This provider averages 96 services per working day
Based on 238.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.2M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Averaging 96 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 | $165.92 | $73.16 | 2.27x | $92.76 | $797.1K | 22.5K | 6.3K |
| 2015 | $182.25 | $89.59 | 2.03x | $92.66 | $782.5K | 20.5K | 5.7K |
| 2016 | $194.76 | $102.07 | 1.91x | $92.69 | $725.3K | 18.2K | 5.2K |
| 2017 | $393.46 | $88.34 | 4.45x | $305.12 | $910.2K | 23.0K | 8.9K |
| 2018 | $464.10 | $105.14 | 4.41x | $358.96 | $1.1M | 24.7K | 9.7K |
| 2019 | $378.22 | $85.61 | 4.42x | $292.61 | $1.4M | 27.2K | 10.1K |
| 2020 | $441.21 | $92.18 | 4.79x | $349.03 | $1.2M | 26.7K | 9.4K |
| 2021 | $437.15 | $84.63 | 5.17x | $352.52 | $943.7K | 27.7K | 9.8K |
| 2022 | $237.98 | $51.92 | 4.58x | $186.06 | $634.7K | 24.9K | 8.9K |
| 2023 | $236.28 | $51.40 | 4.60x | $184.88 | $591.5K | 23.5K | 8.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 886 | $2.7M | $3.0K | 4.23x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.3K | $1.2M | $81.14 | 2.57x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 694 | $774.4K | $1.1K | 3.54x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 5.6K | $595.4K | $105.50 | 5.35x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.1K | $363.8K | $59.84 | 2.18x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 40.3K | $361.3K | $8.96 | 3.58x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 771 | $308.5K | $400.16 | 1.59x |
| 80053 | Blood test, comprehensive group of blood chemicals | 16.2K | $175.3K | $10.82 | 5.73x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 3.3K | $173.8K | $53.40 | 4.73x |
| J9310 | Injection, rituximab, 100 mg | 240 | $151.2K | $630.05 | 2.66x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 915 | $145.3K | $158.75 | 2.12x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.7K | $143.6K | $82.73 | 2.28x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 9.1K | $138.4K | $15.20 | 4.66x |
| 36415 | Insertion of needle into vein for collection of blood sample | 40.0K | $137.2K | $3.43 | 5.17x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.2K | $125.0K | $57.35 | 2.30x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 933 | $115.8K | $124.07 | 2.71x |
| 82728 | Ferritin (blood protein) level | 6.7K | $102.4K | $15.23 | 3.47x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 871 | $98.6K | $113.15 | 2.63x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.5K | $74.4K | $51.01 | 5.37x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 4.9K | $72.2K | $14.67 | 5.55x |
This provider submits charges 3.88 times higher than what Medicare actually pays.
A markup ratio of 3.88x means for every $100 Medicare pays, this provider initially charges $388. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Christopher Lobo, MD | Port Charlotte, FL | $60.5M | ⚠️ Flagged |
| Maen Hussein, M.D. | Tavares, FL | $57.6M | ✓ Clear |
| Vikas Malhotra, M.D. | Spring Hill, FL | $52.8M | ✓ Clear |
| Andrew Lipman, M.D. | Naples, FL | $51.1M | ⚠️ Flagged |
| Syed Zafar, M.D. | Fort Myers, FL | $48.1M | ⚠️ 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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