This provider averages 57 services per working day
Based on 143.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.1M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Averaging 57 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 57% in 2016
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $201.77 | $101.92 | 1.98x | $99.85 | $717.7K | 10.9K | 2.0K |
| 2015 | $194.69 | $104.27 | 1.87x | $90.42 | $560.5K | 9.8K | 2.0K |
| 2016 | $204.35 | $114.44 | 1.79x | $89.91 | $880.2K | 12.8K | 2.4K |
| 2017 | $213.98 | $124.91 | 1.71x | $89.07 | $1.0M | 12.2K | 2.3K |
| 2018 | $211.59 | $119.31 | 1.77x | $92.28 | $1.1M | 13.3K | 2.5K |
| 2019 | $102.56 | $48.42 | 2.12x | $54.14 | $823.8K | 16.1K | 2.8K |
| 2020 | $111.16 | $46.23 | 2.40x | $64.93 | $915.6K | 19.3K | 3.1K |
| 2021 | $109.03 | $49.57 | 2.20x | $59.46 | $876.5K | 16.6K | 2.8K |
| 2022 | $111.53 | $40.94 | 2.72x | $70.59 | $645.1K | 14.4K | 2.8K |
| 2023 | $105.67 | $35.11 | 3.01x | $70.56 | $585.2K | 17.8K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 551 | $1.7M | $3.1K | 1.58x |
| G9678 | Oncology Care Model service | 9.5K | $1.5M | $158.25 | 1.01x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.5K | $1.2M | $93.75 | 1.81x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 8.7K | $1.0M | $118.26 | 2.32x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 4.7K | $584.8K | $123.56 | 1.74x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 11.5K | $179.4K | $15.58 | 3.53x |
| Q5108 | Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg | 649 | $156.5K | $241.09 | 2.07x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 2.7K | $152.6K | $57.13 | 2.37x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 8.8K | $134.3K | $15.25 | 2.52x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 2.0K | $133.8K | $65.53 | 1.99x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 755 | $132.3K | $175.22 | 1.55x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 574 | $96.8K | $168.58 | 1.72x |
| Q5122 | Injection, pegfilgrastim-apgf, biosimilar, (nyvepria), 0.5 mg | 621 | $86.6K | $139.50 | 2.59x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 1.4K | $80.3K | $58.67 | 2.32x |
| J9310 | Injection, rituximab, 100 mg | 127 | $80.3K | $631.90 | 1.53x |
| J1454 | Injection, fosnetupitant 235 mg and palonosetron 0.25 mg | 205 | $71.0K | $346.32 | 2.02x |
| J9395 | Injection, fulvestrant, 25 mg | 1.2K | $67.0K | $54.02 | 2.30x |
| 96360 | Hydration infusion into a vein 31 minutes to 1 hour | 1.7K | $61.7K | $35.80 | 3.49x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 2.3K | $59.6K | $26.05 | 2.31x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 639 | $39.9K | $62.38 | 1.68x |
This provider submits charges 1.92 times higher than what Medicare actually pays.
A markup ratio of 1.92x means for every $100 Medicare pays, this provider initially charges $192. This is lower 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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