This provider's $4.7M in total Medicare payments ranks in the 96th percentile of Hematology-Oncology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $277.85 | $110.66 | 2.51x | $167.19 | $498.7K | 6.3K | 2.3K |
| 2015 | $327.10 | $140.33 | 2.33x | $186.77 | $648.7K | 6.2K | 1.9K |
| 2016 | $316.07 | $142.08 | 2.22x | $173.99 | $599.0K | 6.6K | 2.0K |
| 2017 | $292.59 | $135.30 | 2.16x | $157.29 | $635.6K | 7.0K | 2.0K |
| 2018 | $297.70 | $148.78 | 2.00x | $148.92 | $667.1K | 6.9K | 1.9K |
| 2019 | $329.31 | $154.42 | 2.13x | $174.89 | $550.7K | 6.1K | 1.8K |
| 2020 | $324.87 | $140.45 | 2.31x | $184.42 | $343.4K | 4.7K | 1.4K |
| 2021 | $317.24 | $112.82 | 2.81x | $204.42 | $387.0K | 4.9K | 1.6K |
| 2022 | $110.69 | $46.90 | 2.36x | $63.79 | $201.4K | 3.9K | 1.3K |
| 2023 | $122.21 | $47.20 | 2.59x | $75.01 | $192.3K | 3.8K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 592 | $1.8M | $3.1K | 2.16x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 6.1K | $716.3K | $118.14 | 2.50x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.8K | $495.9K | $86.13 | 2.32x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.4K | $440.2K | $59.79 | 2.24x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.5K | $145.1K | $58.33 | 2.34x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 889 | $143.6K | $161.52 | 2.29x |
| J9310 | Injection, rituximab, 100 mg | 200 | $119.1K | $595.52 | 2.33x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 1.4K | $86.0K | $62.03 | 2.27x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 496 | $81.6K | $164.48 | 2.34x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 1.4K | $80.4K | $59.08 | 2.37x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 4.9K | $77.9K | $15.97 | 2.82x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 545 | $68.1K | $124.91 | 2.52x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.1K | $64.7K | $56.94 | 2.54x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 617 | $51.4K | $83.31 | 2.40x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 1.7K | $44.8K | $25.71 | 2.64x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 2.2K | $34.8K | $15.84 | 2.87x |
| J9299 | Injection, nivolumab, 1 mg | 1.5K | $30.3K | $20.34 | 2.43x |
| 96415 | Infusion of chemotherapy into a vein | 1.2K | $29.5K | $25.03 | 2.56x |
| J9035 | Injection, bevacizumab, 10 mg | 467 | $26.3K | $56.41 | 2.32x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 2.2K | $25.3K | $11.39 | 3.54x |
This provider submits charges 2.32 times higher than what Medicare actually pays.
A markup ratio of 2.32x means for every $100 Medicare pays, this provider initially charges $232. 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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