⚠️ This provider averages 880 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 $29.5M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 880 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 53% from 2014 to 2023.
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 | $50.81 | $14.15 | 3.59x | $36.66 | $2.6M | 182.1K | 31 |
| 2015 | $52.09 | $14.80 | 3.52x | $37.29 | $2.2M | 149.2K | 34 |
| 2016 | $56.70 | $15.74 | 3.60x | $40.96 | $1.7M | 106.8K | 29 |
| 2017 | $53.37 | $16.04 | 3.33x | $37.33 | $2.5M | 157.0K | 32 |
| 2018 | $47.27 | $16.02 | 2.95x | $31.25 | $3.2M | 200.9K | 33 |
| 2019 | $37.82 | $13.20 | 2.87x | $24.62 | $3.2M | 239.6K | 33 |
| 2020 | $36.65 | $12.54 | 2.92x | $24.11 | $3.0M | 239.2K | 33 |
| 2021 | $39.51 | $12.35 | 3.20x | $27.16 | $3.4M | 273.8K | 31 |
| 2022 | $36.45 | $12.35 | 2.95x | $24.10 | $3.8M | 307.6K | 33 |
| 2023 | $37.26 | $11.46 | 3.25x | $25.80 | $3.9M | 344.5K | 32 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9041 | Injection, bortezomib, 0.1 mg | 195.2K | $5.9M | $30.33 | 3.59x |
| J9047 | Injection, carfilzomib, 1 mg | 204.1K | $5.7M | $28.17 | 1.66x |
| J9176 | Injection, elotuzumab, 1 mg | 650.6K | $3.4M | $5.19 | 1.54x |
| J9145 | Injection, daratumumab, 10 mg | 58.4K | $2.3M | $39.44 | 1.57x |
| J9227 | Injection, isatuximab-irfc, 10 mg | 28.8K | $1.6M | $54.39 | 2.16x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 11.3K | $1.4M | $127.39 | 3.42x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 10.1K | $1.3M | $124.38 | 4.22x |
| J0897 | Injection, denosumab, 1 mg | 72.2K | $1.2M | $15.97 | 1.50x |
| Q2050 | Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg | 3.9K | $1.0M | $256.85 | 5.02x |
| J9044 | Injection, bortezomib, not otherwise specified, 0.1 mg | 37.4K | $592.3K | $15.85 | 6.93x |
| J9033 | Injection, bendamustine hcl (treanda), 1 mg | 32.5K | $448.4K | $13.81 | 3.57x |
| 96367 | Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less | 15.4K | $421.7K | $27.35 | 5.12x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 36.7K | $353.4K | $9.63 | 4.30x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 5.4K | $333.1K | $61.94 | 5.08x |
| 96409 | Administration of chemotherapy into vein using push technique | 3.3K | $318.9K | $97.40 | 3.78x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 8.3K | $314.5K | $37.67 | 2.05x |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 4.4K | $300.7K | $68.50 | 2.00x |
| J3489 | Injection, zoledronic acid, 1 mg | 16.2K | $287.9K | $17.80 | 22.47x |
| 80053 | Blood test, comprehensive group of blood chemicals | 18.7K | $220.3K | $11.76 | 5.53x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 24.2K | $216.2K | $8.94 | 4.47x |
This provider submits charges 3.18 times higher than what Medicare actually pays.
A markup ratio of 3.18x means for every $100 Medicare pays, this provider initially charges $318. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Luke Dreisbach, M.D. | Rancho Mirage, CA | $77.2M | ✓ Clear |
| Sachin Gupta, M.D. | Fresno, CA | $55.1M | ✓ Clear |
| Ravi Rao, MD | Fresno, CA | $49.1M | ⚠️ Flagged |
| Michael Sherman, M.D., PHD | Walnut Creek, CA | $38.9M | ✓ Clear |
| Nerses Tchekmedyian, M.D. | Irvine, CA | $38.0M | ✓ Clear |
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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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