This provider's $15.0M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 144% 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 | $220.89 | $158.34 | 1.40x | $62.55 | $2.1M | 12.9K | 3.6K |
| 2015 | $234.92 | $171.28 | 1.37x | $63.64 | $1.9M | 10.7K | 2.1K |
| 2016 | $232.37 | $175.12 | 1.33x | $57.25 | $1.5M | 8.5K | 1.4K |
| 2017 | $232.44 | $168.19 | 1.38x | $64.25 | $1.6M | 9.1K | 1.9K |
| 2018 | $245.86 | $174.32 | 1.41x | $71.54 | $1.3M | 7.6K | 1.9K |
| 2019 | $231.22 | $173.41 | 1.33x | $57.81 | $1.2M | 7.1K | 1.8K |
| 2020 | $275.35 | $203.50 | 1.35x | $71.85 | $1.2M | 6.1K | 1.4K |
| 2021 | $289.39 | $219.02 | 1.32x | $70.37 | $1.2M | 6.0K | 1.3K |
| 2022 | $295.45 | $226.07 | 1.31x | $69.38 | $889.1K | 4.2K | 1.3K |
| 2023 | $585.68 | $452.86 | 1.29x | $132.82 | $2.2M | 10.6K | 1.8K |
| 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 | 22.5K | $6.5M | $287.71 | 1.36x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 25.8K | $2.5M | $96.45 | 1.32x |
| 77301 | Management of modulation radiotherapy planning | 1.1K | $1.6M | $1.5K | 1.35x |
| 77418 | Intensity modulated radiation treatment delivery per session | 3.7K | $1.1M | $306.85 | 1.33x |
| 77427 | Radiation treatment management, 5 treatments | 6.6K | $997.3K | $150.67 | 1.31x |
| 77338 | Design and construction of device for radiation therapy | 1.9K | $756.6K | $393.03 | 1.33x |
| 77336 | Radiation therapy consultation per week | 6.7K | $424.1K | $63.72 | 1.31x |
| 77263 | Management of radiation therapy, complex | 941 | $121.9K | $129.50 | 1.38x |
| 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 | 71 | $121.5K | $1.7K | 1.25x |
| 51728 | Insertion of electronic device into bladder with voiding pressure studies | 673 | $111.2K | $165.17 | 1.31x |
| 77300 | Calculation of radiation therapy dose | 1.9K | $102.6K | $53.14 | 1.33x |
| 77334 | Radiation treatment devices, design and construction, complex | 937 | $100.6K | $107.34 | 1.34x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 882 | $75.3K | $85.40 | 1.37x |
| 77280 | Management of radiation therapy simulation, simple | 358 | $74.9K | $209.08 | 1.39x |
| 64566 | Implantation of lower leg neurostimulator electrode, accessed through the skin | 620 | $60.3K | $97.28 | 1.31x |
| 77290 | Management of radiation therapy, simulation, complex | 144 | $54.8K | $380.23 | 1.40x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.7K | $51.4K | $30.97 | 1.56x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 370 | $46.5K | $125.79 | 1.39x |
| 51797 | Insertion of device into the abdomen with measurement of pressure and urine flow rate | 669 | $38.9K | $58.18 | 1.50x |
| G0339 | Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment | 15 | $34.1K | $2.3K | 1.25x |
This provider submits charges 1.35 times higher than what Medicare actually pays.
A markup ratio of 1.35x means for every $100 Medicare pays, this provider initially charges $135. This is lower 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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