This provider's $8.0M 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 176% in 2015
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 | $405.46 | $238.50 | 1.70x | $166.96 | $512.5K | 1.4K | 432 |
| 2015 | $358.14 | $198.04 | 1.81x | $160.10 | $1.4M | 4.4K | 1.1K |
| 2016 | $458.18 | $224.77 | 2.04x | $233.41 | $788.8K | 4.8K | 636 |
| 2017 | $442.11 | $222.97 | 1.98x | $219.14 | $1.1M | 6.5K | 812 |
| 2018 | $427.45 | $202.55 | 2.11x | $224.90 | $972.8K | 5.7K | 782 |
| 2019 | $442.20 | $233.69 | 1.89x | $208.51 | $887.5K | 5.1K | 665 |
| 2020 | $502.19 | $232.53 | 2.16x | $269.66 | $650.0K | 3.7K | 542 |
| 2021 | $523.65 | $240.65 | 2.18x | $283.00 | $601.1K | 3.3K | 477 |
| 2022 | $523.74 | $226.23 | 2.32x | $297.51 | $594.5K | 2.9K | 383 |
| 2023 | $562.18 | $189.06 | 2.97x | $373.12 | $533.4K | 2.2K | 282 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77280 | Management of radiation therapy simulation, simple | 15.4K | $3.3M | $211.66 | 1.67x |
| 0394T | High dose rate electronic brachytherapy | 15.5K | $1.9M | $124.35 | 4.32x |
| 0182T | High dose rate electronic brachytherapy | 1.2K | $1.4M | $1.2K | 1.68x |
| 77290 | Management of radiation therapy, simulation, complex | 2.7K | $988.8K | $362.07 | 2.48x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.7K | $141.1K | $84.14 | 1.94x |
| 17999 | Skin, mucus membrane and beneath the skin procedure | 1.0K | $107.2K | $105.32 | 5.05x |
| 77285 | Management of radiation therapy, simulation, intermediate | 224 | $74.9K | $334.37 | 1.56x |
| 77300 | Calculation of radiation therapy dose | 1.2K | $58.8K | $50.27 | 1.71x |
| 77427 | Radiation treatment management, 5 treatments | 252 | $36.6K | $145.33 | 1.69x |
| 77336 | Radiation therapy consultation per week | 252 | $15.0K | $59.51 | 1.60x |
| 77334 | Radiation treatment devices, design and construction, complex | 124 | $14.7K | $118.36 | 1.70x |
| 77263 | Management of radiation therapy, complex | 81 | $10.2K | $125.32 | 1.80x |
| 77332 | Radiation treatment devices, design and construction, simple | 145 | $9.3K | $63.89 | 1.64x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 136 | $7.3K | $54.01 | 2.04x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 42 | $4.8K | $114.60 | 1.61x |
| 77261 | Management of radiation therapy, simple | 43 | $2.5K | $58.04 | 2.02x |
| 77262 | Management of radiation therapy, intermediate | 23 | $2.0K | $88.34 | 2.21x |
This provider submits charges 2.46 times higher than what Medicare actually pays.
A markup ratio of 2.46x means for every $100 Medicare pays, this provider initially charges $246. 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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