This provider's $5.8M in total Medicare payments ranks in the 97th percentile of Radiation Oncology providers nationally.
Medicare payments to this provider grew 61668% from 2018 to 2023.
73% of their billing comes from a single procedure code (77523 — Proton treatment delivery, intermediate).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 54673% in 2019
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 |
|---|---|---|---|---|---|---|---|
| 2018 | $862.18 | $140.03 | 6.16x | $722.15 | $1.5K | 11 | 11 |
| 2019 | $1.2K | $303.02 | 4.12x | $946.64 | $843.7K | 2.2K | 677 |
| 2020 | $1.5K | $254.20 | 6.01x | $1.3K | $1.5M | 4.0K | 1.0K |
| 2021 | $1.1K | $266.92 | 4.30x | $881.63 | $1.6M | 3.6K | 925 |
| 2022 | $1.2K | $271.37 | 4.48x | $944.49 | $910.4K | 2.3K | 617 |
| 2023 | $1.2K | $263.17 | 4.62x | $952.96 | $951.4K | 2.5K | 644 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 77523 | Proton treatment delivery, intermediate | 4.3K | $4.2M | $980.05 | 3.79x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 4.8K | $371.6K | $77.52 | 3.92x |
| 55874 | Injection of biodegradable material next to prostate | 156 | $362.0K | $2.3K | 4.63x |
| 77301 | Management of modulation radiotherapy planning | 243 | $274.4K | $1.1K | 4.42x |
| 77427 | Radiation treatment management, 5 treatments | 803 | $122.2K | $152.20 | 4.04x |
| 77338 | Design and construction of device for radiation therapy | 244 | $77.0K | $315.53 | 4.12x |
| 77336 | Radiation therapy consultation per week | 836 | $54.8K | $65.52 | 3.74x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 368 | $54.4K | $147.75 | 4.59x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 710 | $43.0K | $60.63 | 3.86x |
| 77263 | Management of radiation therapy, complex | 284 | $37.5K | $132.01 | 4.29x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 336 | $27.5K | $81.71 | 4.22x |
| 77772 | High dose brachytherapy , more than 12 channels | 112 | $25.6K | $228.21 | 4.53x |
| 76873 | Ultrasound of prostate | 145 | $20.5K | $141.29 | 3.75x |
| 77295 | Management of radiation therapy, 3D | 94 | $16.9K | $179.68 | 4.62x |
| 99213 | Established patient outpatient visit, total time 20-29 minutes | 181 | $10.7K | $58.97 | 4.12x |
| 77300 | Calculation of radiation therapy dose | 250 | $10.7K | $42.63 | 4.05x |
| 55876 | Insertion of radiation therapy devices in prostate gland for radiation therapy guidance | 165 | $10.3K | $62.71 | 6.37x |
| 77334 | Radiation treatment devices, design and construction, complex | 110 | $9.6K | $87.02 | 4.05x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 57 | $5.2K | $90.93 | 5.08x |
| 77290 | Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved | 39 | $2.6K | $66.31 | 4.74x |
This provider submits charges 3.92 times higher than what Medicare actually pays.
A markup ratio of 3.92x means for every $100 Medicare pays, this provider initially charges $392. 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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