This provider's $14.3M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 6.14x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 2198% from 2014 to 2023.
68% of their billing comes from a single procedure code (77523 — Proton treatment delivery, intermediate).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 865% in 2019
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 | $642.91 | $92.11 | 6.98x | $550.80 | $111.0K | 2.0K | 897 |
| 2015 | $640.53 | $91.76 | 6.98x | $548.77 | $117.9K | 2.1K | 898 |
| 2016 | $648.05 | $97.07 | 6.68x | $550.98 | $144.8K | 2.6K | 1.1K |
| 2017 | $630.91 | $96.94 | 6.51x | $533.97 | $123.3K | 2.1K | 986 |
| 2018 | $790.84 | $120.56 | 6.56x | $670.28 | $154.3K | 1.5K | 442 |
| 2019 | $1.4K | $266.90 | 5.21x | $1.1K | $1.5M | 4.9K | 1.2K |
| 2020 | $1.4K | $266.35 | 5.32x | $1.2K | $3.3M | 10.9K | 2.7K |
| 2021 | $1.6K | $285.21 | 5.57x | $1.3K | $3.5M | 12.5K | 3.2K |
| 2022 | $1.6K | $261.55 | 5.96x | $1.3K | $2.8M | 10.4K | 2.9K |
| 2023 | $1.2K | $196.94 | 5.95x | $974.03 | $2.6M | 10.1K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77523 | Proton treatment delivery, intermediate | 13.7K | $9.4M | $690.34 | 6.28x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 17.7K | $816.0K | $46.04 | 5.86x |
| 55874 | Injection of biodegradable material next to prostate | 327 | $731.9K | $2.2K | 5.66x |
| 77427 | Radiation treatment management, 5 treatments | 4.9K | $725.1K | $146.99 | 5.87x |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 1.4K | $344.3K | $253.14 | 8.70x |
| 77295 | Management of radiation therapy, 3D | 763 | $254.5K | $333.61 | 6.46x |
| 77336 | Radiation therapy consultation per week | 3.8K | $223.5K | $58.27 | 4.98x |
| 77290 | Management of radiation therapy, simulation, complex | 685 | $203.3K | $296.76 | 5.65x |
| 77280 | Management of radiation therapy simulation, simple | 986 | $151.7K | $153.81 | 5.51x |
| 77334 | Radiation treatment devices, design and construction, complex | 1.7K | $150.7K | $86.17 | 5.95x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 910 | $142.2K | $156.27 | 4.42x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 1.6K | $128.4K | $81.81 | 5.17x |
| 77263 | Management of radiation therapy, complex | 804 | $104.0K | $129.36 | 6.35x |
| 77525 | Proton treatment delivery, complex | 131 | $101.0K | $770.82 | 5.71x |
| 77301 | Management of modulation radiotherapy planning | 131 | $85.9K | $655.51 | 6.03x |
| A4648 | Tissue marker, implantable, any type, each | 381 | $68.4K | $179.62 | 2.11x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 801 | $66.6K | $83.19 | 3.59x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.2K | $64.5K | $55.10 | 4.35x |
| 77307 | Radiation therapy plan | 284 | $61.1K | $215.02 | 5.13x |
| 77370 | Radiation therapy consultation | 613 | $56.3K | $91.87 | 4.95x |
This provider submits charges 6.14 times higher than what Medicare actually pays.
A markup ratio of 6.14x means for every $100 Medicare pays, this provider initially charges $614. 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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