⚠️ This provider averages 381 services per working day — physically unusual for an individual practitioner
Based on 952.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $21.7M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 381 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 127336% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1771% in 2015
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 | $107.15 | $53.48 | 2.00x | $53.67 | $2.8K | 52 | 2 |
| 2015 | $125.83 | $56.93 | 2.21x | $68.90 | $52.0K | 914 | 7 |
| 2016 | $31.24 | $11.17 | 2.80x | $20.07 | $152.8K | 13.7K | 27 |
| 2017 | $48.51 | $17.75 | 2.73x | $30.76 | $1.5M | 82.2K | 36 |
| 2018 | $54.94 | $19.56 | 2.81x | $35.38 | $1.3M | 66.4K | 36 |
| 2019 | $74.28 | $23.26 | 3.19x | $51.02 | $3.2M | 138.2K | 33 |
| 2020 | $66.20 | $21.97 | 3.01x | $44.23 | $4.1M | 188.5K | 36 |
| 2021 | $70.68 | $23.87 | 2.96x | $46.81 | $4.2M | 175.4K | 40 |
| 2022 | $81.95 | $26.47 | 3.10x | $55.48 | $3.6M | 136.5K | 41 |
| 2023 | $81.08 | $23.62 | 3.43x | $57.46 | $3.5M | 150.1K | 39 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9299 | Injection, nivolumab, 1 mg | 215.4K | $4.3M | $20.16 | 3.03x |
| J9271 | Injection, pembrolizumab, 1 mg | 94.6K | $3.6M | $37.99 | 3.16x |
| J9228 | Injection, ipilimumab, 1 mg | 20.9K | $2.5M | $117.94 | 2.44x |
| J0897 | Injection, denosumab, 1 mg | 139.3K | $2.2M | $16.14 | 3.11x |
| J9035 | Injection, bevacizumab, 10 mg | 23.4K | $1.4M | $60.95 | 2.73x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 96.5K | $982.3K | $10.18 | 3.06x |
| Q5107 | Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg | 21.7K | $859.9K | $39.67 | 3.28x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 8.4K | $696.7K | $82.75 | 3.33x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 5.9K | $582.0K | $99.10 | 3.41x |
| J9312 | Injection, rituximab, 10 mg | 7.6K | $567.0K | $74.51 | 3.20x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 13.0K | $490.9K | $37.88 | 3.24x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 3.3K | $398.0K | $119.92 | 3.25x |
| J9041 | Injection, bortezomib, 0.1 mg | 14.7K | $345.6K | $23.58 | 3.05x |
| J2505 | Injection, pegfilgrastim, 6 mg | 94 | $245.5K | $2.6K | 3.42x |
| J1454 | Injection, fosnetupitant 235 mg and palonosetron 0.25 mg | 613 | $234.5K | $382.53 | 3.29x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 6.0K | $213.4K | $35.63 | 3.32x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 3.7K | $182.4K | $48.86 | 3.50x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 17.3K | $149.4K | $8.62 | 3.50x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 3.1K | $103.2K | $32.99 | 3.17x |
| Q5118 | Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg | 4.0K | $98.8K | $24.58 | 4.26x |
This provider submits charges 3.08 times higher than what Medicare actually pays.
A markup ratio of 3.08x means for every $100 Medicare pays, this provider initially charges $308. This is higher than the national average.
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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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