This provider's $3.9M in total Medicare payments ranks in the 96th percentile of Radiation Oncology providers nationally.
Medicare payments to this provider grew 472% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 231% 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 | $752.54 | $238.61 | 3.15x | $513.93 | $213.2K | 993 | 276 |
| 2020 | $810.02 | $255.30 | 3.17x | $554.72 | $706.0K | 3.3K | 966 |
| 2021 | $876.93 | $290.58 | 3.02x | $586.35 | $561.9K | 2.5K | 704 |
| 2022 | $1.3K | $331.90 | 3.93x | $973.31 | $1.2M | 4.7K | 2.0K |
| 2023 | $1.2K | $300.37 | 4.01x | $904.43 | $1.2M | 4.7K | 1.9K |
| 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 | 4.0K | $1.1M | $282.20 | 4.76x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 601 | $506.0K | $841.98 | 4.06x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 4.4K | $418.7K | $94.85 | 3.79x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 333 | $399.2K | $1.2K | 3.81x |
| 77301 | Management of modulation radiotherapy planning | 215 | $305.3K | $1.4K | 3.78x |
| 77290 | Management of radiation therapy, simulation, complex | 429 | $156.4K | $364.68 | 3.26x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | 730 | $141.2K | $193.40 | 3.29x |
| 77427 | Radiation treatment management, 5 treatments | 768 | $114.9K | $149.56 | 3.46x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev | 464 | $89.5K | $192.92 | 3.22x |
| 77338 | Design and construction of device for radiation therapy | 221 | $79.7K | $360.65 | 3.71x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 314 | $78.5K | $249.99 | 1.67x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 295 | $49.4K | $167.50 | 3.32x |
| 77336 | Radiation therapy consultation per week | 732 | $46.6K | $63.71 | 3.53x |
| 77263 | Management of radiation therapy, complex | 312 | $40.8K | $130.73 | 3.42x |
| 78816 | Nuclear medicine study whole body with ct scan | 31 | $37.7K | $1.2K | 3.75x |
| 77334 | Radiation treatment devices, design and construction, complex | 336 | $32.7K | $97.47 | 3.62x |
| 99215 | Established patient outpatient visit, total time 40-54 minutes | 223 | $30.3K | $136.06 | 3.01x |
| 77435 | Management of cranial lesion surgery using radiation over multiple sessions | 58 | $28.9K | $498.54 | 3.88x |
| 55874 | Injection of biodegradable material next to prostate | 11 | $25.3K | $2.3K | 3.95x |
| 77280 | Management of radiation therapy simulation, simple | 110 | $23.8K | $216.19 | 2.69x |
This provider submits charges 3.99 times higher than what Medicare actually pays.
A markup ratio of 3.99x means for every $100 Medicare pays, this provider initially charges $399. 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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