This provider's $11.5M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 5.1x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 1910% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 324% 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $461.54 | $76.10 | 6.06x | $385.44 | $200.9K | 2.6K | 19 |
| 2015 | $131.23 | $23.30 | 5.63x | $107.93 | $286.9K | 12.3K | 22 |
| 2016 | $344.11 | $59.63 | 5.77x | $284.48 | $259.4K | 4.3K | 22 |
| 2017 | $407.30 | $69.20 | 5.89x | $338.10 | $252.9K | 3.7K | 21 |
| 2018 | $947.04 | $163.14 | 5.81x | $783.90 | $1.1M | 6.6K | 25 |
| 2019 | $1.0K | $170.45 | 6.12x | $872.10 | $1.1M | 6.6K | 19 |
| 2020 | $1.1K | $173.47 | 6.12x | $888.51 | $1.0M | 5.8K | 24 |
| 2021 | $1.3K | $215.04 | 6.23x | $1.1K | $1.2M | 5.7K | 28 |
| 2022 | $1.1K | $227.46 | 4.69x | $840.34 | $2.0M | 8.8K | 24 |
| 2023 | $967.27 | $238.06 | 4.06x | $729.21 | $4.0M | 17.0K | 27 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| A9607 | Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie | 14.0K | $3.6M | $255.20 | 2.26x |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 7.2K | $2.1M | $288.69 | 8.94x |
| 77014 | Ct guidance for insertion of radiation therapy fields | 9.7K | $754.7K | $77.96 | 5.82x |
| 77301 | High precision radiation therapy planning | 636 | $719.9K | $1.1K | 4.62x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev | 3.2K | $667.7K | $206.78 | 2.98x |
| 77427 | Radiation treatment management, 5 treatment sessions | 4.0K | $587.1K | $147.55 | 7.02x |
| 77373 | Cranial lesion surgery using radiation over multiple sessions | 560 | $464.7K | $829.80 | 9.61x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | 2.2K | $457.7K | $205.98 | 2.57x |
| 77338 | Design and construction of radiation treatment device for high precision radiation therapy | 689 | $214.6K | $311.50 | 6.80x |
| 77300 | Calculation of radiation therapy dose | 5.0K | $195.5K | $39.35 | 6.37x |
| 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 | 907 | $191.9K | $211.56 | 3.44x |
| 77334 | Design and construction of complex radiation treatment device | 2.8K | $191.4K | $68.32 | 6.30x |
| 77263 | Complex radiation therapy planning | 1.4K | $178.5K | $129.75 | 7.65x |
| 77336 | Continuing radiation therapy consultation per week | 2.3K | $147.7K | $64.96 | 5.13x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 1.0K | $143.4K | $143.01 | 3.15x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 3.8K | $134.0K | $35.44 | 9.33x |
| 77293 | Obtaining respiratory data needed to develop the optimal radiation treatment | 403 | $122.5K | $303.86 | 5.19x |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 738 | $119.2K | $161.55 | 3.20x |
| 77295 | 3d radiation therapy planning | 426 | $109.9K | $257.91 | 8.35x |
| 77435 | Management of cranial lesion surgery using radiation over multiple sessions | 139 | $69.9K | $502.71 | 6.97x |
This provider submits charges 5.1 times higher than what Medicare actually pays.
A markup ratio of 5.1x means for every $100 Medicare pays, this provider initially charges $510. 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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