⚠️ This provider averages 574 services per working day — physically unusual for an individual practitioner
Based on 1.4M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $22.7M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 574 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 179% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 226% in 2017
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 | $59.81 | $18.92 | 3.16x | $40.89 | $1.1M | 57.8K | 47 |
| 2015 | $49.09 | $14.96 | 3.28x | $34.13 | $1.0M | 70.1K | 46 |
| 2016 | $39.45 | $12.93 | 3.05x | $26.52 | $485.6K | 37.6K | 45 |
| 2017 | $48.57 | $15.22 | 3.19x | $33.35 | $1.6M | 103.9K | 52 |
| 2018 | $60.80 | $20.09 | 3.03x | $40.71 | $2.9M | 143.2K | 50 |
| 2019 | $38.93 | $13.99 | 2.78x | $24.94 | $3.0M | 217.0K | 55 |
| 2020 | $44.58 | $16.36 | 2.72x | $28.22 | $3.1M | 188.3K | 55 |
| 2021 | $44.59 | $15.93 | 2.80x | $28.66 | $3.3M | 209.1K | 55 |
| 2022 | $43.61 | $15.37 | 2.84x | $28.24 | $3.1M | 199.7K | 60 |
| 2023 | $49.68 | $14.68 | 3.38x | $35.00 | $3.1M | 208.0K | 55 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 143.2K | $5.8M | $40.39 | 2.70x |
| J2505 | Injection, pegfilgrastim, 6 mg | 758 | $2.3M | $3.1K | 2.46x |
| J9299 | Injection, nivolumab, 1 mg | 63.4K | $1.5M | $23.08 | 2.66x |
| J9035 | Injection, bevacizumab, 10 mg | 22.5K | $1.3M | $58.27 | 2.92x |
| J0897 | Injection, denosumab, 1 mg | 76.4K | $1.1M | $14.93 | 2.81x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 28.1K | $972.9K | $34.67 | 2.70x |
| J9310 | Injection, rituximab, 100 mg | 1.5K | $939.9K | $623.66 | 3.08x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 23.6K | $870.3K | $36.91 | 2.90x |
| Q5115 | Injection, rituximab-abbs, biosimilar, (truxima), 10 mg | 14.0K | $639.3K | $45.75 | 3.91x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 7.3K | $610.1K | $83.31 | 3.21x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 5.3K | $528.3K | $99.65 | 3.24x |
| J9312 | Injection, rituximab, 10 mg | 5.0K | $372.9K | $74.55 | 2.62x |
| J9022 | Injection, atezolizumab, 10 mg | 5.6K | $345.0K | $61.96 | 2.45x |
| J9355 | Injection, trastuzumab, 10 mg | 4.2K | $341.0K | $81.90 | 2.91x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 31.6K | $326.8K | $10.35 | 2.43x |
| Q5120 | Injection, pegfilgrastim-bmez, biosimilar, (ziextenzo), 0.5 mg | 1.6K | $306.3K | $193.38 | 2.99x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 2.5K | $297.4K | $117.42 | 3.04x |
| J2506 | Injection, pegfilgrastim, excludes biosimilar, 0.5 mg | 2.1K | $244.1K | $114.87 | 4.30x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 27.2K | $243.5K | $8.97 | 3.01x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 246.8K | $212.9K | $0.86 | 2.81x |
This provider submits charges 2.97 times higher than what Medicare actually pays.
A markup ratio of 2.97x means for every $100 Medicare pays, this provider initially charges $297. 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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