This provider's $4.6M 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 | $292.60 | $97.39 | 3.00x | $195.21 | $497.2K | 6.2K | 2.3K |
| 2015 | $340.38 | $122.15 | 2.79x | $218.23 | $508.6K | 5.9K | 2.0K |
| 2016 | $314.84 | $117.38 | 2.68x | $197.46 | $603.9K | 7.0K | 2.3K |
| 2017 | $317.88 | $124.96 | 2.54x | $192.92 | $625.6K | 6.3K | 2.1K |
| 2018 | $313.60 | $127.25 | 2.46x | $186.35 | $666.3K | 6.2K | 2.1K |
| 2019 | $377.14 | $118.96 | 3.17x | $258.18 | $367.8K | 5.2K | 2.0K |
| 2020 | $551.23 | $122.91 | 4.48x | $428.32 | $439.3K | 5.4K | 1.8K |
| 2021 | $185.07 | $48.15 | 3.84x | $136.92 | $300.9K | 4.4K | 1.8K |
| 2022 | $173.18 | $43.59 | 3.97x | $129.59 | $299.7K | 4.3K | 1.9K |
| 2023 | $235.50 | $47.70 | 4.94x | $187.80 | $301.7K | 4.4K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.9K | $1.2M | $85.81 | 3.29x |
| J2505 | Injection, pegfilgrastim, 6 mg | 352 | $1.1M | $3.2K | 2.67x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 4.9K | $584.3K | $118.65 | 3.62x |
| J9310 | Injection, rituximab, 100 mg | 720 | $444.6K | $617.54 | 2.22x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.8K | $240.7K | $130.15 | 3.20x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.2K | $152.7K | $131.83 | 3.32x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 1.8K | $106.5K | $58.67 | 3.51x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 1.3K | $84.9K | $64.81 | 3.28x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 482 | $79.8K | $165.65 | 3.24x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 3.4K | $54.9K | $16.22 | 3.47x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 2.0K | $51.1K | $25.75 | 3.47x |
| 96409 | Infusion of chemotherapy into a vein using push technique | 492 | $45.4K | $92.21 | 3.42x |
| J9041 | Injection, bortezomib, 0.1 mg | 1.3K | $45.1K | $35.29 | 2.61x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 765 | $43.2K | $56.52 | 3.65x |
| 96415 | Infusion of chemotherapy into a vein | 1.5K | $38.8K | $25.12 | 4.23x |
| 38222 | Bone marrow biopsy and aspiration | 243 | $36.2K | $148.91 | 4.01x |
| 99195 | Therapeutic removal of whole blood to correct blood level imbalance | 431 | $33.9K | $78.55 | 3.44x |
| 38221 | Needle or trocar bone marrow biopsy | 239 | $32.8K | $137.30 | 3.32x |
| 36430 | Transfusion of blood or blood products | 1.0K | $30.2K | $29.57 | 3.77x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 1.8K | $30.2K | $16.95 | 3.11x |
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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