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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Moira Sutton
๐ŸŽ—๏ธ
MDIndividual

Moira Sutton, MD

NPI: 1588611040
Gainesville, VA
10 years of data
Radiation Oncology
$7.6M
Total Payments
13.6K
Beneficiaries
42.9K
Services
6.47x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$7.6M
Specialty median$300.5K

๐Ÿ“‹ Key Findings

1Billed $7.6M over 10 years
26.47x markup ratio (above median)
398th percentile in Radiation Oncology by payments
418 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $7.6M in total Medicare payments ranks in the 98th percentile of Radiation Oncology providers nationally.

Their average markup ratio of 6.47x is significantly above the specialty median of 5.0x.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$1.2K$222.045.59x$1.0K$716.6K4.2K1.4K
2015$1.3K$226.115.82x$1.1K$710.8K4.1K1.2K
2016$1.6K$260.756.28x$1.4K$716.0K4.0K1.3K
2017$1.7K$263.376.39x$1.4K$766.2K4.1K1.4K
2018$1.4K$233.505.79x$1.1K$751.1K4.3K1.4K
2019$1.6K$234.406.82x$1.4K$833.9K4.8K1.5K
2020$1.8K$262.346.80x$1.5K$794.9K4.3K1.4K
2021$1.8K$247.667.39x$1.6K$901.7K4.8K1.4K
2022$1.9K$238.667.88x$1.6K$612.6K3.4K1.2K
2023$2.1K$266.937.95x$1.9K$843.1K4.8K1.4K

Top Procedures (20)

G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment sessionโš  7.4x markup
$2.3M
7.9K services$286.34/svc7.44x markup
G6013Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mevโš  4.6x markup
$747.3K
3.7K services$202.52/svc4.63x markup
G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mevโš  4.3x markup
$655.2K
3.3K services$199.14/svc4.25x markup
77427Radiation treatment management, 5 treatmentsโš  5.5x markup
$453.3K
3.1K services$148.10/svc5.50x markup
77301Management of modulation radiotherapy planningโš  6.3x markup
$357.0K
237 services$1.5K/svc6.35x markup
77373Stereotactic body radiation therapy 1 or more lesions using imaging guidanceโš  11.8x markup
$314.1K
332 services$945.93/svc11.79x markup
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapyโš  8.4x markup
$309.6K
5.2K services$59.13/svc8.39x markup
77014CT scan guidance for insertion of radiation therapy fieldsโš  8.5x markup
$277.1K
2.9K services$95.65/svc8.48x markup
77418Intensity modulated radiation treatment delivery per sessionโš  6.6x markup
$243.2K
808 services$300.93/svc6.59x markup
77290Management of radiation therapy, simulation, complexโš  5.2x markup
$240.5K
618 services$389.24/svc5.21x markup
77336Radiation therapy consultation per weekโš  5.7x markup
$219.7K
3.5K services$62.89/svc5.73x markup
78815Nuclear medicine study with CT imaging skull base to mid-thighโš  6.0x markup
$210.4K
202 services$1.0K/svc5.96x markup
77295Management of radiation therapy, 3Dโš  9.9x markup
$164.1K
431 services$380.83/svc9.95x markup
77280Management of radiation therapy simulation, simpleโš  3.7x markup
$163.2K
769 services$212.16/svc3.66x markup
77334Radiation treatment devices, design and construction, complexโš  6.4x markup
$134.2K
1.3K services$104.54/svc6.42x markup
77338Design and construction of device for radiation therapyโš  5.5x markup
$117.9K
304 services$387.76/svc5.49x markup
99205New patient office or other outpatient visit, typically 60 minutes
$110.6K
671 services$164.81/svc2.96x markup
77263Management of radiation therapy, complexโš  5.3x markup
$101.6K
783 services$129.78/svc5.31x markup
77414Radiation treatment delivery, three or more treatment areasโš  4.5x markup
$98.7K
511 services$193.08/svc4.54x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$81.2K
1.5K services$55.93/svc2.98x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session7.9K$2.3M$286.347.44x
G6013Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev3.7K$747.3K$202.524.63x
G6012Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev3.3K$655.2K$199.144.25x
77427Radiation treatment management, 5 treatments3.1K$453.3K$148.105.50x
77301Management of modulation radiotherapy planning237$357.0K$1.5K6.35x
77373Stereotactic body radiation therapy 1 or more lesions using imaging guidance332$314.1K$945.9311.79x
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy5.2K$309.6K$59.138.39x
77014CT scan guidance for insertion of radiation therapy fields2.9K$277.1K$95.658.48x
77418Intensity modulated radiation treatment delivery per session808$243.2K$300.936.59x
77290Management of radiation therapy, simulation, complex618$240.5K$389.245.21x
77336Radiation therapy consultation per week3.5K$219.7K$62.895.73x
78815Nuclear medicine study with CT imaging skull base to mid-thigh202$210.4K$1.0K5.96x
77295Management of radiation therapy, 3D431$164.1K$380.839.95x
77280Management of radiation therapy simulation, simple769$163.2K$212.163.66x
77334Radiation treatment devices, design and construction, complex1.3K$134.2K$104.546.42x
77338Design and construction of device for radiation therapy304$117.9K$387.765.49x
99205New patient office or other outpatient visit, typically 60 minutes671$110.6K$164.812.96x
77263Management of radiation therapy, complex783$101.6K$129.785.31x
77414Radiation treatment delivery, three or more treatment areas511$98.7K$193.084.54x
99213Established patient office or other outpatient visit, typically 15 minutes1.5K$81.2K$55.932.98x

Markup Analysis

Charge-to-Payment Ratio

6.47x

This provider submits charges 6.47 times higher than what Medicare actually pays.

What This Means

A markup ratio of 6.47x means for every $100 Medicare pays, this provider initially charges $647. This is higher than the national average.

Location

Gainesville, VA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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