This provider's $23.2M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $1.5K | $322.78 | 4.52x | $1.1K | $2.2M | 8.6K | 1.2K |
| 2015 | $982.85 | $334.29 | 2.94x | $648.56 | $2.6M | 9.7K | 1.4K |
| 2016 | $908.90 | $334.12 | 2.72x | $574.78 | $2.2M | 8.9K | 1.1K |
| 2017 | $876.00 | $331.89 | 2.64x | $544.11 | $1.8M | 7.7K | 1.0K |
| 2018 | $1.3K | $513.60 | 2.60x | $819.52 | $2.4M | 8.9K | 1.3K |
| 2019 | $1.4K | $541.26 | 2.57x | $848.14 | $2.4M | 9.0K | 1.3K |
| 2020 | $1.3K | $517.26 | 2.53x | $792.61 | $2.3M | 8.8K | 1.3K |
| 2021 | $1.3K | $536.84 | 2.47x | $789.42 | $2.3M | 8.3K | 1.2K |
| 2022 | $1.2K | $474.57 | 2.57x | $744.20 | $2.5M | 9.4K | 1.3K |
| 2023 | $1.3K | $495.42 | 2.56x | $772.60 | $2.6M | 9.9K | 1.5K |
| 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 | 28.8K | $11.3M | $390.68 | 2.59x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 32.1K | $3.9M | $120.76 | 2.89x |
| 77301 | Management of modulation radiotherapy planning | 770 | $1.5M | $2.0K | 2.83x |
| 77418 | Intensity modulated radiation treatment delivery per session | 3.0K | $1.3M | $424.43 | 4.82x |
| 77427 | Radiation treatment management, 5 treatments | 6.6K | $1.1M | $170.69 | 2.77x |
| 55874 | Injection of biodegradable material next to prostate | 313 | $1.1M | $3.4K | 2.55x |
| 77338 | Design and construction of device for radiation therapy | 1.5K | $731.5K | $488.63 | 2.82x |
| 77336 | Radiation therapy consultation per week | 6.6K | $556.8K | $84.79 | 2.56x |
| 77280 | Management of radiation therapy simulation, simple | 1.6K | $451.8K | $287.76 | 2.61x |
| 77290 | Management of radiation therapy, simulation, complex | 757 | $387.8K | $512.25 | 2.87x |
| 77307 | Radiation therapy plan | 686 | $193.1K | $281.48 | 2.54x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 972 | $183.1K | $188.35 | 2.62x |
| 77263 | Management of radiation therapy, complex | 795 | $118.6K | $149.21 | 2.79x |
| 77334 | Radiation treatment devices, design and construction, complex | 871 | $115.2K | $132.24 | 2.80x |
| 77300 | Calculation of radiation therapy dose | 1.6K | $102.0K | $64.85 | 2.84x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 990 | $61.4K | $62.05 | 2.99x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 692 | $52.9K | $76.46 | 2.51x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 252 | $27.2K | $107.86 | 2.83x |
| 77470 | Special radiation treatment procedure | 167 | $24.7K | $148.13 | 3.67x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 127 | $18.5K | $145.34 | 2.68x |
This provider submits charges 2.81 times higher than what Medicare actually pays.
A markup ratio of 2.81x means for every $100 Medicare pays, this provider initially charges $281. 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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