⚠️ This provider averages 1.6K services per working day — physically unusual for an individual practitioner
Based on 4.0M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $34.1M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.6K services per working day raises questions about billing patterns.
Medicare payments to this provider grew 50% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 77% 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 | $14.51 | $8.63 | 1.68x | $5.88 | $2.5M | 295.2K | 3.8K |
| 2015 | $26.53 | $8.63 | 3.07x | $17.90 | $3.1M | 363.5K | 4.7K |
| 2016 | $27.52 | $8.63 | 3.19x | $18.89 | $2.6M | 299.6K | 3.8K |
| 2017 | $25.15 | $8.63 | 2.91x | $16.52 | $2.8M | 325.2K | 4.2K |
| 2018 | $28.92 | $8.63 | 3.35x | $20.29 | $3.8M | 440.0K | 5.6K |
| 2019 | $27.91 | $8.63 | 3.23x | $19.28 | $3.1M | 356.5K | 4.6K |
| 2020 | $33.94 | $8.63 | 3.93x | $25.31 | $3.0M | 343.6K | 4.4K |
| 2021 | $20.58 | $8.63 | 2.38x | $11.95 | $5.3M | 608.5K | 7.8K |
| 2022 | $33.94 | $8.63 | 3.93x | $25.31 | $4.1M | 474.4K | 6.1K |
| 2023 | $26.79 | $8.63 | 3.10x | $18.16 | $3.8M | 444.0K | 5.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96415 | Chemotherapy IV infusion, each additional hour | 443.5K | $6.2M | $14.07 | 2.29x |
| 96413 | Chemotherapy administration, IV infusion, first hour | 945.3K | $6.0M | $6.38 | 1.71x |
| 99214 | Office/outpatient visit, moderate complexity | 511.8K | $3.5M | $6.91 | 2.13x |
| 96365 | IV infusion for therapy, first hour | 433.0K | $3.3M | $7.51 | 2.87x |
| 96375 | Therapeutic IV push, each additional substance | 125.0K | $1.8M | $14.77 | 2.69x |
| 36415 | Insertion of needle into vein | 263.9K | $1.8M | $6.97 | 3.05x |
| 85025 | Complete blood cell count | 114.5K | $1.6M | $13.54 | 4.84x |
| J9271 | Injection, pembrolizumab | 145.8K | $1.3M | $8.75 | 1.43x |
| 80053 | Comprehensive metabolic panel | 55.4K | $886.2K | $15.98 | 3.48x |
| 99215 | Office/outpatient visit, high complexity | 113.4K | $824.1K | $7.27 | 2.25x |
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 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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