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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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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Nicolas Zouain
๐ŸŽ—๏ธ
MDIndividual

Nicolas Zouain, MD

NPI: 1861413106
Clearwater, FL
4 years of data
Radiation Oncology
$5.9M
Total Payments
4.3K
Beneficiaries
34.0K
Services
3.07x
Markup Ratio

Peer Comparison

97th
percentile in specialty
This provider$5.9M
Specialty median$300.5K

๐Ÿ“‹ Key Findings

1Billed $5.9M over 4 years
23.07x markup ratio (above median)
397th percentile in Radiation Oncology by payments
4Payments surged 482% in 2021
59 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $5.9M in total Medicare payments ranks in the 97th percentile of Radiation Oncology providers nationally.

Medicare payments to this provider grew 979% 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 482% in 2021

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$876.43$239.173.66x$637.26$226.9K1.3K202
2021$663.81$252.412.63x$411.40$1.3M7.5K971
2022$687.75$247.602.78x$440.15$1.9M11.0K1.4K
2023$655.54$243.732.69x$411.81$2.4M14.3K1.7K

Top Procedures (18)

G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment sessionโš  3.3x markup
$3.4M
12.4K services$278.19/svc3.25x markup
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapyโš  3.2x markup
$576.6K
10.0K services$57.38/svc3.19x markup
77301Management of modulation radiotherapy planning
$447.0K
316 services$1.4K/svc2.62x markup
77427Radiation treatment management, 5 treatments
$398.4K
2.6K services$152.52/svc2.54x markup
77014CT scan guidance for insertion of radiation therapy fields
$231.3K
2.5K services$93.51/svc2.60x markup
77338Design and construction of device for radiation therapy
$219.0K
609 services$359.61/svc2.59x markup
77336Radiation therapy consultation per week
$165.1K
2.6K services$64.20/svc2.44x markup
77418Intensity modulated radiation treatment delivery per sessionโš  3.7x markup
$143.5K
486 services$295.22/svc3.66x markup
99205New patient outpatient visit, total time 60-74 minutesโš  3.3x markup
$67.2K
401 services$167.48/svc3.34x markup
77263Management of radiation therapy, complex
$41.8K
324 services$128.93/svc2.67x markup
77334Radiation treatment devices, design and construction, complex
$31.3K
328 services$95.51/svc2.57x markup
99213Established patient office or other outpatient visit, typically 15 minutesโš  3.5x markup
$28.6K
442 services$64.70/svc3.49x markup
77300Calculation of radiation therapy dose
$26.7K
527 services$50.72/svc2.58x markup
77421X-ray guidance for radiation therapy deliveryโš  3.6x markup
$24.9K
443 services$56.24/svc3.56x markup
77290Management of radiation therapy, simulation, complexโš  3.4x markup
$9.7K
27 services$360.63/svc3.37x markup
77280Management of radiation therapy simulation, simple
$4.6K
23 services$198.55/svc2.45x markup
99204New patient office or other outpatient visit, typically 45 minutesโš  3.2x markup
$1.7K
15 services$116.36/svc3.22x markup
99214Established patient office or other outpatient, visit typically 25 minutesโš  3.3x markup
$873.47
12 services$72.79/svc3.31x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session12.4K$3.4M$278.193.25x
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy10.0K$576.6K$57.383.19x
77301Management of modulation radiotherapy planning316$447.0K$1.4K2.62x
77427Radiation treatment management, 5 treatments2.6K$398.4K$152.522.54x
77014CT scan guidance for insertion of radiation therapy fields2.5K$231.3K$93.512.60x
77338Design and construction of device for radiation therapy609$219.0K$359.612.59x
77336Radiation therapy consultation per week2.6K$165.1K$64.202.44x
77418Intensity modulated radiation treatment delivery per session486$143.5K$295.223.66x
99205New patient outpatient visit, total time 60-74 minutes401$67.2K$167.483.34x
77263Management of radiation therapy, complex324$41.8K$128.932.67x
77334Radiation treatment devices, design and construction, complex328$31.3K$95.512.57x
99213Established patient office or other outpatient visit, typically 15 minutes442$28.6K$64.703.49x
77300Calculation of radiation therapy dose527$26.7K$50.722.58x
77421X-ray guidance for radiation therapy delivery443$24.9K$56.243.56x
77290Management of radiation therapy, simulation, complex27$9.7K$360.633.37x
77280Management of radiation therapy simulation, simple23$4.6K$198.552.45x
99204New patient office or other outpatient visit, typically 45 minutes15$1.7K$116.363.22x
99214Established patient office or other outpatient, visit typically 25 minutes12$873.47$72.793.31x

Markup Analysis

Charge-to-Payment Ratio

3.07x

This provider submits charges 3.07 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.07x means for every $100 Medicare pays, this provider initially charges $307. This is higher than the national average.

Location

Clearwater, FL

Provider Verification

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

Similar Providers

Other Radiation Oncology providers in FL for peer comparison.

Nicolas Zouain (you)
$5.9M
Timothy Kerwin, MD
$42.2M
Scot Ackerman, MD
$37.7M
Constantine Mantz, MD
$33.8M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Timothy Kerwin, MDNaples, FL$42.2Mโœ“ Clear
Scot Ackerman, MDJacksonville, FL$37.7Mโœ“ Clear
Constantine Mantz, MDCape Coral, FL$33.8Mโœ“ Clear

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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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