⚠️ This provider averages 556 services per working day — physically unusual for an individual practitioner
Based on 1.4M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $21.9M in total Medicare payments ranks in the 99th percentile of Medical Oncology providers nationally.
Averaging 556 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 150% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 62% in 2023
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 | $53.40 | $12.82 | 4.17x | $40.58 | $1.5M | 119.2K | 42 |
| 2015 | $67.24 | $17.12 | 3.93x | $50.12 | $1.9M | 112.3K | 39 |
| 2016 | $69.84 | $18.60 | 3.75x | $51.24 | $2.5M | 133.1K | 44 |
| 2017 | $48.81 | $12.97 | 3.76x | $35.84 | $2.0M | 151.1K | 39 |
| 2018 | $60.62 | $15.75 | 3.85x | $44.87 | $1.6M | 100.1K | 36 |
| 2019 | $56.15 | $15.31 | 3.67x | $40.84 | $2.2M | 144.0K | 40 |
| 2020 | $57.84 | $15.82 | 3.66x | $42.02 | $2.2M | 137.6K | 43 |
| 2021 | $52.66 | $14.13 | 3.73x | $38.53 | $1.9M | 137.0K | 45 |
| 2022 | $69.75 | $17.79 | 3.92x | $51.96 | $2.3M | 132.1K | 42 |
| 2023 | $59.83 | $17.07 | 3.50x | $42.76 | $3.8M | 223.5K | 46 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 168.1K | $6.6M | $39.17 | 3.87x |
| J9299 | Injection, nivolumab, 1 mg | 102.9K | $2.3M | $22.58 | 3.86x |
| J2505 | Injection, pegfilgrastim, 6 mg | 735 | $2.2M | $3.0K | 3.30x |
| J9310 | Injection, rituximab, 100 mg | 2.5K | $1.5M | $593.22 | 3.85x |
| J9228 | Injection, ipilimumab, 1 mg | 6.8K | $861.4K | $127.24 | 1.71x |
| J0897 | Injection, denosumab, 1 mg | 58.4K | $825.6K | $14.13 | 3.90x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 6.5K | $653.5K | $101.21 | 3.87x |
| G9678 | Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a | 3.8K | $594.1K | $157.85 | 1.01x |
| J9035 | Injection, bevacizumab, 10 mg | 10.4K | $551.2K | $52.95 | 3.82x |
| J9999 | Not otherwise classified, antineoplastic drugs | 472 | $509.1K | $1.1K | 3.83x |
| Q5111 | Injection, pegfilgrastim-cbqv, biosimilar, (udenyca), 0.5 mg | 2.1K | $438.8K | $204.30 | 3.55x |
| J3490 | Unclassified drugs | 5.0K | $425.7K | $84.93 | 3.95x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 3.4K | $371.1K | $110.49 | 3.96x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 4.1K | $350.1K | $86.15 | 3.96x |
| J1454 | Injection, fosnetupitant 235 mg and palonosetron 0.25 mg | 898 | $329.8K | $367.21 | 3.84x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 32.7K | $310.9K | $9.51 | 3.83x |
| J1449 | Injection, eflapegrastim-xnst, 0.1 mg | 8.6K | $212.3K | $24.74 | 3.83x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 13.6K | $196.8K | $14.50 | 4.01x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 214.9K | $183.6K | $0.85 | 3.84x |
| 96367 | Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less | 7.8K | $178.2K | $22.93 | 3.84x |
This provider submits charges 3.76 times higher than what Medicare actually pays.
A markup ratio of 3.76x means for every $100 Medicare pays, this provider initially charges $376. 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 Medical Oncology providers in TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| James Uyeki, M.D. | Austin, TX | $35.1M | ⚠️ 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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