This provider's $21.2M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 5.18x 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 | $994.19 | $208.16 | 4.78x | $786.03 | $2.6M | 15.5K | 3.4K |
| 2015 | $1.1K | $236.92 | 4.70x | $877.53 | $2.5M | 14.4K | 2.9K |
| 2016 | $1.1K | $242.81 | 4.73x | $905.86 | $2.3M | 13.8K | 2.6K |
| 2017 | $1.2K | $245.63 | 5.08x | $1.0K | $2.2M | 12.8K | 2.6K |
| 2018 | $1.3K | $261.64 | 5.16x | $1.1K | $2.2M | 12.2K | 2.4K |
| 2019 | $1.3K | $245.74 | 5.29x | $1.1K | $2.2M | 12.5K | 2.5K |
| 2020 | $1.4K | $258.72 | 5.30x | $1.1K | $2.0M | 11.2K | 2.2K |
| 2021 | $1.3K | $251.61 | 5.30x | $1.1K | $1.7M | 9.6K | 2.0K |
| 2022 | $1.4K | $256.15 | 5.63x | $1.2K | $1.8M | 10.6K | 1.9K |
| 2023 | $1.4K | $251.97 | 5.74x | $1.2K | $1.7M | 9.5K | 1.9K |
| 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 | 30.5K | $7.5M | $245.40 | 4.64x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 36.1K | $3.0M | $84.38 | 7.12x |
| 77301 | Management of modulation radiotherapy planning | 2.0K | $2.6M | $1.3K | 4.85x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 2.1K | $1.7M | $833.92 | 5.97x |
| 77418 | Intensity modulated radiation treatment delivery per session | 4.4K | $1.1M | $255.28 | 5.75x |
| 77427 | Radiation treatment management, 5 treatments | 7.3K | $1.0M | $143.40 | 4.19x |
| 77338 | Design and construction of device for radiation therapy | 2.0K | $716.3K | $352.67 | 4.35x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev | 3.3K | $576.7K | $172.81 | 4.33x |
| 77300 | Calculation of radiation therapy dose | 9.7K | $459.9K | $47.51 | 4.29x |
| 77336 | Radiation therapy consultation per week | 7.5K | $404.2K | $54.19 | 4.48x |
| 77263 | Management of radiation therapy, complex | 2.0K | $242.6K | $122.82 | 4.42x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 443 | $216.4K | $488.38 | 4.70x |
| 77334 | Radiation treatment devices, design and construction, complex | 2.2K | $215.5K | $95.81 | 5.12x |
| 77290 | Management of radiation therapy, simulation, complex | 589 | $196.2K | $333.15 | 4.71x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.0K | $153.1K | $51.74 | 4.41x |
| 77293 | Respiratory motion management simulation | 418 | $132.0K | $315.89 | 3.97x |
| 77295 | Management of radiation therapy, 3D | 373 | $129.2K | $346.42 | 8.24x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 942 | $115.1K | $122.19 | 4.28x |
| 77470 | Special radiation treatment procedure | 843 | $92.1K | $109.28 | 10.15x |
| 77370 | Radiation therapy consultation | 1.1K | $87.5K | $80.98 | 4.36x |
This provider submits charges 5.18 times higher than what Medicare actually pays.
A markup ratio of 5.18x means for every $100 Medicare pays, this provider initially charges $518. 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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