This provider's $3.5M in total Medicare payments ranks in the 96th percentile of Radiation Oncology providers nationally.
Medicare payments to this provider grew 7730% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 521% in 2020
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $273.88 | $75.55 | 3.63x | $198.33 | $20.6K | 401 | 176 |
| 2020 | $436.95 | $121.67 | 3.59x | $315.28 | $128.1K | 1.7K | 824 |
| 2021 | $596.82 | $156.97 | 3.80x | $439.85 | $252.6K | 2.0K | 728 |
| 2022 | $724.32 | $172.27 | 4.20x | $552.05 | $1.5M | 8.9K | 2.0K |
| 2023 | $612.49 | $151.88 | 4.03x | $460.61 | $1.6M | 9.7K | 2.6K |
| 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 | 6.1K | $1.6M | $267.11 | 4.87x |
| 77373 | Cranial lesion surgery using radiation over multiple sessions | 621 | $453.1K | $729.67 | 4.63x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 7.3K | $315.7K | $43.08 | 4.74x |
| 77301 | Management of modulation radiotherapy planning | 450 | $284.6K | $632.50 | 4.60x |
| 77427 | Radiation treatment management, 5 treatments | 1.6K | $232.3K | $145.37 | 3.06x |
| 77338 | Design and construction of device for radiation therapy | 501 | $86.3K | $172.17 | 5.31x |
| 77336 | Continuing radiation therapy consultation per week | 1.3K | $79.5K | $60.49 | 3.34x |
| 99205 | New patient outpatient visit, total time 60-74 minutes | 489 | $75.8K | $155.07 | 2.63x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 155 | $75.8K | $488.87 | 3.21x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | 427 | $75.4K | $176.60 | 3.43x |
| 77263 | Management of radiation therapy, complex | 586 | $74.7K | $127.47 | 3.89x |
| 77295 | Management of radiation therapy, 3D | 167 | $28.9K | $172.77 | 3.79x |
| 77432 | Stereotactic radiation treatment management of brain lesions, complete course of treatment consisting of 1 session | 57 | $18.5K | $325.20 | 3.67x |
| 77300 | Calculation of radiation therapy dose | 732 | $18.0K | $24.58 | 5.57x |
| 77334 | Radiation treatment devices, design and construction, complex | 376 | $17.3K | $46.10 | 4.38x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 793 | $17.0K | $21.46 | 4.29x |
| 77470 | Special radiation treatment procedure | 203 | $11.9K | $58.65 | 10.12x |
| 77370 | Special medical radiation therapy consultation | 115 | $11.0K | $95.77 | 3.23x |
| 77290 | Management of radiation therapy, simulation, complex | 119 | $9.7K | $81.85 | 3.91x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 139 | $8.6K | $61.94 | 2.22x |
This provider submits charges 4.5 times higher than what Medicare actually pays.
A markup ratio of 4.5x means for every $100 Medicare pays, this provider initially charges $450. 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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