This provider's $20.7M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 6.38x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 82% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 224% in 2018
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $1.3K | $278.33 | 4.62x | $1.0K | $1.8M | 6.6K | 15 |
| 2015 | $2.3K | $354.27 | 6.52x | $2.0K | $1.5M | 4.2K | 16 |
| 2016 | $2.0K | $298.77 | 6.54x | $1.7K | $963.8K | 3.2K | 14 |
| 2017 | $1.3K | $219.87 | 6.04x | $1.1K | $528.3K | 2.4K | 12 |
| 2018 | $1.8K | $285.11 | 6.44x | $1.6K | $1.7M | 6.0K | 17 |
| 2019 | $2.0K | $293.28 | 6.76x | $1.7K | $2.0M | 6.7K | 19 |
| 2020 | $2.1K | $311.47 | 6.65x | $1.8K | $2.5M | 8.1K | 16 |
| 2021 | $2.0K | $311.53 | 6.37x | $1.7K | $3.0M | 9.8K | 19 |
| 2022 | $2.0K | $316.18 | 6.39x | $1.7K | $3.3M | 10.3K | 19 |
| 2023 | $2.2K | $324.22 | 6.82x | $1.9K | $3.3M | 10.3K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77522 | Simple proton beam radiation treatment with compensation | 17.3K | $11.4M | $661.17 | 6.70x |
| 77523 | Intermediate proton beam radiation treatment | 5.0K | $3.5M | $694.16 | 6.46x |
| 77525 | Complex proton beam radiation treatment | 2.3K | $1.8M | $785.16 | 6.83x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 19.9K | $1.2M | $59.40 | 5.17x |
| 77427 | Radiation treatment management, 5 treatment sessions | 3.9K | $575.8K | $149.28 | 5.06x |
| 77334 | Design and construction of complex radiation treatment device | 4.8K | $495.1K | $103.85 | 5.58x |
| 77336 | Continuing radiation therapy consultation per week | 4.3K | $273.7K | $63.64 | 4.92x |
| 77290 | Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved | 693 | $269.6K | $389.01 | 5.24x |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 1.1K | $239.6K | $216.80 | 5.10x |
| 77301 | High precision radiation therapy planning | 146 | $212.9K | $1.5K | 5.42x |
| 77295 | 3d radiation therapy planning | 520 | $198.8K | $382.32 | 5.16x |
| 77421 | X-ray guidance for radiation therapy delivery | 2.9K | $165.7K | $57.06 | 5.47x |
| 77300 | Calculation of radiation therapy dose | 1.9K | $99.9K | $52.12 | 5.12x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 321 | $51.3K | $159.91 | 4.93x |
| 77263 | Complex radiation therapy planning | 293 | $38.5K | $131.53 | 5.09x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 563 | $31.5K | $55.89 | 4.02x |
| 77307 | Radiation therapy plan | 112 | $25.0K | $223.00 | 5.11x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 202 | $24.7K | $122.15 | 5.43x |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 730 | $23.4K | $32.03 | 4.07x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 248 | $20.5K | $82.77 | 3.64x |
This provider submits charges 6.38 times higher than what Medicare actually pays.
A markup ratio of 6.38x means for every $100 Medicare pays, this provider initially charges $638. 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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