โ ๏ธ This provider averages 945 services per working day โ physically unusual for an individual practitioner
Based on 1.2M total services over 5 years (250 working days/year). Learn about impossible service volumes โ
This provider's $15.3M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 945 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 653% from 2019 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 723% in 2020
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2019 | $37.14 | $11.03 | 3.37x | $26.11 | $428.1K | 38.8K | 35 |
| 2020 | $42.72 | $13.72 | 3.11x | $29.00 | $3.5M | 256.7K | 66 |
| 2021 | $43.57 | $13.87 | 3.14x | $29.70 | $3.9M | 284.4K | 71 |
| 2022 | $40.13 | $12.26 | 3.27x | $27.87 | $4.2M | 340.7K | 76 |
| 2023 | $41.77 | $12.37 | 3.38x | $29.40 | $3.2M | 260.5K | 68 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 72.2K | $3.0M | $41.52 | 3.37x |
| J9299 | Injection, nivolumab, 1 mg | 94.7K | $2.2M | $23.12 | 3.46x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 31.0K | $1.1M | $36.06 | 2.36x |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 30.6K | $1.1M | $36.04 | 2.36x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 837 | $843.4K | $1.0K | 2.98x |
| J0897 | Injection, denosumab, 1 mg | 40.6K | $662.9K | $16.32 | 2.45x |
| Q5115 | Injection, rituximab-abbs, biosimilar, (truxima), 10 mg | 13.8K | $615.2K | $44.71 | 3.80x |
| J9041 | Injection, bortezomib, 0.1 mg | 17.7K | $511.7K | $28.83 | 3.29x |
| J9312 | Injection, rituximab, 10 mg | 6.5K | $476.9K | $73.26 | 2.59x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 3.2K | $393.1K | $123.90 | 2.02x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 3.1K | $293.8K | $93.75 | 3.09x |
| J9035 | Injection, bevacizumab, 10 mg | 3.6K | $223.2K | $62.52 | 2.56x |
| J9145 | Injection, daratumumab, 10 mg | 5.2K | $217.9K | $41.98 | 2.86x |
| G9678 | Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a | 1.3K | $214.7K | $159.72 | 1.00x |
| J9119 | Injection, cemiplimab-rwlc, 1 mg | 9.4K | $205.1K | $21.70 | 2.25x |
| J9173 | Injection, durvalumab, 10 mg | 3.3K | $201.6K | $61.23 | 2.61x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1.9K | $156.6K | $84.55 | 2.37x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 906 | $142.9K | $157.73 | 3.17x |
| Q0138 | Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) | 212.2K | $139.8K | $0.66 | 7.59x |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 3.4K | $138.8K | $41.13 | 2.67x |
This provider submits charges 3.23 times higher than what Medicare actually pays.
A markup ratio of 3.23x means for every $100 Medicare pays, this provider initially charges $323. 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 AR for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Kamal Patel, M.D. | Little Rock, AR | $58.7M | โ ๏ธ Flagged |
| Balagopalan Nair, M.D. | Little Rock, AR | $54.5M | โ ๏ธ Flagged |
| Eric Schaefer, M.D. | Fayetteville, AR | $35.5M | โ Clear |
| Thomas Sneed, M.D. | Little Rock, AR | $34.7M | โ Clear |
| Lawrence Mendelsohn, MD | Little Rock, AR | $34.6M | โ ๏ธ 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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