This provider's $10.7M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
Medicare payments to this provider grew 1121% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 479% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $215.09 | $95.54 | 2.25x | $119.55 | $203.5K | 2.5K | 1.3K |
| 2015 | $319.46 | $113.52 | 2.81x | $205.94 | $229.0K | 2.8K | 1.5K |
| 2016 | $407.42 | $110.50 | 3.69x | $296.92 | $209.0K | 2.3K | 1.4K |
| 2017 | $306.87 | $110.77 | 2.77x | $196.10 | $163.0K | 1.8K | 1.2K |
| 2018 | $273.96 | $107.61 | 2.55x | $166.35 | $189.6K | 2.6K | 1.2K |
| 2019 | $379.62 | $153.66 | 2.47x | $225.96 | $1.1M | 6.8K | 1.3K |
| 2020 | $466.93 | $196.70 | 2.37x | $270.23 | $1.7M | 9.3K | 1.4K |
| 2021 | $582.61 | $231.78 | 2.51x | $350.83 | $1.9M | 9.9K | 1.8K |
| 2022 | $544.84 | $207.18 | 2.63x | $337.66 | $2.5M | 13.6K | 2.3K |
| 2023 | $586.90 | $208.84 | 2.81x | $378.06 | $2.5M | 13.5K | 2.4K |
| 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 | 18.7K | $5.3M | $283.95 | 3.43x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 18.5K | $1.8M | $95.69 | 4.49x |
| 77427 | Radiation treatment management, 5 treatments | 6.7K | $981.5K | $147.11 | 2.01x |
| 77301 | Management of modulation radiotherapy planning | 755 | $830.7K | $1.1K | 2.11x |
| 77338 | Design and construction of device for radiation therapy | 1.5K | $485.5K | $326.25 | 2.18x |
| 77336 | Radiation therapy consultation per week | 3.9K | $252.1K | $64.13 | 2.73x |
| 77263 | Management of radiation therapy, complex | 1.3K | $164.5K | $124.52 | 2.31x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 195 | $156.2K | $801.20 | 3.12x |
| 77334 | Radiation treatment devices, design and construction, complex | 1.6K | $103.6K | $62.76 | 2.94x |
| 77300 | Calculation of radiation therapy dose | 2.3K | $87.7K | $38.61 | 2.27x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 544 | $86.8K | $159.55 | 2.43x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 685 | $65.9K | $96.22 | 2.85x |
| 77295 | Management of radiation therapy, 3D | 383 | $65.4K | $170.71 | 2.60x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.4K | $54.8K | $39.89 | 3.07x |
| 77290 | Management of radiation therapy, simulation, complex | 871 | $53.9K | $61.91 | 2.49x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 310 | $44.4K | $143.21 | 4.71x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 1.7K | $27.5K | $15.79 | 3.87x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 51 | $25.5K | $499.36 | 3.13x |
| 77280 | Management of radiation therapy simulation, simple | 863 | $23.6K | $27.36 | 2.17x |
| 96402 | Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle | 511 | $13.0K | $25.48 | 2.12x |
This provider submits charges 3.24 times higher than what Medicare actually pays.
A markup ratio of 3.24x means for every $100 Medicare pays, this provider initially charges $324. 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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