This provider's $19.0M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 790% in 2023
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 | $1.5K | $350.83 | 4.19x | $1.1K | $2.0M | 9.0K | 1.2K |
| 2015 | $1.6K | $358.90 | 4.39x | $1.2K | $2.0M | 9.9K | 1.2K |
| 2016 | $1.4K | $318.53 | 4.36x | $1.1K | $2.0M | 10.8K | 1.2K |
| 2017 | $1.3K | $291.71 | 4.29x | $960.21 | $2.0M | 10.3K | 1.2K |
| 2018 | $1.4K | $319.66 | 4.24x | $1.0K | $2.3M | 11.0K | 1.4K |
| 2019 | $1.3K | $329.85 | 4.03x | $1.0K | $2.1M | 10.2K | 1.3K |
| 2020 | $1.3K | $332.29 | 3.85x | $946.71 | $2.3M | 10.6K | 1.3K |
| 2021 | $685.00 | $177.05 | 3.87x | $507.95 | $1.9M | 8.9K | 1.1K |
| 2022 | $728.44 | $186.76 | 3.90x | $541.68 | $235.2K | 1.1K | 159 |
| 2023 | $1.2K | $321.65 | 3.78x | $894.05 | $2.1M | 9.2K | 1.1K |
| 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 | 32.5K | $10.9M | $334.21 | 4.13x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 36.4K | $3.9M | $107.65 | 5.37x |
| 77418 | Intensity modulated radiation treatment delivery per session | 3.6K | $1.3M | $362.01 | 4.14x |
| 77427 | Radiation treatment management, 5 treatments | 6.4K | $1.0M | $160.42 | 3.94x |
| 77336 | Radiation therapy consultation per week | 7.4K | $545.5K | $73.60 | 3.45x |
| 77301 | Management of modulation radiotherapy planning | 274 | $489.6K | $1.8K | 4.09x |
| 77338 | Design and construction of device for radiation therapy | 703 | $313.1K | $445.43 | 3.78x |
| 77263 | Management of radiation therapy, complex | 1.4K | $185.3K | $136.75 | 3.94x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 384 | $122.8K | $319.74 | 4.75x |
| 77280 | Management of radiation therapy simulation, simple | 239 | $56.1K | $234.60 | 2.83x |
| 77300 | Calculation of radiation therapy dose | 718 | $43.7K | $60.93 | 3.96x |
| 74176 | CT scan of abdomen and pelvis | 214 | $37.6K | $175.65 | 4.30x |
| 77334 | Radiation treatment devices, design and construction, complex | 285 | $31.9K | $112.08 | 4.29x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 142 | $28.0K | $196.91 | 3.90x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 251 | $19.5K | $77.79 | 4.08x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev | 43 | $10.9K | $254.57 | 3.73x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 95 | $6.7K | $70.66 | 3.73x |
| 77417 | Therapeutic radiology port films | 19 | $194.40 | $10.23 | 4.99x |
| 36415 | Insertion of needle into vein for collection of blood sample | 29 | $85.26 | $2.94 | 5.10x |
This provider submits charges 4.35 times higher than what Medicare actually pays.
A markup ratio of 4.35x means for every $100 Medicare pays, this provider initially charges $435. 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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