This provider averages 62 services per working day
Based on 155.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $4.2M in total Medicare payments ranks in the 97th percentile of Medical Oncology providers nationally.
Averaging 62 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 67% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 67% in 2017
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 | $64.41 | $31.40 | 2.05x | $33.01 | $246.3K | 11.6K | 2.4K |
| 2015 | $82.68 | $42.78 | 1.93x | $39.90 | $265.8K | 10.2K | 2.0K |
| 2016 | $168.43 | $101.79 | 1.65x | $66.64 | $400.2K | 10.2K | 2.3K |
| 2017 | $167.31 | $106.40 | 1.57x | $60.91 | $668.7K | 12.4K | 2.8K |
| 2018 | $171.16 | $104.11 | 1.64x | $67.05 | $686.8K | 14.5K | 3.1K |
| 2019 | $66.85 | $33.69 | 1.98x | $33.16 | $410.7K | 16.2K | 4.0K |
| 2020 | $50.70 | $24.56 | 2.06x | $26.14 | $314.8K | 18.2K | 4.2K |
| 2021 | $76.77 | $35.29 | 2.18x | $41.48 | $402.8K | 18.9K | 4.4K |
| 2022 | $64.66 | $28.96 | 2.23x | $35.70 | $413.3K | 21.3K | 4.6K |
| 2023 | $60.31 | $26.29 | 2.29x | $34.02 | $411.9K | 21.6K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.1K | $744.5K | $82.08 | 1.83x |
| J2505 | Injection, pegfilgrastim, 6 mg | 196 | $657.4K | $3.4K | 1.43x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 5.1K | $525.7K | $103.34 | 2.04x |
| G9678 | Oncology Care Model service | 1.8K | $281.1K | $156.80 | 1.02x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.4K | $189.3K | $132.65 | 1.53x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 17.8K | $158.3K | $8.90 | 1.69x |
| 80053 | Blood test, comprehensive group of blood chemicals | 13.4K | $156.5K | $11.71 | 1.62x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 2.5K | $128.6K | $51.30 | 2.13x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 4.8K | $110.9K | $23.03 | 1.95x |
| J9310 | Injection, rituximab, 100 mg | 161 | $101.8K | $632.31 | 1.66x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 5.2K | $76.8K | $14.66 | 2.69x |
| 36415 | Insertion of needle into vein for collection of blood sample | 19.5K | $66.6K | $3.41 | 3.07x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.3K | $66.0K | $49.33 | 2.27x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 668 | $54.6K | $81.70 | 1.94x |
| 82306 | Vitamin D-3 level | 1.6K | $51.2K | $32.65 | 2.30x |
| 82977 | Glutamyltransferase (liver enzyme) level | 7.3K | $51.0K | $7.02 | 2.14x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 317 | $49.6K | $156.43 | 1.85x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 857 | $49.4K | $57.69 | 1.77x |
| 83615 | Lactate dehydrogenase (enzyme) level | 7.3K | $43.0K | $5.87 | 2.04x |
| Q5122 | Injection, pegfilgrastim-apgf, biosimilar, (nyvepria), 0.5 mg | 241 | $39.8K | $165.00 | 3.49x |
This provider submits charges 1.86 times higher than what Medicare actually pays.
A markup ratio of 1.86x means for every $100 Medicare pays, this provider initially charges $186. 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 Medical Oncology providers in PA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Bruce Saidman, MD | Kingston, PA | $34.3M | ⚠️ 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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