This provider's $8.9M in total Medicare payments ranks in the 98th percentile of Radiation Oncology providers nationally.
Medicare payments to this provider grew 71% from 2014 to 2023.
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 | $820.50 | $185.64 | 4.42x | $634.86 | $650.0K | 4.1K | 2.1K |
| 2015 | $775.25 | $178.40 | 4.35x | $596.85 | $623.7K | 3.9K | 2.1K |
| 2016 | $941.68 | $221.84 | 4.24x | $719.84 | $676.7K | 3.8K | 2.0K |
| 2017 | $1.0K | $231.96 | 4.33x | $771.66 | $925.3K | 4.4K | 2.8K |
| 2018 | $1.1K | $257.07 | 4.30x | $848.72 | $1.0M | 4.5K | 2.5K |
| 2019 | $1.1K | $246.88 | 4.45x | $851.08 | $986.0K | 4.5K | 2.3K |
| 2020 | $1.1K | $256.17 | 4.37x | $863.00 | $963.0K | 4.2K | 2.2K |
| 2021 | $1.1K | $258.21 | 4.27x | $843.81 | $1.0M | 3.8K | 2.2K |
| 2022 | $1.1K | $273.32 | 4.07x | $838.09 | $896.4K | 3.3K | 1.9K |
| 2023 | $1.2K | $281.64 | 4.17x | $892.64 | $1.1M | 3.6K | 2.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 1.8K | $2.1M | $1.1K | 3.44x |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 4.7K | $1.4M | $291.62 | 4.18x |
| 77301 | Management of modulation radiotherapy planning | 443 | $679.9K | $1.5K | 3.94x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2.0K | $465.8K | $228.47 | 2.79x |
| 78816 | Nuclear medicine study with CT imaging whole body | 372 | $416.6K | $1.1K | 3.45x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 4.7K | $408.9K | $86.66 | 4.84x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 318 | $313.0K | $984.17 | 4.85x |
| 77427 | Radiation treatment management, 5 treatments | 1.7K | $250.8K | $147.12 | 3.56x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev | 1.2K | $246.4K | $205.89 | 3.80x |
| 77338 | Design and construction of device for radiation therapy | 580 | $227.9K | $392.90 | 3.93x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev | 987 | $202.1K | $204.76 | 3.39x |
| 77295 | Management of radiation therapy, 3D | 661 | $195.7K | $296.09 | 7.34x |
| 77418 | Intensity modulated radiation treatment delivery per session | 526 | $164.9K | $313.56 | 5.58x |
| 77336 | Radiation therapy consultation per week | 2.5K | $152.9K | $62.40 | 4.17x |
| 77290 | Management of radiation therapy, simulation, complex | 381 | $148.1K | $388.80 | 3.56x |
| 77263 | Management of radiation therapy, complex | 1.1K | $142.6K | $130.00 | 3.46x |
| 74177 | CT scan of abdomen and pelvis with contrast | 686 | $122.3K | $178.22 | 4.10x |
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 129 | $107.8K | $835.45 | 3.38x |
| 77432 | Stereotactic radiation treatment management of brain lesions, complete course of treatment consisting of 1 session | 299 | $99.1K | $331.27 | 3.44x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 620 | $98.6K | $159.01 | 3.23x |
This provider submits charges 4.05 times higher than what Medicare actually pays.
A markup ratio of 4.05x means for every $100 Medicare pays, this provider initially charges $405. 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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