⚠️ This provider averages 1.3K services per working day — physically unusual for an individual practitioner
Based on 3.3M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $38.9M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.3K 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 | $29.73 | $11.41 | 2.61x | $18.32 | $4.3M | 373.4K | 46 |
| 2015 | $27.44 | $10.61 | 2.59x | $16.83 | $4.7M | 443.6K | 43 |
| 2016 | $32.51 | $12.89 | 2.52x | $19.62 | $5.3M | 413.8K | 47 |
| 2017 | $28.88 | $11.22 | 2.57x | $17.66 | $4.4M | 393.9K | 43 |
| 2018 | $31.48 | $11.73 | 2.68x | $19.75 | $3.9M | 335.2K | 45 |
| 2019 | $32.47 | $12.29 | 2.64x | $20.18 | $3.3M | 267.2K | 38 |
| 2020 | $29.79 | $10.92 | 2.73x | $18.87 | $3.1M | 285.6K | 42 |
| 2021 | $28.92 | $11.29 | 2.56x | $17.63 | $2.5M | 221.3K | 42 |
| 2022 | $25.50 | $9.64 | 2.65x | $15.86 | $3.5M | 359.3K | 44 |
| 2023 | $46.48 | $18.24 | 2.55x | $28.24 | $3.9M | 213.0K | 40 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 2.1K | $6.4M | $3.1K | 2.12x |
| J0897 | Injection, denosumab, 1 mg | 388.5K | $5.6M | $14.43 | 2.93x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 3.6K | $5.2M | $1.5K | 2.41x |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 1.2M | $3.5M | $2.94 | 3.40x |
| J9310 | Injection, rituximab, 100 mg | 3.4K | $2.1M | $601.18 | 2.00x |
| J9035 | Injection, bevacizumab, 10 mg | 37.4K | $2.0M | $54.20 | 2.12x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15.6K | $1.6M | $100.68 | 2.28x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 10.2K | $1.4M | $141.40 | 2.19x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 7.8K | $1.1M | $138.33 | 2.89x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 1.9K | $909.2K | $476.75 | 1.47x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 3.5K | $787.8K | $223.60 | 1.69x |
| J9271 | Injection, pembrolizumab, 1 mg | 15.2K | $650.0K | $42.76 | 2.88x |
| J9395 | Injection, fulvestrant, 25 mg | 8.3K | $622.7K | $75.01 | 2.57x |
| 78816 | Nuclear medicine study whole body with ct scan | 335 | $471.1K | $1.4K | 2.85x |
| J0641 | Injection, levoleucovorin, not otherwise specified, 0.5 mg | 516.7K | $414.0K | $0.80 | 4.25x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 6.5K | $413.5K | $63.22 | 2.44x |
| J2353 | Injection, octreotide, depot form for intramuscular injection, 1 mg | 3.8K | $410.0K | $109.34 | 1.87x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 32.0K | $356.3K | $11.13 | 3.44x |
| J2796 | Injection, romiplostim, 10 micrograms | 4.8K | $333.7K | $69.85 | 2.93x |
| 96375 | Injection of additional new drug or substance into vein | 14.9K | $293.1K | $19.67 | 3.82x |
This provider submits charges 2.6 times higher than what Medicare actually pays.
A markup ratio of 2.6x means for every $100 Medicare pays, this provider initially charges $260. 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 |
| Nerses Tchekmedyian, M.D. | Irvine, CA | $38.0M | ✓ Clear |
| Kishore Sehgal, M.D. | Hemet, CA | $36.2M | ✓ 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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