This provider's $4.1M in total Medicare payments ranks in the 96th percentile of Hematology-Oncology providers nationally.
Medicare payments to this provider grew 81% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 190% in 2015
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 | $467.95 | $111.29 | 4.20x | $356.66 | $224.6K | 4.6K | 1.3K |
| 2015 | $904.72 | $229.17 | 3.95x | $675.55 | $651.3K | 5.5K | 1.6K |
| 2016 | $423.62 | $81.21 | 5.22x | $342.41 | $332.6K | 6.8K | 2.5K |
| 2017 | $386.58 | $74.13 | 5.21x | $312.45 | $409.6K | 8.1K | 3.1K |
| 2018 | $406.07 | $78.14 | 5.20x | $327.93 | $422.8K | 8.1K | 3.1K |
| 2019 | $694.82 | $139.65 | 4.98x | $555.17 | $449.6K | 7.5K | 3.2K |
| 2020 | $349.74 | $73.02 | 4.79x | $276.72 | $389.3K | 7.5K | 3.1K |
| 2021 | $604.18 | $108.53 | 5.57x | $495.65 | $440.3K | 7.7K | 3.3K |
| 2022 | $362.14 | $70.68 | 5.12x | $291.46 | $380.6K | 7.1K | 3.1K |
| 2023 | $454.08 | $78.21 | 5.81x | $375.87 | $406.2K | 7.9K | 3.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78816 | Nuclear medicine study with CT imaging whole body | 567 | $632.6K | $1.1K | 4.27x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.8K | $497.4K | $85.53 | 3.81x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 423 | $473.1K | $1.1K | 4.14x |
| G9678 | Oncology Care Model service | 2.3K | $356.9K | $157.86 | 1.01x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 3.2K | $356.6K | $110.31 | 6.41x |
| J3490 | Unclassified drugs | 683 | $286.0K | $418.74 | 3.78x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.3K | $216.7K | $172.12 | 6.20x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.0K | $187.2K | $61.44 | 4.07x |
| J9999 | Not otherwise classified, antineoplastic drugs | 44 | $112.9K | $2.6K | 3.11x |
| 80053 | Blood test, comprehensive group of blood chemicals | 8.6K | $95.6K | $11.09 | 5.77x |
| J2505 | Injection, pegfilgrastim, 6 mg | 33 | $93.8K | $2.8K | 5.50x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 976 | $91.7K | $93.93 | 6.99x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 8.3K | $73.9K | $8.94 | 4.03x |
| 71260 | CT scan chest with contrast | 1.3K | $72.5K | $57.96 | 14.17x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 1.5K | $38.1K | $24.83 | 6.32x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 233 | $37.7K | $161.71 | 3.92x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 689 | $37.1K | $53.87 | 6.39x |
| 83615 | Lactate dehydrogenase (enzyme) level | 6.2K | $35.4K | $5.73 | 5.41x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 200 | $33.2K | $166.10 | 11.98x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 230 | $27.5K | $119.37 | 3.87x |
This provider submits charges 4.66 times higher than what Medicare actually pays.
A markup ratio of 4.66x means for every $100 Medicare pays, this provider initially charges $466. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Benjamin Downie, MD | Georgetown, TX | $36.6M | ✓ Clear |
| Mohsen Arani, MD | The Woodlands, TX | $34.3M | ✓ 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