This provider averages 62 services per working day
Based on 153.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.2M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Averaging 62 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
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 | $244.03 | $102.58 | 2.38x | $141.45 | $499.4K | 11.9K | 3.0K |
| 2015 | $267.26 | $99.42 | 2.69x | $167.84 | $697.5K | 13.3K | 3.6K |
| 2016 | $294.63 | $109.79 | 2.68x | $184.84 | $750.2K | 13.1K | 3.8K |
| 2017 | $266.95 | $100.05 | 2.67x | $166.90 | $788.4K | 13.4K | 4.0K |
| 2018 | $255.64 | $102.41 | 2.50x | $153.23 | $939.5K | 15.2K | 4.3K |
| 2019 | $268.30 | $106.46 | 2.52x | $161.84 | $766.0K | 13.7K | 4.4K |
| 2020 | $276.54 | $101.98 | 2.71x | $174.56 | $734.9K | 14.4K | 4.1K |
| 2021 | $249.57 | $73.23 | 3.41x | $176.34 | $849.1K | 18.3K | 4.9K |
| 2022 | $124.33 | $35.54 | 3.50x | $88.79 | $572.3K | 20.1K | 5.3K |
| 2023 | $121.45 | $33.33 | 3.64x | $88.12 | $580.2K | 20.5K | 5.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 950 | $2.8M | $3.0K | 2.31x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.4K | $1.2M | $83.86 | 3.31x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 5.3K | $583.1K | $111.06 | 3.31x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.9K | $387.0K | $133.21 | 2.82x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.6K | $257.8K | $159.54 | 3.08x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.6K | $199.9K | $126.60 | 3.39x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 22.3K | $193.5K | $8.68 | 2.99x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.1K | $171.6K | $83.02 | 2.95x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 2.2K | $119.3K | $54.22 | 3.14x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 2.1K | $117.6K | $54.77 | 3.28x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 1.4K | $91.2K | $62.93 | 3.26x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 5.9K | $90.9K | $15.51 | 4.26x |
| 80053 | Blood test, comprehensive group of blood chemicals | 8.4K | $90.7K | $10.74 | 4.09x |
| 36415 | Insertion of needle into vein for collection of blood sample | 25.1K | $90.3K | $3.59 | 6.78x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 4.2K | $64.0K | $15.12 | 3.91x |
| 96416 | Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours | 550 | $62.8K | $114.09 | 3.37x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 487 | $53.5K | $109.80 | 3.25x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 320 | $53.3K | $166.67 | 3.18x |
| J2506 | Injection, pegfilgrastim, excludes biosimilar, 0.5 mg | 483 | $49.2K | $101.81 | 4.82x |
| 83735 | Magnesium level | 5.5K | $41.9K | $7.57 | 3.24x |
This provider submits charges 2.99 times higher than what Medicare actually pays.
A markup ratio of 2.99x means for every $100 Medicare pays, this provider initially charges $299. 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 Hematology-Oncology providers in MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| David Smith, MD | Easton, MD | $48.3M | ✓ Clear |
| Frederick Smith, M.D. | Chevy Chase, MD | $33.7M | ✓ 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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