Statistical flag only — not an accusation of fraud
⚠️ This provider averages 1.8K services per working day — physically unusual for an individual practitioner
Based on 4.6M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $50.2M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.8K services per working day raises questions about billing patterns.
Medicare payments to this provider grew 131% 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 68% in 2022
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 | $41.56 | $14.20 | 2.93x | $27.36 | $3.1M | 220.6K | 60 |
| 2015 | $37.39 | $12.20 | 3.06x | $25.19 | $3.0M | 243.9K | 65 |
| 2016 | $26.38 | $9.48 | 2.78x | $16.90 | $4.3M | 456.2K | 65 |
| 2017 | $26.63 | $9.60 | 2.77x | $17.03 | $4.3M | 452.7K | 73 |
| 2018 | $34.87 | $13.82 | 2.52x | $21.05 | $6.0M | 432.9K | 80 |
| 2019 | $30.82 | $11.79 | 2.61x | $19.03 | $4.8M | 408.8K | 75 |
| 2020 | $27.92 | $10.66 | 2.62x | $17.26 | $6.9M | 648.2K | 74 |
| 2021 | $20.66 | $7.14 | 2.89x | $13.52 | $3.9M | 548.1K | 65 |
| 2022 | $30.71 | $11.21 | 2.74x | $19.50 | $6.6M | 588.0K | 71 |
| 2023 | $45.57 | $12.64 | 3.61x | $32.93 | $7.2M | 571.9K | 71 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 138.0K | $5.6M | $40.85 | 2.21x |
| J0897 | Injection, denosumab, 1 mg | 312.3K | $4.7M | $15.15 | 1.95x |
| J9299 | Injection, nivolumab, 1 mg | 213.2K | $4.7M | $21.99 | 2.23x |
| J2505 | Injection, pegfilgrastim, 6 mg | 909 | $2.9M | $3.2K | 1.98x |
| J1930 | Injection, lanreotide, 1 mg | 53.6K | $2.5M | $47.48 | 2.28x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 2.3K | $2.2M | $973.98 | 2.81x |
| J9041 | Injection, bortezomib, 0.1 mg | 63.9K | $2.1M | $32.89 | 2.66x |
| J9145 | Injection, daratumumab, 10 mg | 42.3K | $1.9M | $44.04 | 2.12x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19.0K | $1.5M | $80.49 | 1.80x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 173.5K | $1.5M | $8.61 | 3.72x |
| J9310 | Injection, rituximab, 100 mg | 2.4K | $1.5M | $614.30 | 2.15x |
| J9022 | Injection, atezolizumab, 10 mg | 22.2K | $1.4M | $63.48 | 2.38x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 11.9K | $1.2M | $98.19 | 2.91x |
| J9035 | Injection, bevacizumab, 10 mg | 20.5K | $1.1M | $54.43 | 2.26x |
| J0894 | Injection, decitabine, 1 mg | 69.1K | $816.4K | $11.81 | 5.61x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 88.6K | $758.6K | $8.57 | 2.22x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 22.7K | $741.2K | $32.71 | 4.18x |
| J9355 | Injection, trastuzumab, 10 mg | 10.0K | $707.6K | $70.90 | 2.17x |
| Q5115 | Injection, rituximab-abbs, biosimilar, (truxima), 10 mg | 14.7K | $680.3K | $46.40 | 3.53x |
| Q5108 | Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg | 4.1K | $618.9K | $151.25 | 4.39x |
This provider submits charges 2.86 times higher than what Medicare actually pays.
A markup ratio of 2.86x means for every $100 Medicare pays, this provider initially charges $286. 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 |
| Dennis Moore, MD | Wichita, KS | $44.1M | ⚠️ 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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