This provider's $3.3M in total Medicare payments ranks in the 95th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 6.9x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 116% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 198% in 2022
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $981.88 | $168.47 | 5.83x | $813.41 | $531.1K | 3.6K | 2.0K |
| 2022 | $990.61 | $157.44 | 6.29x | $833.17 | $1.6M | 10.0K | 5.8K |
| 2023 | $1.0K | $167.68 | 6.22x | $874.99 | $1.1M | 7.4K | 4.7K |
| 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 | 3.5K | $976.3K | $275.95 | 9.36x |
| 78815 | Nuclear medicine study with ct imaging skull base to mid-thigh | 227 | $266.2K | $1.2K | 3.41x |
| 77301 | Management of modulation radiotherapy planning | 172 | $240.6K | $1.4K | 4.46x |
| 77014 | Ct scan guidance for insertion of radiation therapy fields | 2.5K | $234.8K | $93.78 | 6.30x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 235 | $182.4K | $776.17 | 10.27x |
| 77067 | Screening mammography of both breasts | 1.0K | $114.5K | $112.94 | 3.48x |
| 77427 | Radiation treatment management, 5 treatments | 745 | $112.6K | $151.15 | 6.85x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 198 | $79.0K | $399.19 | 1.60x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | 422 | $77.8K | $184.37 | 2.87x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 1.3K | $74.0K | $56.15 | 11.30x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev | 399 | $72.4K | $181.57 | 3.40x |
| 77338 | Design and construction of device for radiation therapy | 172 | $61.2K | $355.77 | 7.20x |
| 77336 | Radiation therapy consultation per week | 788 | $49.9K | $63.37 | 5.25x |
| 99205 | New patient outpatient visit, total time 60-74 minutes | 272 | $46.3K | $170.26 | 2.55x |
| 74178 | Ct scan of abdomen and pelvis before and after contrast | 149 | $36.9K | $247.86 | 6.73x |
| 77063 | Screening digital tomography of both breasts | 866 | $35.7K | $41.27 | 5.48x |
| 74176 | Ct scan of abdomen and pelvis | 249 | $31.9K | $128.05 | 6.30x |
| 77263 | Management of radiation therapy, complex | 230 | $30.5K | $132.73 | 7.47x |
| 77334 | Radiation treatment devices, design and construction, complex | 287 | $27.5K | $95.89 | 7.19x |
| 76770 | Ultrasound behind abdominal cavity | 376 | $26.3K | $69.83 | 4.71x |
This provider submits charges 6.9 times higher than what Medicare actually pays.
A markup ratio of 6.9x means for every $100 Medicare pays, this provider initially charges $690. 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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