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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. James Gray
๐ŸŽ—๏ธ
MDIndividual

James Gray, M.D.

NPI: 1841219938
Nashville, TN
10 years of data
Radiation Oncology
$29.0M
Total Payments
214
Beneficiaries
91.1K
Services
4.76x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$29.0M
Specialty median$300.5K

๐Ÿ“‹ Key Findings

1Billed $29.0M over 10 years
24.76x markup ratio (above median)
399th percentile in Radiation Oncology by payments
4Payments surged 634% in 2018
511 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $29.0M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.

Medicare payments to this provider grew 1863% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 634% in 2018

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$148.35$62.852.36x$85.50$249.7K4.0K24
2015$164.50$61.982.65x$102.52$218.3K3.5K25
2016$161.22$59.002.73x$102.22$188.1K3.2K21
2017$151.93$61.032.49x$90.90$236.2K3.9K23
2018$1.5K$288.915.09x$1.2K$1.7M6.0K34
2019$1.8K$347.825.22x$1.5K$5.4M15.4K16
2020$1.8K$338.775.42x$1.5K$5.6M16.5K21
2021$1.9K$386.994.88x$1.5K$5.8M15.0K17
2022$2.0K$414.064.90x$1.6K$4.7M11.5K17
2023$1.4K$405.593.49x$1.0K$4.9M12.1K16

Top Procedures (20)

77523Intermediate proton beam radiation treatmentโš  4.6x markup
$12.8M
14.8K services$866.50/svc4.59x markup
77525Proton treatment delivery, complexโš  5.7x markup
$8.0M
9.5K services$843.90/svc5.69x markup
55874Injection of biodegradable material next to prostateโš  3.0x markup
$1.8M
832 services$2.2K/svc3.05x markup
77301High precision radiation therapy planningโš  4.9x markup
$1.5M
1.3K services$1.2K/svc4.86x markup
77014Ct guidance for insertion of radiation therapy fieldsโš  5.1x markup
$1.5M
17.6K services$85.20/svc5.07x markup
77427Radiation treatment management, 5 treatment sessionsโš  4.1x markup
$882.5K
6.2K services$142.50/svc4.08x markup
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapyโš  5.1x markup
$467.4K
9.8K services$47.75/svc5.08x markup
77336Continuing radiation therapy consultation per week
$306.6K
5.3K services$58.01/svc2.70x markup
77332Radiation treatment devices, design and construction, simpleโš  8.1x markup
$203.9K
5.8K services$35.47/svc8.07x markup
77263Complex radiation therapy planningโš  3.6x markup
$184.3K
1.5K services$123.71/svc3.65x markup
A4648Tissue marker, implantable, any type, each
$169.5K
2.5K services$67.68/svc1.43x markup
99205New patient office or other outpatient visit, 60-74 minutes
$155.0K
1.1K services$142.04/svc2.16x markup
77373Cranial lesion surgery using radiation over multiple sessionsโš  5.4x markup
$131.1K
183 services$716.66/svc5.44x markup
77300Calculation of radiation therapy dose
$101.4K
4.1K services$24.57/svc2.34x markup
99213Established patient office or other outpatient visit, 20-29 minutes
$95.9K
2.0K services$47.87/svc2.34x markup
77334Design and construction of complex radiation treatment device
$80.3K
1.6K services$50.66/svc2.81x markup
77435Management of cranial lesion surgery using radiation over multiple sessions
$76.7K
163 services$470.52/svc2.30x markup
77295Management of radiation therapy, 3D
$71.3K
435 services$163.82/svc2.30x markup
77778Application of radiation source, complex
$67.0K
180 services$372.45/svc2.83x markup
55876Placement of device in prostate for radiation therapyโš  6.9x markup
$62.6K
1.0K services$60.82/svc6.90x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
77523Intermediate proton beam radiation treatment14.8K$12.8M$866.504.59x
77525Proton treatment delivery, complex9.5K$8.0M$843.905.69x
55874Injection of biodegradable material next to prostate832$1.8M$2.2K3.05x
77301High precision radiation therapy planning1.3K$1.5M$1.2K4.86x
77014Ct guidance for insertion of radiation therapy fields17.6K$1.5M$85.205.07x
77427Radiation treatment management, 5 treatment sessions6.2K$882.5K$142.504.08x
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy9.8K$467.4K$47.755.08x
77336Continuing radiation therapy consultation per week5.3K$306.6K$58.012.70x
77332Radiation treatment devices, design and construction, simple5.8K$203.9K$35.478.07x
77263Complex radiation therapy planning1.5K$184.3K$123.713.65x
A4648Tissue marker, implantable, any type, each2.5K$169.5K$67.681.43x
99205New patient office or other outpatient visit, 60-74 minutes1.1K$155.0K$142.042.16x
77373Cranial lesion surgery using radiation over multiple sessions183$131.1K$716.665.44x
77300Calculation of radiation therapy dose4.1K$101.4K$24.572.34x
99213Established patient office or other outpatient visit, 20-29 minutes2.0K$95.9K$47.872.34x
77334Design and construction of complex radiation treatment device1.6K$80.3K$50.662.81x
77435Management of cranial lesion surgery using radiation over multiple sessions163$76.7K$470.522.30x
77295Management of radiation therapy, 3D435$71.3K$163.822.30x
77778Application of radiation source, complex180$67.0K$372.452.83x
55876Placement of device in prostate for radiation therapy1.0K$62.6K$60.826.90x

Markup Analysis

Charge-to-Payment Ratio

4.76x

This provider submits charges 4.76 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.76x means for every $100 Medicare pays, this provider initially charges $476. This is higher than the national average.

Location

Nashville, TN

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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