This provider averages 92 services per working day
Based on 229.0K total services over 10 years (250 working days/year). Learn about impossible service volumes โ
This provider's $40.6M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
Averaging 92 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 228% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $1.0K | $225.75 | 4.46x | $781.68 | $2.0M | 8.8K | 22 |
| 2015 | $1.0K | $223.49 | 4.50x | $782.36 | $2.5M | 11.1K | 21 |
| 2016 | $605.98 | $140.62 | 4.31x | $465.36 | $3.5M | 24.6K | 24 |
| 2017 | $514.92 | $139.59 | 3.69x | $375.33 | $4.7M | 33.4K | 20 |
| 2018 | $972.73 | $215.41 | 4.52x | $757.32 | $3.3M | 15.5K | 24 |
| 2019 | $762.80 | $188.21 | 4.05x | $574.59 | $3.8M | 20.1K | 25 |
| 2020 | $663.06 | $172.56 | 3.84x | $490.50 | $3.8M | 21.9K | 26 |
| 2021 | $690.12 | $183.77 | 3.76x | $506.35 | $5.6M | 30.3K | 29 |
| 2022 | $905.65 | $187.91 | 4.82x | $717.74 | $5.0M | 26.7K | 31 |
| 2023 | $724.22 | $176.87 | 4.09x | $547.35 | $6.5M | 36.7K | 34 |
| 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 | 37.1K | $12.4M | $333.84 | 4.66x |
| A9606 | Radium ra-223 dichloride, therapeutic, per microcurie | 64.2K | $7.5M | $116.63 | 2.81x |
| 77014 | Ct guidance for insertion of radiation therapy fields | 40.2K | $4.3M | $107.04 | 5.05x |
| 77301 | High precision radiation therapy planning | 2.2K | $3.8M | $1.7K | 4.07x |
| 55874 | Injection of biodegradable material next to prostate | 1.1K | $3.3M | $2.9K | 5.61x |
| A9607 | Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie | 11.0K | $2.0M | $179.37 | 2.70x |
| 77427 | Radiation treatment management, 5 treatment sessions | 10.5K | $1.7M | $159.58 | 3.77x |
| 77418 | Intensity modulated radiation treatment delivery per session | 2.7K | $962.2K | $362.00 | 4.30x |
| 77338 | Design and construction of radiation treatment device for high precision radiation therapy | 1.9K | $824.4K | $430.30 | 4.00x |
| 77336 | Continuing radiation therapy consultation per week | 9.4K | $690.4K | $73.76 | 3.79x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 2.7K | $485.5K | $176.88 | 3.31x |
| J0897 | Injection, denosumab, 1 mg | 20.3K | $326.8K | $16.07 | 3.21x |
| G9678 | Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation | 2.1K | $326.2K | $153.74 | 1.04x |
| A4648 | Tissue marker, implantable, any type, each | 943 | $287.0K | $304.32 | 7.73x |
| 77300 | Calculation of radiation therapy dose | 4.1K | $237.7K | $57.46 | 4.26x |
| 77334 | Design and construction of complex radiation treatment device | 2.1K | $216.2K | $104.86 | 4.27x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 3.3K | $202.1K | $61.62 | 3.41x |
| 77290 | Management of radiation therapy, simulation, complex | 363 | $154.3K | $425.19 | 3.87x |
| 77263 | Complex radiation therapy planning | 1.1K | $148.1K | $137.98 | 3.83x |
| 76872 | Ultrasound scan of pelvic region through rectum | 948 | $114.8K | $121.08 | 3.52x |
This provider submits charges 4.16 times higher than what Medicare actually pays.
A markup ratio of 4.16x means for every $100 Medicare pays, this provider initially charges $416. 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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