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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. Eric Sutphen
๐ŸŽ—๏ธ
MDIndividual

Eric Sutphen, MD

NPI: 1932170859
Saint Louis, MO
10 years of data
Radiation Oncology
$13.8M
Total Payments
8.2K
Beneficiaries
76.6K
Services
3.41x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$13.8M
Specialty median$300.5K

๐Ÿ“‹ Key Findings

1Billed $13.8M over 10 years
23.41x markup ratio (above median)
399th percentile in Radiation Oncology by payments
4Payments surged 137% in 2015
511 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $13.8M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.

Medicare payments to this provider grew 204% 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 137% in 2015

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$549.06$189.372.90x$359.69$633.4K4.9K1.3K
2015$951.05$305.363.11x$645.69$1.5M8.0K769
2016$897.08$301.262.98x$595.82$1.3M7.4K650
2017$895.08$297.263.01x$597.82$1.2M7.1K695
2018$906.38$312.042.90x$594.34$1.4M8.1K723
2019$810.77$309.142.62x$501.63$925.7K5.1K503
2020$784.82$313.182.51x$471.64$1.2M6.4K606
2021$1.0K$272.683.71x$739.84$2.0M10.2K1.1K
2022$1.1K$274.873.94x$806.87$1.7M8.8K879
2023$1.1K$269.723.98x$804.75$1.9M10.7K973

Top Procedures (20)

G6015Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment sessionโš  3.5x markup
$7.8M
28.4K services$275.41/svc3.48x markup
77014CT scan guidance for insertion of radiation therapy fieldsโš  3.5x markup
$2.6M
28.2K services$92.25/svc3.46x markup
77301Management of modulation radiotherapy planningโš  3.3x markup
$982.3K
705 services$1.4K/svc3.26x markup
77427Radiation treatment management, 5 treatmentsโš  3.3x markup
$878.6K
6.0K services$145.88/svc3.33x markup
77338Design and construction of device for radiation therapyโš  3.2x markup
$387.0K
1.1K services$367.20/svc3.24x markup
77336Radiation therapy consultation per weekโš  3.1x markup
$360.0K
5.9K services$61.46/svc3.14x markup
77418Intensity modulated radiation treatment delivery per sessionโš  3.3x markup
$268.1K
914 services$293.30/svc3.26x markup
99205New patient office or other outpatient visit, typically 60 minutes
$126.1K
795 services$158.67/svc2.94x markup
77263Management of radiation therapy, complexโš  3.3x markup
$95.6K
772 services$123.83/svc3.27x markup
G6001Ultrasonic guidance for placement of radiation therapy fields
$92.2K
753 services$122.48/svc2.85x markup
77300Calculation of radiation therapy doseโš  3.4x markup
$55.0K
1.2K services$47.83/svc3.35x markup
77435Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course
$35.1K
75 services$467.93/svc2.80x markup
77290Management of radiation therapy, simulation, complexโš  3.0x markup
$34.8K
190 services$183.29/svc3.02x markup
77421X-ray guidance for radiation therapy delivery
$15.7K
1.1K services$14.32/svc2.65x markup
99204New patient office or other outpatient visit, typically 45 minutes
$10.0K
102 services$98.42/svc2.66x markup
77295Management of radiation therapy, 3D
$9.6K
60 services$160.41/svc2.81x markup
77334Radiation treatment devices, design and construction, complex
$7.6K
163 services$46.61/svc2.62x markup
77470Special radiation treatment procedure
$6.3K
80 services$78.55/svc2.64x markup
99222Initial hospital inpatient care, typically 50 minutes per day
$3.0K
29 services$102.58/svc2.48x markup
99213Established patient office or other outpatient visit, typically 15 minutesโš  3.5x markup
$2.7K
81 services$33.60/svc3.54x 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 session28.4K$7.8M$275.413.48x
77014CT scan guidance for insertion of radiation therapy fields28.2K$2.6M$92.253.46x
77301Management of modulation radiotherapy planning705$982.3K$1.4K3.26x
77427Radiation treatment management, 5 treatments6.0K$878.6K$145.883.33x
77338Design and construction of device for radiation therapy1.1K$387.0K$367.203.24x
77336Radiation therapy consultation per week5.9K$360.0K$61.463.14x
77418Intensity modulated radiation treatment delivery per session914$268.1K$293.303.26x
99205New patient office or other outpatient visit, typically 60 minutes795$126.1K$158.672.94x
77263Management of radiation therapy, complex772$95.6K$123.833.27x
G6001Ultrasonic guidance for placement of radiation therapy fields753$92.2K$122.482.85x
77300Calculation of radiation therapy dose1.2K$55.0K$47.833.35x
77435Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course75$35.1K$467.932.80x
77290Management of radiation therapy, simulation, complex190$34.8K$183.293.02x
77421X-ray guidance for radiation therapy delivery1.1K$15.7K$14.322.65x
99204New patient office or other outpatient visit, typically 45 minutes102$10.0K$98.422.66x
77295Management of radiation therapy, 3D60$9.6K$160.412.81x
77334Radiation treatment devices, design and construction, complex163$7.6K$46.612.62x
77470Special radiation treatment procedure80$6.3K$78.552.64x
99222Initial hospital inpatient care, typically 50 minutes per day29$3.0K$102.582.48x
99213Established patient office or other outpatient visit, typically 15 minutes81$2.7K$33.603.54x

Markup Analysis

Charge-to-Payment Ratio

3.41x

This provider submits charges 3.41 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.41x means for every $100 Medicare pays, this provider initially charges $341. This is higher than the national average.

Location

Saint Louis, MO

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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