This provider averages 78 services per working day
Based on 194.0K total services over 10 years (250 working days/year). Learn about impossible service volumes โ
This provider's $8.7M in total Medicare payments ranks in the 98th percentile of Medical Oncology providers nationally.
Averaging 78 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $113.00 | $41.91 | 2.70x | $71.09 | $815.0K | 17.2K | 1.6K |
| 2015 | $112.86 | $40.53 | 2.78x | $72.33 | $805.3K | 17.7K | 1.7K |
| 2016 | $174.76 | $45.37 | 3.85x | $129.39 | $806.1K | 17.8K | 1.8K |
| 2017 | $106.80 | $42.60 | 2.51x | $64.20 | $864.9K | 19.0K | 1.8K |
| 2018 | $117.41 | $41.90 | 2.80x | $75.51 | $1.1M | 24.9K | 2.0K |
| 2019 | $104.00 | $43.80 | 2.37x | $60.20 | $1.0M | 22.5K | 1.9K |
| 2020 | $99.36 | $37.33 | 2.66x | $62.03 | $818.3K | 19.6K | 1.5K |
| 2021 | $85.55 | $36.03 | 2.37x | $49.52 | $814.2K | 17.6K | 1.4K |
| 2022 | $83.01 | $35.06 | 2.37x | $47.95 | $814.4K | 18.7K | 1.3K |
| 2023 | $91.87 | $35.45 | 2.59x | $56.42 | $799.4K | 18.8K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 24.3K | $2.9M | $120.14 | 1.79x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 13.3K | $1.5M | $115.97 | 2.16x |
| J2997 | Injection, alteplase recombinant, 1 mg | 17.8K | $1.1M | $63.99 | 1.76x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 10.7K | $633.7K | $59.00 | 2.12x |
| 36593 | Declotting infusion of implanted central venous access device or catheter | 17.9K | $476.7K | $26.64 | 2.06x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 6.0K | $246.2K | $40.91 | 2.32x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 4.3K | $236.3K | $55.58 | 2.61x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 12.9K | $208.0K | $16.06 | 4.05x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 6.1K | $156.2K | $25.52 | 3.72x |
| 96409 | Infusion of chemotherapy into a vein using push technique | 1.6K | $149.3K | $92.39 | 1.89x |
| 99195 | Therapeutic removal of whole blood to correct blood level imbalance | 1.6K | $137.8K | $86.10 | 1.43x |
| J9070 | Cyclophosphamide, 100 mg | 3.2K | $91.1K | $28.19 | 4.26x |
| 96415 | Infusion of chemotherapy into a vein | 3.3K | $79.4K | $24.37 | 5.13x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 3.9K | $55.3K | $14.35 | 2.44x |
| J9395 | Injection, fulvestrant, 25 mg | 1.2K | $52.0K | $43.69 | 3.75x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 567 | $47.4K | $83.62 | 2.21x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 559 | $47.4K | $84.80 | 2.06x |
| 96360 | Hydration infusion into a vein 31 minutes to 1 hour | 1.2K | $41.6K | $33.51 | 2.83x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 685 | $41.6K | $60.71 | 4.70x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis | 2.5K | $41.4K | $16.82 | 5.65x |
This provider submits charges 2.26 times higher than what Medicare actually pays.
A markup ratio of 2.26x means for every $100 Medicare pays, this provider initially charges $226. 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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