This provider averages 61 services per working day
Based on 152.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.0M in total Medicare payments ranks in the 97th percentile of Hematology-Oncology providers nationally.
Averaging 61 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 | $271.96 | $110.58 | 2.46x | $161.38 | $476.2K | 11.9K | 2.4K |
| 2015 | $267.64 | $116.18 | 2.30x | $151.46 | $601.6K | 15.1K | 3.3K |
| 2016 | $235.05 | $106.83 | 2.20x | $128.22 | $515.7K | 15.4K | 3.4K |
| 2017 | $114.76 | $43.33 | 2.65x | $71.43 | $500.5K | 17.9K | 3.3K |
| 2018 | $117.42 | $44.11 | 2.66x | $73.31 | $525.3K | 17.1K | 3.6K |
| 2019 | $115.40 | $43.54 | 2.65x | $71.86 | $453.7K | 14.3K | 3.1K |
| 2020 | $112.65 | $44.29 | 2.54x | $68.36 | $447.6K | 14.0K | 3.1K |
| 2021 | $115.33 | $47.60 | 2.42x | $67.73 | $471.6K | 14.1K | 3.4K |
| 2022 | $99.00 | $40.54 | 2.44x | $58.46 | $519.4K | 16.5K | 3.6K |
| 2023 | $82.10 | $32.97 | 2.49x | $49.13 | $505.2K | 16.7K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.3K | $1.1M | $92.18 | 2.46x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.0K | $626.7K | $62.72 | 2.46x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 3.8K | $465.4K | $122.97 | 2.48x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 3.6K | $397.1K | $110.84 | 2.67x |
| J2505 | Injection, pegfilgrastim, 6 mg | 108 | $306.8K | $2.8K | 2.12x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 27.0K | $238.0K | $8.80 | 2.18x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 3.7K | $210.6K | $56.38 | 2.67x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.2K | $206.1K | $168.90 | 2.58x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 12.3K | $196.3K | $15.93 | 2.70x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 2.8K | $175.1K | $62.90 | 2.40x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 688 | $114.7K | $166.72 | 2.55x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 4.0K | $97.8K | $24.59 | 2.69x |
| 36415 | Insertion of needle into vein for collection of blood sample | 26.8K | $95.1K | $3.55 | 2.81x |
| J9310 | Injection, rituximab, 100 mg | 168 | $94.3K | $561.44 | 2.42x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.1K | $93.2K | $85.34 | 2.53x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.7K | $66.0K | $38.55 | 2.43x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 478 | $63.3K | $132.41 | 2.63x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 6.4K | $59.5K | $9.29 | 2.56x |
| 99195 | Therapeutic removal of whole blood to correct blood level imbalance | 584 | $45.7K | $78.28 | 2.73x |
| 99354 | Prolonged office or other outpatient service first hour | 421 | $45.3K | $107.71 | 2.54x |
This provider submits charges 2.5 times higher than what Medicare actually pays.
A markup ratio of 2.5x means for every $100 Medicare pays, this provider initially charges $250. 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 |
|---|---|---|---|
| Christopher Lobo, MD | Port Charlotte, FL | $60.5M | ⚠️ Flagged |
| 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 |
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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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