⚠️ This provider averages 613 services per working day — physically unusual for an individual practitioner
Based on 1.5M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $27.3M in total Medicare payments ranks in the 99th percentile of Rheumatology providers nationally.
Their average markup ratio of 5.94x is significantly above the specialty median of 2.7x.
Averaging 613 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 151% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 579% 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $53.56 | $18.91 | 2.83x | $34.65 | $1.6M | 86.7K | 46 |
| 2015 | $51.34 | $18.85 | 2.72x | $32.49 | $1.9M | 98.3K | 42 |
| 2016 | $49.63 | $19.50 | 2.55x | $30.13 | $2.3M | 117.6K | 53 |
| 2017 | $63.62 | $21.85 | 2.91x | $41.77 | $1.9M | 85.7K | 49 |
| 2018 | $103.92 | $23.08 | 4.50x | $80.84 | $527.3K | 22.8K | 32 |
| 2019 | $109.56 | $20.54 | 5.33x | $89.02 | $686.6K | 33.4K | 34 |
| 2020 | $117.97 | $19.12 | 6.17x | $98.85 | $4.7M | 244.0K | 41 |
| 2021 | $133.09 | $18.10 | 7.35x | $114.99 | $5.3M | 290.7K | 41 |
| 2022 | $136.10 | $16.64 | 8.18x | $119.46 | $4.3M | 260.7K | 47 |
| 2023 | $109.02 | $14.07 | 7.75x | $94.95 | $4.1M | 292.3K | 42 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 227.0K | $9.3M | $41.18 | 7.51x |
| 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) | 116.4K | $4.2M | $35.88 | 4.72x |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 278.4K | $3.6M | $13.00 | 8.49x |
| J0490 | Injection, belimumab, 10 mg | 75.1K | $2.5M | $33.34 | 4.25x |
| J3262 | Injection, tocilizumab, 1 mg | 538.3K | $2.0M | $3.67 | 4.12x |
| J9312 | Injection, rituximab, 10 mg | 18.1K | $1.2M | $65.22 | 4.75x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 8.4K | $798.1K | $95.08 | 3.73x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 8.6K | $627.6K | $72.82 | 2.86x |
| J0897 | Injection, denosumab, 1 mg | 30.5K | $504.6K | $16.56 | 4.16x |
| J1459 | Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg | 14.5K | $504.4K | $34.73 | 4.14x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 11.2K | $372.7K | $33.16 | 4.64x |
| J0491 | Injection, anifrolumab-fnia, 1 mg | 13.5K | $155.3K | $11.50 | 4.23x |
| J3111 | Injection, romosozumab-aqqg, 1 mg | 17.9K | $138.3K | $7.75 | 4.09x |
| 96375 | Injection of additional new drug or substance into vein | 10.5K | $126.3K | $12.08 | 4.22x |
| 86235 | Measurement of antibody for assessment of autoimmune disorder, any method | 5.5K | $117.9K | $21.29 | 2.96x |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 3.0K | $110.9K | $36.74 | 4.79x |
| 96415 | Administration of chemotherapy into vein, each additional hour | 5.0K | $104.4K | $20.69 | 3.82x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 1.9K | $87.9K | $46.90 | 3.16x |
| 80053 | Blood test, comprehensive group of blood chemicals | 5.9K | $69.7K | $11.90 | 3.11x |
| J1720 | Injection, hydrocortisone sodium succinate, up to 100 mg | 7.2K | $69.2K | $9.59 | 3.80x |
This provider submits charges 5.94 times higher than what Medicare actually pays.
A markup ratio of 5.94x means for every $100 Medicare pays, this provider initially charges $594. 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 Rheumatology providers in OK for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Craig Carson, M.D. | Edmond, OK | $72.8M | ✓ 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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