This provider's $9.7M in total Medicare payments ranks in the 98th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 8.76x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 89% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 98% in 2017
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2016 | $2.2K | $330.30 | 6.80x | $1.9K | $828.8K | 2.2K | 498 |
| 2017 | $1.8K | $279.21 | 6.36x | $1.5K | $1.6M | 4.6K | 1.2K |
| 2018 | $2.1K | $316.24 | 6.68x | $1.8K | $783.7K | 2.3K | 1.0K |
| 2019 | $1.9K | $293.55 | 6.49x | $1.6K | $595.6K | 1.9K | 863 |
| 2020 | $1.9K | $343.96 | 5.50x | $1.5K | $881.6K | 2.0K | 868 |
| 2021 | $2.1K | $291.20 | 7.11x | $1.8K | $1.6M | 2.9K | 817 |
| 2022 | $2.0K | $259.19 | 7.88x | $1.8K | $1.7M | 3.3K | 833 |
| 2023 | $2.1K | $255.15 | 8.09x | $1.8K | $1.6M | 3.1K | 827 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77523 | Proton treatment delivery, intermediate | 6.7K | $5.4M | $807.37 | 9.49x |
| 77525 | Proton treatment delivery, complex | 2.8K | $2.5M | $909.73 | 8.42x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 6.6K | $403.6K | $61.33 | 10.39x |
| 77301 | Management of modulation radiotherapy planning | 198 | $307.2K | $1.6K | 4.14x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 216 | $243.7K | $1.1K | 4.10x |
| 77427 | Radiation treatment management, 5 treatments | 990 | $149.4K | $150.93 | 7.07x |
| A9588 | Fluciclovine f-18, diagnostic, 1 millicurie | 97 | $140.4K | $1.4K | 3.54x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 109 | $93.1K | $854.13 | 9.61x |
| 77336 | Radiation therapy consultation per week | 1.1K | $71.9K | $65.10 | 5.27x |
| 72197 | MRI scan of pelvis before and after contrast | 273 | $60.2K | $220.46 | 14.44x |
| 77280 | Management of radiation therapy simulation, simple | 234 | $51.5K | $220.08 | 2.88x |
| 77263 | Management of radiation therapy, complex | 197 | $26.4K | $134.08 | 7.62x |
| 77470 | Special radiation treatment procedure | 230 | $25.4K | $110.45 | 16.24x |
| 77334 | Radiation treatment devices, design and construction, complex | 218 | $23.1K | $106.11 | 6.69x |
| 70553 | MRI scan of brain before and after contrast | 123 | $21.7K | $176.11 | 17.54x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 154 | $19.8K | $128.43 | 3.86x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 191 | $17.9K | $93.88 | 3.92x |
| 77370 | Radiation therapy consultation | 140 | $13.7K | $97.86 | 4.11x |
| 77300 | Calculation of radiation therapy dose | 252 | $13.4K | $53.10 | 6.87x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 102 | $9.6K | $93.80 | 7.00x |
This provider submits charges 8.76 times higher than what Medicare actually pays.
A markup ratio of 8.76x means for every $100 Medicare pays, this provider initially charges $876. 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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