This provider's $6.5M in total Medicare payments ranks in the 98th 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 54% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $464.32 | $172.12 | 2.70x | $292.20 | $3.5M | 10.7K | 3.8K |
| 2015 | $418.41 | $182.07 | 2.30x | $236.34 | $486.8K | 3.9K | 1.5K |
| 2016 | $554.25 | $126.84 | 4.37x | $427.41 | $248.5K | 3.4K | 1.2K |
| 2017 | $587.59 | $126.67 | 4.64x | $460.92 | $260.2K | 3.4K | 1.3K |
| 2018 | $630.83 | $136.62 | 4.62x | $494.21 | $308.2K | 3.7K | 1.5K |
| 2019 | $618.22 | $137.14 | 4.51x | $481.08 | $292.2K | 3.3K | 1.5K |
| 2020 | $576.31 | $132.55 | 4.35x | $443.76 | $267.7K | 3.1K | 1.3K |
| 2021 | $637.42 | $139.29 | 4.58x | $498.13 | $386.6K | 3.9K | 1.6K |
| 2022 | $612.68 | $137.59 | 4.45x | $475.09 | $301.9K | 2.8K | 1.3K |
| 2023 | $633.64 | $137.58 | 4.61x | $496.06 | $465.0K | 4.2K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 0182T | High dose rate electronic brachytherapy | 1.7K | $2.6M | $1.5K | 2.13x |
| 77427 | Radiation treatment management, 5 treatments | 3.9K | $659.8K | $170.93 | 3.70x |
| 77280 | Management of radiation therapy simulation, simple | 2.6K | $432.7K | $164.44 | 1.91x |
| 77301 | Management of modulation radiotherapy planning | 780 | $305.1K | $391.17 | 4.81x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 7.1K | $294.2K | $41.53 | 5.51x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 427 | $247.9K | $580.67 | 4.31x |
| 77263 | Management of radiation therapy, complex | 1.6K | $234.2K | $149.01 | 3.70x |
| 77338 | Design and construction of device for radiation therapy | 984 | $206.0K | $209.32 | 4.63x |
| 77290 | Management of radiation therapy, simulation, complex | 1.8K | $185.2K | $105.64 | 3.35x |
| 77300 | Calculation of radiation therapy dose | 3.9K | $167.9K | $42.60 | 6.07x |
| 77334 | Radiation treatment devices, design and construction, complex | 2.7K | $164.4K | $60.18 | 4.36x |
| 77295 | Management of radiation therapy, 3D | 807 | $163.8K | $202.92 | 4.75x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 931 | $144.5K | $155.19 | 3.71x |
| 77470 | Special radiation treatment procedure | 1.3K | $129.9K | $102.35 | 4.30x |
| G6001 | Ultrasonic guidance for placement of radiation therapy fields | 4.3K | $117.3K | $27.26 | 9.00x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 500 | $58.6K | $117.13 | 3.68x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 776 | $57.3K | $73.85 | 4.03x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 2.2K | $43.3K | $19.40 | 7.68x |
| 77418 | Intensity modulated radiation treatment delivery per session | 82 | $34.1K | $415.47 | 3.28x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 653 | $31.1K | $47.61 | 4.15x |
This provider submits charges 3.37 times higher than what Medicare actually pays.
A markup ratio of 3.37x means for every $100 Medicare pays, this provider initially charges $337. 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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