This provider's $7.7M in total Medicare payments ranks in the 98th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 5.17x is significantly above the specialty median of 5.0x.
Medicare payments to this provider grew 703% from 2014 to 2023.
73% 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 444% 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $371.07 | $96.78 | 3.83x | $274.29 | $139.2K | 2.3K | 1.1K |
| 2015 | $396.29 | $98.99 | 4.00x | $297.30 | $142.5K | 2.2K | 1.0K |
| 2016 | $615.05 | $136.09 | 4.52x | $478.96 | $203.5K | 2.1K | 918 |
| 2017 | $747.51 | $151.69 | 4.93x | $595.82 | $1.1M | 3.2K | 995 |
| 2018 | $1.5K | $217.08 | 7.09x | $1.3K | $913.0K | 2.6K | 1.1K |
| 2019 | $1.4K | $193.86 | 7.03x | $1.2K | $461.0K | 1.8K | 988 |
| 2020 | $1.3K | $192.99 | 6.57x | $1.1K | $1.4M | 3.6K | 1.4K |
| 2021 | $1.4K | $207.65 | 6.57x | $1.2K | $1.1M | 2.8K | 1.2K |
| 2022 | $1.4K | $195.49 | 7.23x | $1.2K | $1.2M | 3.2K | 1.2K |
| 2023 | $1.5K | $204.83 | 7.39x | $1.3K | $1.1M | 2.7K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77523 | Proton treatment delivery, intermediate | 6.4K | $5.6M | $875.38 | 4.66x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 5.0K | $426.9K | $84.98 | 7.22x |
| 77427 | Radiation treatment management, 5 treatments | 1.8K | $280.9K | $157.66 | 3.06x |
| 77301 | Management of modulation radiotherapy planning | 237 | $266.2K | $1.1K | 10.56x |
| 77522 | Proton treatment delivery, simple with compensation | 317 | $233.8K | $737.67 | 5.53x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 4.4K | $216.7K | $48.85 | 9.36x |
| 70553 | MRI scan of brain before and after contrast | 498 | $105.7K | $212.28 | 6.12x |
| 77338 | Design and construction of device for radiation therapy | 330 | $101.7K | $308.14 | 5.98x |
| 77263 | Management of radiation therapy, complex | 624 | $86.7K | $138.96 | 3.45x |
| 77334 | Radiation treatment devices, design and construction, complex | 963 | $61.9K | $64.23 | 5.63x |
| 77295 | Management of radiation therapy, 3D | 291 | $54.1K | $186.02 | 3.82x |
| 77336 | Radiation therapy consultation per week | 746 | $53.8K | $72.10 | 10.68x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 350 | $42.8K | $122.40 | 3.57x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 679 | $34.4K | $50.61 | 4.15x |
| G6017 | Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment | 527 | $28.9K | $54.79 | 9.38x |
| 77470 | Special radiation treatment procedure | 284 | $28.5K | $100.42 | 4.56x |
| 77300 | Calculation of radiation therapy dose | 695 | $26.1K | $37.56 | 4.92x |
| 77290 | Management of radiation therapy, simulation, complex | 256 | $17.1K | $66.64 | 3.77x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 163 | $13.8K | $84.37 | 3.32x |
| 77421 | X-ray guidance for radiation therapy delivery | 772 | $12.7K | $16.47 | 3.73x |
This provider submits charges 5.17 times higher than what Medicare actually pays.
A markup ratio of 5.17x means for every $100 Medicare pays, this provider initially charges $517. 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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