This provider averages 59 services per working day
Based on 147.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.1M in total Medicare payments ranks in the 99th percentile of Hematopoietic Cell Transplantation and Cellular Therapy providers nationally.
Averaging 59 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 | $204.83 | $76.33 | 2.68x | $128.50 | $1.1M | 21.5K | 7.0K |
| 2015 | $193.82 | $73.21 | 2.65x | $120.61 | $1.1M | 18.7K | 6.3K |
| 2016 | $202.25 | $77.92 | 2.60x | $124.33 | $1.0M | 17.0K | 6.3K |
| 2017 | $227.20 | $84.88 | 2.68x | $142.32 | $981.6K | 15.8K | 5.7K |
| 2018 | $225.49 | $85.66 | 2.63x | $139.83 | $906.1K | 16.8K | 5.9K |
| 2019 | $230.35 | $83.53 | 2.76x | $146.82 | $513.2K | 16.8K | 5.4K |
| 2020 | $242.25 | $82.17 | 2.95x | $160.08 | $460.4K | 13.3K | 4.2K |
| 2021 | $246.67 | $73.32 | 3.36x | $173.35 | $558.9K | 14.6K | 4.3K |
| 2022 | $118.04 | $35.79 | 3.30x | $82.25 | $349.9K | 12.0K | 4.3K |
| 2023 | $309.25 | $90.11 | 3.43x | $219.14 | $122.0K | 1.3K | 534 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 942 | $2.8M | $3.0K | 2.11x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.2K | $663.3K | $81.14 | 2.19x |
| G9678 | Oncology Care Model service | 2.9K | $454.1K | $157.08 | 1.02x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 4.5K | $441.6K | $98.91 | 3.50x |
| J9310 | Injection, rituximab, 100 mg | 331 | $203.1K | $613.59 | 1.77x |
| 80053 | Blood test, comprehensive group of blood chemicals | 17.4K | $200.5K | $11.50 | 3.48x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 21.3K | $191.8K | $9.01 | 2.55x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.7K | $191.5K | $113.27 | 2.41x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.1K | $171.2K | $156.19 | 4.16x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.3K | $165.8K | $49.87 | 2.24x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.8K | $100.7K | $55.38 | 2.24x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 1.9K | $94.9K | $48.99 | 3.57x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 6.1K | $91.7K | $14.98 | 4.01x |
| 71260 | CT scan chest with contrast | 1.4K | $90.1K | $65.37 | 8.41x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 599 | $89.3K | $149.12 | 2.42x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 443 | $67.9K | $153.25 | 2.54x |
| 36415 | Insertion of needle into vein for collection of blood sample | 21.6K | $63.3K | $2.93 | 2.39x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 4.1K | $57.6K | $14.03 | 3.78x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 689 | $57.4K | $83.30 | 2.29x |
| 82728 | Ferritin (blood protein) level | 3.2K | $50.5K | $15.87 | 2.65x |
This provider submits charges 2.56 times higher than what Medicare actually pays.
A markup ratio of 2.56x means for every $100 Medicare pays, this provider initially charges $256. This is higher than the national average.
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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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