⚠️ This provider averages 868 services per working day — physically unusual for an individual practitioner
Based on 2.2M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $23.7M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 868 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 13787% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1084% in 2015
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 | $288.17 | $71.15 | 4.05x | $217.02 | $24.2K | 340 | 6 |
| 2015 | $22.51 | $8.76 | 2.57x | $13.75 | $286.5K | 32.7K | 36 |
| 2016 | $22.94 | $9.24 | 2.48x | $13.70 | $2.0M | 213.1K | 51 |
| 2017 | $23.06 | $9.78 | 2.36x | $13.28 | $2.5M | 253.3K | 58 |
| 2018 | $26.25 | $12.10 | 2.17x | $14.15 | $2.1M | 177.0K | 53 |
| 2019 | $22.95 | $10.52 | 2.18x | $12.43 | $3.3M | 310.4K | 55 |
| 2020 | $26.39 | $11.85 | 2.23x | $14.54 | $3.1M | 261.9K | 50 |
| 2021 | $23.97 | $11.10 | 2.16x | $12.87 | $4.2M | 374.6K | 54 |
| 2022 | $23.41 | $10.71 | 2.19x | $12.70 | $2.9M | 268.4K | 52 |
| 2023 | $26.87 | $12.06 | 2.23x | $14.81 | $3.4M | 278.5K | 57 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 130.0K | $5.4M | $41.17 | 1.73x |
| J9305 | Injection, pemetrexed, not otherwise specified, 10 mg | 40.2K | $2.2M | $54.13 | 1.85x |
| J9299 | Injection, nivolumab, 1 mg | 89.6K | $1.9M | $21.64 | 1.85x |
| J0897 | Injection, denosumab, 1 mg | 115.7K | $1.8M | $15.83 | 1.73x |
| J2505 | Injection, pegfilgrastim, 6 mg | 402 | $1.2M | $3.1K | 1.79x |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 33.4K | $1.2M | $34.67 | 1.75x |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 313.7K | $885.4K | $2.82 | 2.54x |
| J9041 | Injection, bortezomib (velcade), 0.1 mg | 21.6K | $780.0K | $36.06 | 1.95x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 9.1K | $777.2K | $85.80 | 2.16x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12.4K | $688.1K | $55.67 | 2.20x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 6.7K | $663.4K | $99.09 | 3.52x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 17.3K | $655.9K | $37.96 | 1.69x |
| J9310 | Injection, rituximab, 100 mg | 1.0K | $655.7K | $647.33 | 1.75x |
| J9312 | Injection, rituximab, 10 mg | 7.8K | $582.1K | $74.43 | 1.69x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 340.9K | $292.9K | $0.86 | 2.37x |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 2.9K | $229.8K | $79.30 | 2.29x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 25.7K | $211.7K | $8.23 | 3.95x |
| J9035 | Injection, bevacizumab, 10 mg | 3.3K | $209.5K | $63.56 | 1.66x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 1.2K | $186.9K | $160.55 | 4.91x |
| J2506 | Injection, pegfilgrastim, excludes biosimilar, 0.5 mg | 1.7K | $181.3K | $105.68 | 4.95x |
This provider submits charges 2.24 times higher than what Medicare actually pays.
A markup ratio of 2.24x means for every $100 Medicare pays, this provider initially charges $224. 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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