This provider's $18.1M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 8.52x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 3691% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1080% 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 | $649.50 | $105.13 | 6.18x | $544.37 | $53.8K | 574 | 409 |
| 2015 | $577.55 | $92.84 | 6.22x | $484.71 | $104.8K | 1.5K | 622 |
| 2016 | $1.6K | $247.93 | 6.36x | $1.3K | $1.2M | 3.5K | 854 |
| 2017 | $1.5K | $247.20 | 6.15x | $1.3K | $2.3M | 6.3K | 1.8K |
| 2018 | $2.0K | $303.07 | 6.75x | $1.7K | $3.1M | 8.2K | 2.0K |
| 2019 | $2.1K | $312.66 | 6.67x | $1.8K | $2.6M | 6.9K | 1.7K |
| 2020 | $2.0K | $359.09 | 5.57x | $1.6K | $2.4M | 6.4K | 1.6K |
| 2021 | $2.0K | $293.49 | 6.81x | $1.7K | $2.1M | 5.9K | 1.5K |
| 2022 | $2.0K | $280.75 | 7.23x | $1.7K | $2.2M | 6.4K | 1.8K |
| 2023 | $2.0K | $279.06 | 7.18x | $1.7K | $2.0M | 6.2K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77523 | Proton treatment delivery, intermediate | 10.2K | $8.2M | $802.78 | 9.54x |
| 77525 | Proton treatment delivery, complex | 5.8K | $5.3M | $908.77 | 8.43x |
| 77301 | Management of modulation radiotherapy planning | 813 | $1.2M | $1.5K | 4.22x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 17.2K | $1.1M | $61.29 | 10.33x |
| 77427 | Radiation treatment management, 5 treatments | 3.9K | $583.4K | $151.50 | 6.82x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 246 | $278.0K | $1.1K | 4.13x |
| 77336 | Radiation therapy consultation per week | 3.6K | $235.5K | $66.11 | 5.19x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 219 | $209.7K | $957.45 | 8.57x |
| 77280 | Management of radiation therapy simulation, simple | 647 | $114.7K | $177.24 | 2.90x |
| 77263 | Management of radiation therapy, complex | 763 | $102.0K | $133.67 | 7.36x |
| 77293 | Respiratory motion management simulation | 241 | $88.1K | $365.46 | 5.03x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 665 | $84.9K | $127.69 | 3.83x |
| 77470 | Special radiation treatment procedure | 782 | $83.3K | $106.57 | 15.52x |
| 77334 | Radiation treatment devices, design and construction, complex | 785 | $74.6K | $95.07 | 6.72x |
| 77300 | Calculation of radiation therapy dose | 1.2K | $60.7K | $49.89 | 6.69x |
| 72197 | MRI scan of pelvis before and after contrast | 269 | $58.2K | $216.34 | 14.73x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 550 | $47.3K | $86.01 | 4.06x |
| 77370 | Radiation therapy consultation | 419 | $41.9K | $100.00 | 4.02x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 12 | $40.5K | $3.4K | 2.99x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 263 | $39.9K | $151.71 | 3.76x |
This provider submits charges 8.52 times higher than what Medicare actually pays.
A markup ratio of 8.52x means for every $100 Medicare pays, this provider initially charges $852. 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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