This provider averages 83 services per working day
Based on 206.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.3M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Averaging 83 services per working day raises questions about billing patterns.
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 | $199.67 | $89.20 | 2.24x | $110.47 | $1.4M | 26.9K | 7.6K |
| 2015 | $174.51 | $89.60 | 1.95x | $84.91 | $948.0K | 23.2K | 7.5K |
| 2016 | $237.97 | $95.84 | 2.48x | $142.13 | $1.0M | 26.7K | 8.8K |
| 2017 | $102.25 | $38.53 | 2.65x | $63.72 | $674.9K | 22.6K | 7.7K |
| 2018 | $264.70 | $95.07 | 2.78x | $169.63 | $870.6K | 21.6K | 7.2K |
| 2019 | $261.48 | $102.79 | 2.54x | $158.69 | $1.0M | 20.8K | 5.8K |
| 2020 | $271.00 | $85.78 | 3.16x | $185.22 | $783.8K | 17.9K | 5.7K |
| 2021 | $336.10 | $82.95 | 4.05x | $253.15 | $570.1K | 17.0K | 5.5K |
| 2022 | $136.45 | $39.05 | 3.49x | $97.40 | $513.1K | 15.5K | 4.6K |
| 2023 | $129.92 | $35.67 | 3.64x | $94.25 | $451.2K | 14.3K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 611 | $1.9M | $3.0K | 2.41x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.6K | $1.0M | $96.29 | 2.57x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 13.8K | $972.0K | $70.28 | 2.70x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 7.6K | $936.1K | $122.82 | 2.35x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 4.8K | $632.4K | $131.36 | 2.82x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 4.5K | $293.3K | $64.69 | 3.20x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 28.8K | $261.2K | $9.08 | 3.07x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.2K | $219.0K | $184.37 | 2.63x |
| 80053 | Blood test, comprehensive group of blood chemicals | 17.9K | $213.8K | $11.96 | 2.80x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 11.2K | $204.4K | $18.25 | 3.51x |
| J3490 | Unclassified drugs | 283 | $125.6K | $443.97 | 3.74x |
| J9310 | Injection, rituximab, 100 mg | 204 | $116.7K | $572.11 | 1.47x |
| 82728 | Ferritin (blood protein) level | 6.6K | $108.0K | $16.37 | 2.51x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 1.5K | $107.0K | $72.31 | 2.42x |
| 36415 | Insertion of needle into vein for collection of blood sample | 25.9K | $89.2K | $3.45 | 3.41x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 931 | $84.8K | $91.08 | 2.38x |
| 82378 | Carcinoembryonic antigen (CEA) protein level | 3.4K | $77.5K | $22.84 | 3.39x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 2.7K | $76.9K | $28.56 | 3.79x |
| 83550 | Iron binding capacity | 6.6K | $69.0K | $10.51 | 2.67x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 7.7K | $68.0K | $8.84 | 3.32x |
This provider submits charges 2.72 times higher than what Medicare actually pays.
A markup ratio of 2.72x means for every $100 Medicare pays, this provider initially charges $272. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Hematology-Oncology providers in MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| David Smith, MD | Easton, MD | $48.3M | ✓ Clear |
| Frederick Smith, M.D. | Chevy Chase, MD | $33.7M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data