This provider's $5.5M in total Medicare payments ranks in the 90th percentile of Radiation Therapy Center providers nationally.
Their average markup ratio of 13.91x is significantly above the specialty median of 7.1x.
Medicare payments to this provider grew 73% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 51% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $3.2K | $205.05 | 15.42x | $3.0K | $413.7K | 2.8K | 553 |
| 2017 | $3.3K | $218.49 | 14.92x | $3.0K | $624.2K | 4.1K | 719 |
| 2018 | $3.3K | $214.36 | 15.42x | $3.1K | $682.6K | 4.1K | 750 |
| 2019 | $4.1K | $244.48 | 16.85x | $3.9K | $725.9K | 4.2K | 855 |
| 2020 | $4.1K | $224.60 | 18.18x | $3.9K | $607.8K | 3.7K | 854 |
| 2021 | $3.7K | $233.42 | 15.70x | $3.4K | $862.8K | 4.7K | 995 |
| 2022 | $3.5K | $247.93 | 14.03x | $3.2K | $829.2K | 4.6K | 1.2K |
| 2023 | $3.6K | $247.87 | 14.54x | $3.4K | $714.0K | 4.1K | 1.0K |
| 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 | 7.1K | $1.9M | $274.27 | 13.03x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev | 3.4K | $664.1K | $196.24 | 7.12x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | 3.0K | $580.6K | $195.10 | 7.20x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 5.1K | $370.9K | $73.14 | 27.18x |
| 77301 | Management of modulation radiotherapy planning | 294 | $366.0K | $1.2K | 13.18x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 378 | $328.4K | $868.89 | 22.27x |
| 77290 | Management of radiation therapy, simulation, complex | 577 | $189.1K | $327.72 | 7.49x |
| 77336 | Radiation therapy consultation per week | 2.8K | $175.7K | $62.14 | 27.20x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 3.3K | $140.3K | $43.16 | 8.57x |
| 77295 | Management of radiation therapy, 3D | 465 | $117.4K | $252.57 | 47.98x |
| 77427 | Radiation treatment management, 5 treatments | 758 | $110.9K | $146.24 | 3.23x |
| 77280 | Management of radiation therapy simulation, simple | 572 | $107.7K | $188.30 | 4.66x |
| 77338 | Design and construction of device for radiation therapy | 336 | $87.4K | $260.25 | 4.68x |
| 77334 | Radiation treatment devices, design and construction, complex | 1.0K | $67.8K | $65.65 | 30.17x |
| G6017 | Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment | 928 | $52.2K | $56.24 | 8.07x |
| 77293 | Respiratory motion management simulation | 137 | $40.4K | $294.63 | 2.58x |
| 99215 | Established patient outpatient visit, total time 40-54 minutes | 258 | $32.4K | $125.71 | 2.84x |
| 77263 | Management of radiation therapy, complex | 231 | $30.0K | $129.94 | 3.86x |
| 77300 | Calculation of radiation therapy dose | 865 | $29.6K | $34.25 | 40.48x |
| 77307 | Radiation therapy plan | 152 | $19.7K | $129.53 | 39.87x |
This provider submits charges 13.91 times higher than what Medicare actually pays.
A markup ratio of 13.91x means for every $100 Medicare pays, this provider initially charges $1391. 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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