This provider averages 91 services per working day
Based on 227.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $55.4M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
Averaging 91 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 63% from 2014 to 2023.
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 | $1.0K | $229.63 | 4.54x | $811.82 | $3.6M | 15.8K | 22 |
| 2015 | $940.78 | $196.68 | 4.78x | $744.10 | $4.7M | 23.8K | 27 |
| 2016 | $1.1K | $229.10 | 4.71x | $850.08 | $5.3M | 23.3K | 27 |
| 2017 | $890.85 | $191.40 | 4.65x | $699.45 | $5.8M | 30.3K | 31 |
| 2018 | $1.2K | $272.45 | 4.27x | $889.87 | $6.5M | 23.9K | 31 |
| 2019 | $1.0K | $228.12 | 4.43x | $783.57 | $6.1M | 26.9K | 32 |
| 2020 | $1.1K | $273.91 | 4.05x | $836.40 | $5.8M | 21.2K | 26 |
| 2021 | $1.1K | $274.57 | 3.96x | $814.04 | $5.4M | 19.5K | 30 |
| 2022 | $1.1K | $298.30 | 3.84x | $848.23 | $6.2M | 20.9K | 32 |
| 2023 | $1.1K | $269.60 | 4.07x | $827.36 | $5.9M | 22.0K | 28 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q2043 | Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion | 570 | $19.6M | $34.5K | 2.84x |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 56.9K | $17.2M | $301.64 | 5.60x |
| 77301 | High precision radiation therapy planning | 1.6K | $2.5M | $1.6K | 4.46x |
| 55874 | Injection of biodegradable material next to prostate | 847 | $2.3M | $2.7K | 3.32x |
| 77427 | Radiation treatment management, 5 treatment sessions | 12.4K | $2.0M | $160.52 | 3.74x |
| 77418 | Intensity modulated radiation treatment delivery per session | 5.1K | $1.6M | $316.42 | 5.34x |
| 77300 | Calculation of radiation therapy dose | 24.2K | $1.3M | $55.27 | 5.43x |
| A4648 | Tissue marker, implantable, any type, each | 5.6K | $1.3M | $234.34 | 3.45x |
| 77338 | Design and construction of radiation treatment device for high precision radiation therapy | 2.7K | $1.1M | $411.08 | 3.70x |
| 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 | 52.2K | $893.7K | $17.13 | 11.74x |
| 77336 | Continuing radiation therapy consultation per week | 12.6K | $856.9K | $67.90 | 3.31x |
| 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 | 1.9K | $726.2K | $380.20 | 5.63x |
| A9606 | Radium ra-223 dichloride, therapeutic, per microcurie | 5.9K | $662.7K | $112.10 | 3.21x |
| 77280 | Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | 2.7K | $620.7K | $227.94 | 2.68x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 4.7K | $293.9K | $62.72 | 6.06x |
| 0197T | Localization and tracking of target or patient motion during radiation therapy delivery | 4.7K | $287.5K | $61.70 | 3.24x |
| 77373 | Cranial lesion surgery using radiation over multiple sessions | 300 | $257.5K | $858.23 | 3.85x |
| 77263 | Complex radiation therapy planning | 1.8K | $247.4K | $138.11 | 5.14x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.5K | $202.4K | $134.82 | 2.23x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 1.2K | $184.6K | $155.48 | 10.58x |
This provider submits charges 4.31 times higher than what Medicare actually pays.
A markup ratio of 4.31x means for every $100 Medicare pays, this provider initially charges $431. 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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