This provider's $6.9M in total Medicare payments ranks in the 98th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 5.23x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 173% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 129% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $900.95 | $193.96 | 4.65x | $706.99 | $355.2K | 2.1K | 703 |
| 2015 | $919.68 | $224.44 | 4.10x | $695.24 | $425.8K | 2.5K | 543 |
| 2016 | $638.28 | $123.49 | 5.17x | $514.79 | $266.5K | 1.9K | 600 |
| 2017 | $1.1K | $253.82 | 4.36x | $853.67 | $610.7K | 3.5K | 943 |
| 2018 | $1.2K | $263.85 | 4.37x | $887.95 | $593.8K | 3.2K | 961 |
| 2019 | $1.4K | $265.71 | 5.12x | $1.1K | $631.4K | 3.3K | 1.2K |
| 2020 | $1.7K | $375.16 | 4.58x | $1.3K | $997.2K | 4.7K | 1.3K |
| 2021 | $1.5K | $314.74 | 4.92x | $1.2K | $1.3M | 5.9K | 1.6K |
| 2022 | $1.7K | $341.15 | 5.09x | $1.4K | $832.9K | 4.0K | 1.4K |
| 2023 | $1.7K | $312.19 | 5.38x | $1.4K | $969.4K | 4.7K | 1.5K |
| 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 | 8.3K | $2.4M | $284.91 | 6.01x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 9.2K | $861.2K | $94.02 | 5.26x |
| 77301 | Management of modulation radiotherapy planning | 396 | $589.0K | $1.5K | 4.04x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 486 | $447.3K | $920.46 | 6.05x |
| 77427 | Radiation treatment management, 5 treatments | 2.6K | $380.6K | $145.49 | 4.48x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev | 1.5K | $279.0K | $189.81 | 3.40x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev | 1.3K | $253.2K | $195.51 | 3.93x |
| 77338 | Design and construction of device for radiation therapy | 508 | $192.7K | $379.37 | 4.19x |
| 55874 | Injection of biodegradable material next to prostate | 66 | $162.2K | $2.5K | 4.42x |
| 77336 | Radiation therapy consultation per week | 2.5K | $154.3K | $61.63 | 4.54x |
| 77290 | Management of radiation therapy, simulation, complex | 423 | $154.1K | $364.24 | 4.21x |
| 77418 | Intensity modulated radiation treatment delivery per session | 476 | $145.3K | $305.27 | 6.90x |
| 77295 | Management of radiation therapy, 3D | 326 | $121.2K | $371.93 | 9.10x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 732 | $118.4K | $161.76 | 3.14x |
| 77280 | Management of radiation therapy simulation, simple | 482 | $97.7K | $202.73 | 3.85x |
| 77263 | Management of radiation therapy, complex | 721 | $93.7K | $129.97 | 5.75x |
| 77334 | Radiation treatment devices, design and construction, complex | 925 | $80.7K | $87.27 | 5.79x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 833 | $74.9K | $89.96 | 3.43x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 110 | $55.0K | $500.32 | 4.55x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 826 | $44.9K | $54.35 | 3.15x |
This provider submits charges 5.23 times higher than what Medicare actually pays.
A markup ratio of 5.23x means for every $100 Medicare pays, this provider initially charges $523. 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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