This provider's $21.4M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 5.87x is significantly above the specialty median of 5.0x.
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 | $1.1K | $256.34 | 4.27x | $838.40 | $2.4M | 6.4K | 1.3K |
| 2015 | $1.2K | $268.04 | 4.55x | $951.64 | $2.2M | 6.5K | 2.1K |
| 2016 | $1.2K | $250.99 | 4.72x | $933.31 | $1.9M | 6.0K | 2.4K |
| 2017 | $1.2K | $255.89 | 4.62x | $926.96 | $2.6M | 7.5K | 3.0K |
| 2018 | $2.8K | $430.12 | 6.50x | $2.4K | $2.1M | 6.1K | 2.2K |
| 2019 | $2.6K | $405.38 | 6.40x | $2.2K | $2.3M | 5.7K | 2.0K |
| 2020 | $2.0K | $294.72 | 6.77x | $1.7K | $2.4M | 6.1K | 1.8K |
| 2021 | $3.7K | $591.47 | 6.20x | $3.1K | $2.4M | 5.2K | 1.8K |
| 2022 | $3.6K | $383.65 | 9.47x | $3.2K | $1.6M | 3.7K | 1.5K |
| 2023 | $2.7K | $409.28 | 6.48x | $2.2K | $1.6M | 3.5K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77523 | Proton treatment delivery, intermediate | 13.2K | $11.5M | $872.47 | 5.83x |
| 77525 | Proton treatment delivery, complex | 3.1K | $3.2M | $1.0K | 6.17x |
| 77301 | Management of modulation radiotherapy planning | 1.3K | $2.1M | $1.7K | 5.55x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 9.3K | $976.4K | $105.13 | 6.09x |
| 77427 | Radiation treatment management, 5 treatments | 6.3K | $964.8K | $154.08 | 5.24x |
| 77336 | Radiation therapy consultation per week | 5.5K | $380.5K | $68.74 | 5.46x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 4.8K | $303.3K | $63.80 | 6.25x |
| 72197 | MRI scan of pelvis before and after contrast | 759 | $222.7K | $293.48 | 9.25x |
| 77338 | Design and construction of device for radiation therapy | 506 | $212.0K | $418.94 | 3.89x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.1K | $179.4K | $159.89 | 2.98x |
| 55874 | Injection of biodegradable material next to prostate | 51 | $160.2K | $3.1K | 6.64x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 143 | $157.5K | $1.1K | 7.10x |
| 77421 | X-ray guidance for radiation therapy delivery | 2.2K | $139.0K | $62.06 | 6.24x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 102 | $136.2K | $1.3K | 5.76x |
| 77263 | Management of radiation therapy, complex | 908 | $121.8K | $134.19 | 5.10x |
| 77470 | Special radiation treatment procedure | 702 | $85.2K | $121.36 | 10.26x |
| 77300 | Calculation of radiation therapy dose | 1.3K | $73.2K | $56.12 | 5.49x |
| 77290 | Management of radiation therapy, simulation, complex | 170 | $71.6K | $421.27 | 4.07x |
| 77370 | Radiation therapy consultation | 666 | $67.3K | $101.12 | 4.59x |
| A9597 | Positron emission tomography radiopharmaceutical, diagnostic, for tumor identification, not otherwise classified | 16 | $67.1K | $4.2K | 6.25x |
This provider submits charges 5.87 times higher than what Medicare actually pays.
A markup ratio of 5.87x means for every $100 Medicare pays, this provider initially charges $587. 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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