Statistical flag only — not an accusation of fraud
This provider's $1.9M in total Medicare payments ranks in the 91th percentile of Hematology-Oncology providers nationally.
Their average markup ratio of 15.46x is significantly above the specialty median of 3.5x.
Medicare payments to this provider grew 77% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 66/100. Statistical flags are not accusations of fraud.
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 | $230.51 | $14.91 | 15.46x | $215.60 | $131.3K | 8.8K | 736 |
| 2015 | $230.51 | $14.91 | 15.46x | $215.60 | $142.5K | 9.6K | 799 |
| 2016 | $230.66 | $14.92 | 15.46x | $215.74 | $153.8K | 10.3K | 862 |
| 2017 | $230.51 | $14.91 | 15.46x | $215.60 | $165.0K | 11.1K | 925 |
| 2018 | $230.51 | $14.91 | 15.46x | $215.60 | $176.3K | 11.8K | 988 |
| 2019 | $230.51 | $14.91 | 15.46x | $215.60 | $187.5K | 12.6K | 1.1K |
| 2020 | $230.51 | $14.91 | 15.46x | $215.60 | $198.8K | 13.3K | 1.1K |
| 2021 | $230.51 | $14.91 | 15.46x | $215.60 | $210.0K | 14.1K | 1.2K |
| 2022 | $230.51 | $14.91 | 15.46x | $215.60 | $221.3K | 14.8K | 1.2K |
| 2023 | $230.51 | $14.91 | 15.46x | $215.60 | $232.5K | 15.6K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Office/outpatient visit, est patient, low | 42.9K | $640.2K | $14.91 | 12.64x |
| 99214 | Office/outpatient visit, est patient, moderate | 21.5K | $320.1K | $14.91 | 12.48x |
| 99215 | Office/outpatient visit, est patient, high | 14.3K | $213.4K | $14.91 | 13.87x |
| 99223 | Initial hospital care, high complexity | 10.7K | $160.0K | $14.91 | 17.76x |
| 99232 | Subsequent hospital care, moderate | 8.6K | $128.0K | $14.91 | 15.00x |
| 93000 | Electrocardiogram, complete | 7.2K | $106.7K | $14.91 | 13.97x |
| 71046 | Chest X-ray, 2 views | 6.1K | $91.5K | $14.91 | 15.60x |
| 80053 | Comprehensive metabolic panel | 5.4K | $80.0K | $14.91 | 12.94x |
| 85025 | Complete blood count (CBC) | 4.8K | $71.1K | $14.92 | 12.62x |
| 36415 | Venipuncture | 4.3K | $64.0K | $14.92 | 14.34x |
This provider submits charges 15.46 times higher than what Medicare actually pays.
A markup ratio of 15.46x means for every $100 Medicare pays, this provider initially charges $1546. 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 SC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Renwick Goldberg, MD | Myrtle Beach, SC | $38.6M | ⚠️ Flagged |
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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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