This provider's $8.1M in total Medicare payments ranks in the 98th percentile of Radiation Oncology providers nationally.
Medicare payments to this provider grew 71% from 2014 to 2023.
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 | $941.34 | $251.47 | 3.74x | $689.87 | $537.5K | 2.7K | 760 |
| 2015 | $839.96 | $219.04 | 3.83x | $620.92 | $540.1K | 2.8K | 908 |
| 2016 | $797.50 | $125.32 | 6.36x | $672.18 | $636.6K | 4.2K | 1.4K |
| 2017 | $979.44 | $201.92 | 4.85x | $777.52 | $852.4K | 4.7K | 1.8K |
| 2018 | $673.45 | $203.16 | 3.31x | $470.29 | $1.1M | 5.5K | 2.0K |
| 2019 | $534.12 | $157.35 | 3.39x | $376.77 | $990.8K | 5.6K | 2.1K |
| 2020 | $590.00 | $171.55 | 3.44x | $418.45 | $873.8K | 4.2K | 1.7K |
| 2021 | $507.56 | $148.24 | 3.42x | $359.32 | $799.0K | 3.7K | 1.5K |
| 2022 | $478.99 | $143.55 | 3.34x | $335.44 | $868.2K | 3.3K | 1.3K |
| 2023 | $594.82 | $165.19 | 3.60x | $429.63 | $920.1K | 3.2K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 1.9K | $2.2M | $1.2K | 3.06x |
| 78812 | Nuclear medicine imaging from skull base to mid-thigh | 1.4K | $1.5M | $1.0K | 3.44x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 3.4K | $797.5K | $236.57 | 2.78x |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 2.2K | $632.0K | $282.50 | 4.46x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev | 1.5K | $315.2K | $208.76 | 3.60x |
| J2505 | Injection, pegfilgrastim, 6 mg | 82 | $278.5K | $3.4K | 2.76x |
| 77301 | Management of modulation radiotherapy planning | 169 | $258.2K | $1.5K | 4.36x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 3.3K | $179.7K | $55.12 | 3.94x |
| 77427 | Radiation treatment management, 5 treatments | 1.1K | $167.1K | $146.32 | 4.21x |
| 74177 | CT scan of abdomen and pelvis with contrast | 925 | $166.8K | $180.35 | 5.11x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.6K | $136.2K | $82.99 | 3.42x |
| 77418 | Intensity modulated radiation treatment delivery per session | 408 | $126.1K | $309.16 | 4.94x |
| 71260 | CT scan chest with contrast | 1.2K | $125.1K | $100.36 | 6.71x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 1.0K | $111.7K | $108.61 | 3.66x |
| 77300 | Calculation of radiation therapy dose | 2.0K | $102.7K | $52.18 | 4.51x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.4K | $83.6K | $58.81 | 3.30x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 752 | $82.5K | $109.68 | 3.53x |
| 77338 | Design and construction of device for radiation therapy | 196 | $76.2K | $388.74 | 4.31x |
| 77336 | Radiation therapy consultation per week | 1.1K | $71.4K | $62.99 | 4.35x |
| 77290 | Management of radiation therapy, simulation, complex | 142 | $56.7K | $399.19 | 3.68x |
This provider submits charges 3.61 times higher than what Medicare actually pays.
A markup ratio of 3.61x means for every $100 Medicare pays, this provider initially charges $361. 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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