.2K | $182.93 | 6.39x | $986.78 | $2.2M | 11.3K | 3.3K |
| 2021 | $1.4K | $224.04 | 6.07x | $1.1K | $2.4M | 12.2K | 3.5K |
| 2022 | $1.4K | $220.44 | 6.36x | $1.2K | $2.0M | 10.3K | 3.2K |
| 2023 | $1.4K | $219.93 | 6.59x | $1.2K | $2.0M | 10.4K | 3.4K |
| 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 | 13.6K | $3.7M | $274.21 | 10.05x |
| 77301 | Management of modulation radiotherapy planning | 1.1K | $1.5M | $1.4K | 4.45x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 15.8K | $1.5M | $92.88 | 6.56x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 1.5K | $1.3M | $869.33 | 9.44x |
| 77427 | Radiation treatment management, 5 treatments | 5.2K | $762.8K | $147.58 | 7.19x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev | 3.5K | $670.5K | $192.95 | 3.42x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | 3.3K | $642.1K | $192.78 | 3.19x |
| 77338 | Design and construction of device for radiation therapy | 1.1K | $416.9K | $368.95 | 7.11x |
| 77336 | Radiation therapy consultation per week | 5.4K | $330.9K | $61.62 | 5.57x |
| 77290 | Management of radiation therapy, simulation, complex | 662 | $245.1K | $370.25 | 3.30x |
| 77263 | Management of radiation therapy, complex | 1.7K | $221.4K | $130.14 | 7.83x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.2K | $187.6K | $163.01 | 4.35x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 316 | $157.9K | $499.56 | 7.22x |
| 77334 | Radiation treatment devices, design and construction, complex | 1.7K | $151.5K | $86.75 | 7.41x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 2.6K | $150.8K | $57.34 | 11.09x |
| 77295 | Management of radiation therapy, 3D | 378 | $141.0K | $372.96 | 11.73x |
| 78815 | Nuclear medicine study with ct imaging skull base to mid-thigh | 118 | $133.4K | $1.1K | 4.25x |
| 77280 | Management of radiation therapy simulation, simple | 639 | $132.8K | $207.85 | 3.19x |
| 77293 | Respiratory motion management simulation | 368 | $124.0K | $336.94 | 5.43x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.9K | $109.6K | $58.21 | 4.29x |
This provider submits charges 7.28 times higher than what Medicare actually pays.
A markup ratio of 7.28x means for every $100 Medicare pays, this provider initially charges $728. 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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