This provider's $7.4M in total Medicare payments ranks in the 98th percentile of Radiation Oncology providers nationally.
Their average markup ratio of 5.7x is significantly above the specialty median of 5.0x.
AI-generated analysis based on Medicare payment data.
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $961.75 | $170.96 | 5.63x | $790.79 | $790.5K | 5.7K | 2.2K |
| 2015 | $941.39 | $166.12 | 5.67x | $775.27 | $861.4K | 6.4K | 2.3K |
| 2016 | $973.72 | $175.87 | 5.54x | $797.85 | $791.0K | 5.6K | 2.1K |
| 2017 | $992.08 | $191.33 | 5.19x | $800.75 | $1.1M | 7.1K | 2.7K |
| 2018 | $985.64 | $181.53 | 5.43x | $804.11 | $590.1K | 6.5K | 2.6K |
| 2019 | $1.3K | $252.24 | 5.23x | $1.1K | $730.1K | 6.2K | 2.5K |
| 2020 | $1.3K | $246.05 | 5.28x | $1.1K | $772.8K | 6.6K | 2.8K |
| 2021 | $1.1K | $224.95 | 5.09x | $921.12 | $609.2K | 5.7K | 2.5K |
| 2022 | $1.3K | $237.24 | 5.34x | $1.0K | $559.9K | 5.5K | 2.4K |
| 2023 | $1.1K | $210.12 | 5.37x | $918.27 | $603.1K | 5.7K | 2.6K |
| 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 | 4.3K | $1.2M | $271.41 | 7.14x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 19.4K | $942.3K | $48.63 | 6.52x |
| 77301 | Management of modulation radiotherapy planning | 1.7K | $918.2K | $552.11 | 5.19x |
| 77427 | Radiation treatment management, 5 treatments | 5.5K | $777.0K | $142.07 | 4.88x |
| 77338 | Design and construction of device for radiation therapy | 1.7K | $361.0K | $215.65 | 4.88x |
| 55874 | Injection of biodegradable material next to prostate | 155 | $348.8K | $2.3K | 5.06x |
| 77295 | Management of radiation therapy, 3D | 1.6K | $325.8K | $210.09 | 6.30x |
| 77263 | Management of radiation therapy, complex | 2.4K | $297.3K | $125.92 | 5.00x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 550 | $262.9K | $478.00 | 5.48x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.8K | $242.5K | $136.45 | 4.93x |
| 77418 | Intensity modulated radiation treatment delivery per session | 826 | $235.8K | $285.53 | 6.97x |
| 77290 | Management of radiation therapy, simulation, complex | 1.5K | $207.7K | $135.12 | 5.33x |
| 77334 | Radiation treatment devices, design and construction, complex | 2.9K | $164.9K | $56.21 | 5.40x |
| 77470 | Special radiation treatment procedure | 1.4K | $125.8K | $87.63 | 5.52x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev | 607 | $121.0K | $199.30 | 5.04x |
| 77772 | High dose brachytherapy , more than 12 channels | 151 | $98.5K | $652.02 | 5.27x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 4.1K | $97.0K | $23.38 | 6.06x |
| 77300 | Calculation of radiation therapy dose | 3.1K | $92.7K | $29.67 | 5.27x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev | 478 | $92.0K | $192.39 | 4.65x |
| 77336 | Radiation therapy consultation per week | 1.5K | $90.0K | $58.33 | 3.43x |
This provider submits charges 5.7 times higher than what Medicare actually pays.
A markup ratio of 5.7x means for every $100 Medicare pays, this provider initially charges $570. 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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