This provider's $10.3M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 5.53x 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 | $1.9K | $339.76 | 5.70x | $1.6K | $1.2M | 3.5K | 1.8K |
| 2015 | $2.0K | $362.62 | 5.65x | $1.7K | $1.2M | 3.3K | 1.9K |
| 2016 | $1.9K | $328.66 | 5.67x | $1.5K | $1.1M | 2.8K | 1.8K |
| 2017 | $2.1K | $376.22 | 5.47x | $1.7K | $1.1M | 2.8K | 1.9K |
| 2018 | $2.0K | $325.41 | 6.07x | $1.6K | $911.2K | 2.5K | 1.7K |
| 2019 | $2.0K | $320.99 | 6.15x | $1.7K | $978.2K | 2.6K | 1.8K |
| 2020 | $2.0K | $325.49 | 6.02x | $1.6K | $927.2K | 2.2K | 1.5K |
| 2021 | $1.8K | $321.11 | 5.65x | $1.5K | $918.2K | 2.2K | 1.5K |
| 2022 | $1.9K | $335.23 | 5.79x | $1.6K | $1.0M | 2.3K | 1.6K |
| 2023 | $1.9K | $316.84 | 5.89x | $1.6K | $978.6K | 2.2K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G0340 | Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatme | 2.5K | $4.4M | $1.8K | 4.74x |
| G0339 | Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment | 914 | $2.5M | $2.8K | 7.25x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 808 | $412.4K | $510.40 | 6.87x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev | 1.7K | $347.3K | $206.37 | 2.60x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev | 1.6K | $339.5K | $209.18 | 2.95x |
| 77290 | Management of radiation therapy, simulation, complex | 1.3K | $280.5K | $221.01 | 3.51x |
| 77295 | Management of radiation therapy, 3D | 1.2K | $247.9K | $211.88 | 9.82x |
| 77280 | Management of radiation therapy simulation, simple | 1.2K | $171.0K | $148.41 | 2.57x |
| 77263 | Management of radiation therapy, complex | 1.2K | $163.7K | $133.45 | 7.43x |
| 77427 | Radiation treatment management, 5 treatments | 945 | $142.0K | $150.23 | 6.90x |
| 77334 | Radiation treatment devices, design and construction, complex | 2.3K | $138.8K | $60.91 | 6.30x |
| 77336 | Radiation therapy consultation per week | 2.1K | $134.4K | $64.79 | 4.92x |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 414 | $133.2K | $321.65 | 8.03x |
| 77293 | Respiratory motion management simulation | 592 | $109.3K | $184.63 | 4.47x |
| 77418 | Intensity modulated radiation treatment delivery per session | 349 | $104.8K | $300.24 | 8.60x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 649 | $82.4K | $126.98 | 2.71x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.1K | $65.8K | $57.75 | 2.56x |
| 77301 | Management of modulation radiotherapy planning | 39 | $62.3K | $1.6K | 3.91x |
| 77470 | Special radiation treatment procedure | 997 | $60.6K | $60.83 | 13.33x |
| 77413 | Radiation treatment delivery, three or more treatment areas | 327 | $59.6K | $182.19 | 2.90x |
This provider submits charges 5.53 times higher than what Medicare actually pays.
A markup ratio of 5.53x means for every $100 Medicare pays, this provider initially charges $553. 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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