Statistical flag only — not an accusation of fraud
⚠️ This provider averages 2.3K services per working day — physically unusual for an individual practitioner
Based on 5.8M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $60.5M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 2.3K services per working day raises questions about billing patterns.
Medicare payments to this provider grew 50% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 69/100. 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 | $28.56 | $8.64 | 3.31x | $19.92 | $4.1M | 472.5K | 84 |
| 2015 | $30.57 | $9.28 | 3.29x | $21.29 | $5.2M | 560.2K | 85 |
| 2016 | $29.81 | $9.25 | 3.22x | $20.56 | $6.1M | 661.2K | 84 |
| 2017 | $28.96 | $8.85 | 3.27x | $20.11 | $6.9M | 777.8K | 91 |
| 2018 | $30.59 | $9.17 | 3.34x | $21.42 | $6.4M | 700.4K | 88 |
| 2019 | $34.12 | $10.79 | 3.16x | $23.33 | $7.6M | 703.5K | 91 |
| 2020 | $40.24 | $11.77 | 3.42x | $28.47 | $5.9M | 504.3K | 84 |
| 2021 | $46.47 | $13.83 | 3.36x | $32.64 | $6.4M | 465.1K | 77 |
| 2022 | $49.17 | $14.13 | 3.48x | $35.04 | $5.7M | 403.6K | 70 |
| 2023 | $41.93 | $12.07 | 3.47x | $29.86 | $6.1M | 507.7K | 52 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 237.8K | $9.7M | $40.61 | 3.08x |
| J9299 | Injection, nivolumab, 1 mg | 156.6K | $3.4M | $21.98 | 3.11x |
| J9310 | Injection, rituximab, 100 mg | 5.1K | $3.1M | $617.85 | 2.49x |
| J0897 | Injection, denosumab, 1 mg | 199.8K | $2.9M | $14.72 | 2.78x |
| J9035 | Injection, bevacizumab, 10 mg | 49.4K | $2.8M | $57.59 | 2.72x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 32.4K | $2.8M | $84.94 | 3.28x |
| J9173 | Injection, durvalumab, 10 mg | 41.7K | $2.6M | $61.17 | 3.70x |
| J2505 | Injection, pegfilgrastim, 6 mg | 804 | $2.4M | $3.0K | 2.64x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 62.0K | $2.1M | $34.29 | 2.99x |
| J9305 | Injection, pemetrexed, not otherwise specified, 10 mg | 37.9K | $2.0M | $51.59 | 2.55x |
| J9312 | Injection, rituximab, 10 mg | 24.9K | $1.7M | $69.51 | 3.41x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 13.1K | $1.4M | $104.59 | 3.85x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 146.7K | $1.3M | $8.93 | 2.67x |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 23.4K | $1.2M | $52.38 | 2.72x |
| J2357 | Injection, omalizumab, 5 mg | 41.7K | $1.1M | $26.96 | 2.16x |
| 78815 | Nuclear medicine study with ct imaging skull base to mid-thigh | 1.0K | $1.0M | $993.66 | 4.15x |
| J9395 | Injection, fulvestrant, 25 mg | 17.7K | $965.5K | $54.58 | 3.38x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 24.1K | $917.3K | $38.03 | 2.89x |
| Q0138 | Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) | 1.3M | $880.8K | $0.69 | 3.32x |
| J2182 | Injection, mepolizumab, 1 mg | 37.7K | $863.8K | $22.91 | 3.56x |
This provider submits charges 3.33 times higher than what Medicare actually pays.
A markup ratio of 3.33x means for every $100 Medicare pays, this provider initially charges $333. 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 |
|---|---|---|---|
| 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 |
| Rebecca Kosloff, MD | Bonita Springs, FL | $47.1M | ✓ Clear |
Share this provider's Medicare payment information
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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