Statistical flag only — not an accusation of fraud
⚠️ This provider averages 1.4K services per working day — physically unusual for an individual practitioner
Based on 3.5M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $44.1M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.4K services per working day raises questions about billing patterns.
Medicare payments to this provider grew 58% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 71/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 122% in 2023
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 | $38.77 | $13.62 | 2.85x | $25.15 | $4.3M | 313.0K | 75 |
| 2015 | $39.41 | $13.63 | 2.89x | $25.78 | $4.4M | 320.4K | 68 |
| 2016 | $25.88 | $9.11 | 2.84x | $16.77 | $3.7M | 401.1K | 71 |
| 2017 | $27.74 | $10.28 | 2.70x | $17.46 | $3.7M | 360.1K | 67 |
| 2018 | $31.44 | $12.83 | 2.45x | $18.61 | $5.2M | 406.0K | 73 |
| 2019 | $31.49 | $12.72 | 2.48x | $18.77 | $5.6M | 441.1K | 63 |
| 2020 | $33.06 | $13.20 | 2.50x | $19.86 | $5.0M | 377.1K | 64 |
| 2021 | $27.12 | $9.69 | 2.80x | $17.43 | $2.5M | 257.5K | 55 |
| 2022 | $30.79 | $11.56 | 2.66x | $19.23 | $3.0M | 262.8K | 57 |
| 2023 | $62.27 | $17.13 | 3.64x | $45.14 | $6.7M | 394.1K | 67 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 138.9K | $5.7M | $41.01 | 2.23x |
| J9299 | Injection, nivolumab, 1 mg | 126.9K | $2.8M | $21.83 | 2.25x |
| J2505 | Injection, pegfilgrastim, 6 mg | 771 | $2.4M | $3.1K | 2.00x |
| J0897 | Injection, denosumab, 1 mg | 155.3K | $2.2M | $14.48 | 2.11x |
| J9310 | Injection, rituximab, 100 mg | 3.7K | $2.2M | $597.44 | 2.19x |
| J9041 | Injection, bortezomib, 0.1 mg | 66.9K | $2.2M | $32.80 | 2.68x |
| J9035 | Injection, bevacizumab, 10 mg | 33.7K | $1.9M | $55.74 | 2.22x |
| J1930 | Injection, lanreotide, 1 mg | 37.9K | $1.8M | $46.42 | 2.39x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 20.3K | $1.6M | $78.67 | 1.84x |
| J9145 | Injection, daratumumab, 10 mg | 33.1K | $1.5M | $46.25 | 2.17x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 1.3K | $1.3M | $989.18 | 2.78x |
| J9355 | Injection, trastuzumab, excludes biosimilar, 10 mg | 14.4K | $1.1M | $73.42 | 2.20x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 128.2K | $1.0M | $8.07 | 2.36x |
| J9173 | Injection, durvalumab, 10 mg | 16.1K | $973.7K | $60.52 | 2.37x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 9.9K | $961.3K | $97.56 | 2.96x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 99.0K | $898.2K | $9.07 | 3.55x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 18.6K | $604.6K | $32.53 | 4.41x |
| Q5115 | Injection, rituximab-abbs, biosimilar, (truxima), 10 mg | 12.4K | $546.0K | $43.96 | 3.81x |
| J9305 | Injection, pemetrexed, 10 mg | 10.8K | $534.5K | $49.49 | 2.26x |
| J2353 | Injection, octreotide, depot form for intramuscular injection, 1 mg | 5.0K | $531.7K | $106.56 | 2.37x |
This provider submits charges 2.81 times higher than what Medicare actually pays.
A markup ratio of 2.81x means for every $100 Medicare pays, this provider initially charges $281. 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 KS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Pavan Reddy, M.D. | Wichita, KS | $52.9M | ⚠️ Flagged |
| Bassam Mattar, MD | Wichita, KS | $50.2M | ⚠️ Flagged |
| Shaker Dakhil, MD | Wichita, KS | $41.0M | ⚠️ Flagged |
| Jeremy Deutsch, MD | Wichita, KS | $39.7M | ⚠️ Flagged |
| Travis Koeneke, MD | Manhattan, KS | $33.6M | ⚠️ 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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