Statistical flag only — not an accusation of fraud
This provider's $1.5M in total Medicare payments ranks in the 89th percentile of Hematology-Oncology providers nationally.
Their average markup ratio of 14.84x is significantly above the specialty median of 3.5x.
Medicare payments to this provider grew 77% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 66/100. Statistical flags are not accusations of fraud.
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 | $192.77 | $12.99 | 14.84x | $179.78 | $103.8K | 8.0K | 1.0K |
| 2015 | $192.77 | $12.99 | 14.84x | $179.78 | $112.7K | 8.7K | 1.1K |
| 2016 | $192.77 | $12.99 | 14.84x | $179.78 | $121.6K | 9.4K | 1.2K |
| 2017 | $192.77 | $12.99 | 14.84x | $179.78 | $130.4K | 10.0K | 1.3K |
| 2018 | $192.77 | $12.99 | 14.84x | $179.78 | $139.3K | 10.7K | 1.4K |
| 2019 | $192.77 | $12.99 | 14.84x | $179.78 | $148.2K | 11.4K | 1.5K |
| 2020 | $192.77 | $12.99 | 14.84x | $179.78 | $157.1K | 12.1K | 1.6K |
| 2021 | $192.77 | $12.99 | 14.84x | $179.78 | $166.0K | 12.8K | 1.7K |
| 2022 | $192.77 | $12.99 | 14.84x | $179.78 | $174.9K | 13.5K | 1.8K |
| 2023 | $192.77 | $12.99 | 14.84x | $179.78 | $183.8K | 14.2K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Office/outpatient visit, est patient, low | 39.0K | $506.1K | $12.99 | 15.64x |
| 99214 | Office/outpatient visit, est patient, moderate | 19.5K | $253.0K | $12.99 | 15.11x |
| 99215 | Office/outpatient visit, est patient, high | 13.0K | $168.7K | $12.99 | 14.12x |
| 99223 | Initial hospital care, high complexity | 9.7K | $126.5K | $12.99 | 13.05x |
| 99232 | Subsequent hospital care, moderate | 7.8K | $101.2K | $12.99 | 12.64x |
| 93000 | Electrocardiogram, complete | 6.5K | $84.3K | $12.99 | 17.79x |
| 71046 | Chest X-ray, 2 views | 5.6K | $72.3K | $12.99 | 14.29x |
| 80053 | Comprehensive metabolic panel | 4.9K | $63.3K | $12.99 | 15.10x |
| 85025 | Complete blood count (CBC) | 4.3K | $56.2K | $12.99 | 15.62x |
| 36415 | Venipuncture | 3.9K | $50.6K | $12.99 | 12.06x |
This provider submits charges 14.84 times higher than what Medicare actually pays.
A markup ratio of 14.84x means for every $100 Medicare pays, this provider initially charges $1484. 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 SC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Renwick Goldberg, MD | Myrtle Beach, SC | $38.6M | ⚠️ 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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