⚠️ This provider averages 1.2K services per working day — physically unusual for an individual practitioner
Based on 3.1M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $34.7M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.2K 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 | $21.35 | $11.11 | 1.92x | $10.24 | $3.1M | 279.9K | 8.4K |
| 2015 | $33.94 | $11.11 | 3.05x | $22.83 | $2.9M | 263.7K | 7.9K |
| 2016 | $25.52 | $11.11 | 2.30x | $14.41 | $3.6M | 325.8K | 9.8K |
| 2017 | $28.68 | $11.11 | 2.58x | $17.57 | $2.5M | 221.2K | 6.7K |
| 2018 | $32.75 | $11.11 | 2.95x | $21.64 | $3.5M | 311.3K | 9.4K |
| 2019 | $21.00 | $11.11 | 1.89x | $9.89 | $4.0M | 360.4K | 10.8K |
| 2020 | $28.94 | $11.11 | 2.60x | $17.83 | $3.2M | 288.9K | 8.7K |
| 2021 | $42.87 | $11.11 | 3.86x | $31.76 | $4.3M | 388.0K | 11.7K |
| 2022 | $26.78 | $11.11 | 2.41x | $15.67 | $4.6M | 417.9K | 12.6K |
| 2023 | $35.60 | $11.11 | 3.20x | $24.49 | $2.9M | 261.3K | 7.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96413 | Chemotherapy administration, IV infusion, first hour | 914.3K | $11.3M | $12.32 | 1.53x |
| 96415 | Chemotherapy IV infusion, each additional hour | 610.5K | $5.1M | $8.36 | 2.19x |
| 99214 | Office/outpatient visit, moderate complexity | 191.4K | $3.0M | $15.85 | 2.03x |
| 96365 | IV infusion for therapy, first hour | 124.4K | $1.7M | $13.81 | 2.15x |
| 96375 | Therapeutic IV push, each additional substance | 213.4K | $1.6M | $7.57 | 2.74x |
| J9271 | Injection, pembrolizumab | 65.5K | $1.4M | $22.10 | 1.19x |
| 80053 | Comprehensive metabolic panel | 72.4K | $1.1M | $15.06 | 3.44x |
| 99215 | Office/outpatient visit, high complexity | 65.8K | $862.7K | $13.10 | 2.69x |
| 85025 | Complete blood cell count | 46.8K | $849.9K | $18.17 | 3.78x |
| 36415 | Insertion of needle into vein | 77.4K | $736.7K | $9.52 | 2.57x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. This is lower 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 AR for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Kamal Patel, M.D. | Little Rock, AR | $58.7M | ⚠️ Flagged |
| Balagopalan Nair, M.D. | Little Rock, AR | $54.5M | ⚠️ Flagged |
| Eric Schaefer, M.D. | Fayetteville, AR | $35.5M | ✓ Clear |
| Lawrence Mendelsohn, MD | Little Rock, AR | $34.6M | ⚠️ Flagged |
| Gregory Oakhill, M.D. | Fayetteville, AR | $34.2M | ✓ Clear |
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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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