This provider averages 113 services per working day
Based on 283.2K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.7M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Averaging 113 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 | $207.20 | $90.42 | 2.29x | $116.78 | $887.7K | 18.3K | 2.7K |
| 2015 | $212.55 | $97.25 | 2.19x | $115.30 | $875.7K | 18.8K | 3.0K |
| 2016 | $234.93 | $108.02 | 2.17x | $126.91 | $847.8K | 20.3K | 3.0K |
| 2017 | $252.86 | $106.45 | 2.38x | $146.41 | $680.0K | 18.7K | 3.3K |
| 2018 | $237.91 | $104.13 | 2.28x | $133.78 | $954.0K | 22.7K | 4.6K |
| 2019 | $97.12 | $37.18 | 2.61x | $59.94 | $784.1K | 39.5K | 8.4K |
| 2020 | $190.45 | $76.14 | 2.50x | $114.31 | $835.2K | 40.0K | 7.1K |
| 2021 | $200.16 | $57.07 | 3.51x | $143.09 | $774.3K | 38.0K | 6.3K |
| 2022 | $69.67 | $24.27 | 2.87x | $45.40 | $548.2K | 33.5K | 6.7K |
| 2023 | $77.84 | $26.70 | 2.92x | $51.14 | $558.7K | 33.3K | 6.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 734 | $2.1M | $2.9K | 2.07x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 15.8K | $968.5K | $61.42 | 1.88x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.7K | $725.1K | $83.11 | 1.63x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 10.0K | $535.4K | $53.51 | 2.80x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 3.8K | $388.6K | $103.16 | 3.20x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 13.7K | $322.4K | $23.48 | 3.40x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.4K | $193.3K | $81.07 | 1.42x |
| 80053 | Blood test, comprehensive group of blood chemicals | 14.9K | $175.6K | $11.78 | 2.12x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 19.1K | $170.5K | $8.91 | 4.49x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 722 | $113.6K | $157.40 | 1.84x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 6.8K | $101.4K | $14.85 | 3.85x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 606 | $97.8K | $161.32 | 2.17x |
| 82728 | Ferritin (blood protein) level | 6.7K | $94.6K | $14.21 | 3.80x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 1.4K | $84.2K | $60.88 | 2.46x |
| 86769 | Sars-cov-2 covid-19 antibody | 1.8K | $75.0K | $41.40 | 2.42x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 2.0K | $71.9K | $36.00 | 2.05x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 410 | $71.5K | $174.37 | 1.72x |
| 36415 | Insertion of needle into vein for collection of blood sample | 20.2K | $68.2K | $3.37 | 5.94x |
| 82306 | Vitamin D-3 level | 2.2K | $65.3K | $29.99 | 2.16x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 3.6K | $64.6K | $17.89 | 3.11x |
This provider submits charges 2.71 times higher than what Medicare actually pays.
A markup ratio of 2.71x means for every $100 Medicare pays, this provider initially charges $271. 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.
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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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