⚠️ This provider averages 1.2K services per working day — physically unusual for an individual practitioner
Based on 3.1M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $34.6M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.2K services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 65% in 2021
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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $32.14 | $11.19 | 2.87x | $20.95 | $3.8M | 339.9K | 11.7K |
| 2015 | $25.22 | $11.19 | 2.25x | $14.03 | $2.5M | 227.6K | 7.8K |
| 2016 | $23.03 | $11.19 | 2.06x | $11.84 | $3.3M | 296.7K | 10.2K |
| 2017 | $23.07 | $11.19 | 2.06x | $11.88 | $3.5M | 316.4K | 10.9K |
| 2018 | $39.30 | $11.19 | 3.51x | $28.11 | $3.1M | 278.8K | 9.6K |
| 2019 | $21.14 | $11.19 | 1.89x | $9.95 | $3.8M | 343.3K | 11.8K |
| 2020 | $33.65 | $11.19 | 3.01x | $22.46 | $2.7M | 240.1K | 8.3K |
| 2021 | $36.85 | $11.19 | 3.29x | $25.66 | $4.4M | 397.3K | 13.7K |
| 2022 | $19.99 | $11.19 | 1.79x | $8.80 | $4.3M | 383.3K | 13.2K |
| 2023 | $33.74 | $11.19 | 3.02x | $22.55 | $3.0M | 270.1K | 9.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96413 | Chemotherapy administration, IV infusion, first hour | 448.9K | $6.5M | $14.44 | 1.46x |
| 99214 | Office/outpatient visit, moderate complexity | 660.8K | $5.2M | $7.90 | 2.20x |
| 96415 | Chemotherapy IV infusion, each additional hour | 539.0K | $4.5M | $8.38 | 2.09x |
| 96365 | IV infusion for therapy, first hour | 554.9K | $4.4M | $7.90 | 2.59x |
| 99215 | Office/outpatient visit, high complexity | 157.4K | $1.6M | $10.35 | 2.81x |
| 36415 | Insertion of needle into vein | 136.2K | $1.4M | $9.93 | 2.42x |
| 85025 | Complete blood cell count | 152.4K | $1.3M | $8.65 | 4.03x |
| J9271 | Injection, pembrolizumab | 98.6K | $1.0M | $10.55 | 1.34x |
| 96375 | Therapeutic IV push, each additional substance | 72.5K | $1.0M | $13.93 | 2.30x |
| 80053 | Comprehensive metabolic panel | 94.2K | $745.9K | $7.92 | 3.22x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. This is lower 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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