This provider's $15.8M in total Medicare payments ranks in the 99th percentile of Radiation Oncology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $306.45 | $220.97 | 1.39x | $85.48 | $2.2M | 13.5K | 2.4K |
| 2015 | $302.27 | $225.27 | 1.34x | $77.00 | $2.0M | 11.8K | 2.3K |
| 2016 | $304.78 | $230.94 | 1.32x | $73.84 | $1.3M | 8.2K | 1.7K |
| 2017 | $404.75 | $223.37 | 1.81x | $181.38 | $1.5M | 9.2K | 2.0K |
| 2018 | $1.4K | $243.08 | 5.67x | $1.1K | $1.5M | 7.6K | 1.8K |
| 2019 | $1.4K | $234.16 | 6.06x | $1.2K | $1.9M | 10.2K | 2.1K |
| 2020 | $1.4K | $240.25 | 5.99x | $1.2K | $1.7M | 8.9K | 1.8K |
| 2021 | $1.7K | $279.54 | 5.99x | $1.4K | $1.8M | 8.2K | 1.7K |
| 2022 | $1.7K | $264.23 | 6.32x | $1.4K | $995.8K | 4.8K | 1.2K |
| 2023 | $1.7K | $258.85 | 6.47x | $1.4K | $903.1K | 4.5K | 1.1K |
| 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 | 17.5K | $4.8M | $276.16 | 5.23x |
| 77301 | Management of modulation radiotherapy planning | 974 | $1.4M | $1.5K | 2.65x |
| 77373 | Stereotactic body radiation therapy 1 or more lesions using imaging guidance | 1.4K | $1.4M | $936.63 | 4.64x |
| 77014 | CT scan guidance for insertion of radiation therapy fields | 14.0K | $1.3M | $93.33 | 6.76x |
| 77290 | Management of radiation therapy, simulation, complex | 2.4K | $922.5K | $377.00 | 3.25x |
| 77427 | Radiation treatment management, 5 treatments | 5.8K | $849.0K | $145.61 | 4.16x |
| 77418 | Intensity modulated radiation treatment delivery per session | 2.6K | $739.4K | $281.88 | 1.35x |
| G6012 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10mev | 2.6K | $477.3K | $185.41 | 2.34x |
| G6013 | Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev | 2.4K | $454.6K | $193.45 | 2.53x |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | 7.0K | $394.0K | $56.48 | 3.17x |
| 77338 | Design and construction of device for radiation therapy | 974 | $368.1K | $377.94 | 4.64x |
| 77336 | Radiation therapy consultation per week | 6.1K | $362.0K | $59.14 | 3.70x |
| 77280 | Management of radiation therapy simulation, simple | 1.5K | $315.3K | $204.77 | 3.12x |
| 77334 | Radiation treatment devices, design and construction, complex | 1.8K | $182.6K | $103.31 | 7.06x |
| 77414 | Radiation treatment delivery, three or more treatment areas | 943 | $166.4K | $176.50 | 1.34x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 956 | $153.9K | $160.99 | 2.33x |
| 77307 | Radiation therapy plan | 686 | $152.9K | $222.87 | 3.56x |
| 77263 | Management of radiation therapy, complex | 1.2K | $152.9K | $129.98 | 5.93x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.2K | $148.2K | $121.94 | 2.87x |
| 77435 | Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course | 291 | $145.4K | $499.53 | 3.89x |
This provider submits charges 4.29 times higher than what Medicare actually pays.
A markup ratio of 4.29x means for every $100 Medicare pays, this provider initially charges $429. 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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