This provider's $5.0M in total Medicare payments ranks in the 97th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 6.31x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 986% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 235% in 2016
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 | $230.41 | $66.99 | 3.44x | $163.42 | $81.0K | 1.3K | 746 |
| 2015 | $266.90 | $97.22 | 2.75x | $169.68 | $133.3K | 2.0K | 1.1K |
| 2016 | $506.34 | $129.82 | 3.90x | $376.52 | $446.5K | 4.0K | 976 |
| 2017 | $513.91 | $128.25 | 4.01x | $385.66 | $414.1K | 3.9K | 943 |
| 2018 | $529.81 | $130.08 | 4.07x | $399.73 | $425.8K | 3.7K | 958 |
| 2019 | $504.11 | $135.39 | 3.72x | $368.72 | $556.7K | 4.7K | 1.2K |
| 2020 | $523.20 | $130.13 | 4.02x | $393.07 | $484.1K | 3.9K | 964 |
| 2021 | $651.13 | $150.91 | 4.31x | $500.22 | $896.1K | 6.5K | 1.1K |
| 2022 | $659.70 | $149.56 | 4.41x | $510.14 | $701.2K | 5.5K | 919 |
| 2023 | $653.20 | $149.12 | 4.38x | $504.08 | $879.1K | 6.7K | 1.2K |
| 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 | 10.2K | $2.6M | $254.31 | 7.41x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 12.7K | $592.1K | $46.48 | 7.41x |
| 77301 | Management of modulation radiotherapy planning | 378 | $493.2K | $1.3K | 3.27x |
| 77427 | Radiation treatment management, 5 treatments | 2.8K | $395.9K | $141.30 | 3.70x |
| 77332 | Radiation treatment devices, design and construction, simple | 4.9K | $159.4K | $32.37 | 8.48x |
| 77338 | Design and construction of device for radiation therapy | 459 | $153.7K | $334.82 | 6.70x |
| 77336 | Radiation therapy consultation per week | 2.2K | $127.9K | $57.51 | 6.09x |
| 77263 | Management of radiation therapy, complex | 692 | $83.5K | $120.69 | 4.59x |
| 77334 | Radiation treatment devices, design and construction, complex | 961 | $51.0K | $53.03 | 6.81x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 312 | $36.5K | $117.07 | 1.88x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 540 | $35.1K | $65.02 | 2.09x |
| 77370 | Radiation therapy consultation | 338 | $30.5K | $90.31 | 6.09x |
| 77295 | Management of radiation therapy, 3D | 178 | $29.9K | $167.71 | 1.56x |
| 77290 | Management of radiation therapy, simulation, complex | 406 | $28.7K | $70.75 | 3.47x |
| 77300 | Calculation of radiation therapy dose | 690 | $25.7K | $37.30 | 5.30x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 183 | $23.3K | $127.24 | 1.67x |
| 77470 | Special radiation treatment procedure | 214 | $17.3K | $80.89 | 2.84x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 192 | $15.5K | $80.95 | 1.66x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 185 | $14.7K | $79.67 | 1.82x |
| 77307 | Radiation therapy plan | 126 | $14.3K | $113.16 | 1.97x |
This provider submits charges 6.31 times higher than what Medicare actually pays.
A markup ratio of 6.31x means for every $100 Medicare pays, this provider initially charges $631. 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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