⚠️ This provider averages 1.7K services per working day — physically unusual for an individual practitioner
Based on 4.2M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $39.2M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.7K services per working day raises questions about billing patterns.
Medicare payments to this provider grew 64% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 73% 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 | $36.59 | $9.36 | 3.91x | $27.23 | $3.4M | 366.5K | 8.8K |
| 2015 | $34.96 | $9.36 | 3.74x | $25.60 | $4.5M | 479.9K | 11.6K |
| 2016 | $23.18 | $9.36 | 2.48x | $13.82 | $4.1M | 439.3K | 10.6K |
| 2017 | $21.56 | $9.36 | 2.30x | $12.20 | $4.7M | 505.5K | 12.2K |
| 2018 | $16.75 | $9.36 | 1.79x | $7.39 | $3.9M | 415.3K | 10.0K |
| 2019 | $24.47 | $9.36 | 2.61x | $15.11 | $2.9M | 309.8K | 7.5K |
| 2020 | $16.90 | $9.36 | 1.81x | $7.54 | $3.2M | 340.7K | 8.2K |
| 2021 | $19.65 | $9.36 | 2.10x | $10.29 | $3.6M | 381.9K | 9.2K |
| 2022 | $23.55 | $9.36 | 2.52x | $14.19 | $3.3M | 348.0K | 8.4K |
| 2023 | $14.35 | $9.36 | 1.53x | $4.99 | $5.6M | 601.5K | 14.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96413 | Chemotherapy administration, IV infusion, first hour | 511.8K | $9.4M | $18.41 | 1.89x |
| 96415 | Chemotherapy IV infusion, each additional hour | 413.2K | $5.9M | $14.29 | 2.28x |
| 99214 | Office/outpatient visit, moderate complexity | 610.3K | $4.0M | $6.58 | 2.31x |
| 96365 | IV infusion for therapy, first hour | 404.2K | $3.3M | $8.06 | 2.93x |
| 85025 | Complete blood cell count | 230.4K | $2.6M | $11.43 | 3.66x |
| 36415 | Insertion of needle into vein | 160.6K | $1.5M | $9.46 | 2.52x |
| J9271 | Injection, pembrolizumab | 87.2K | $1.5M | $16.93 | 1.31x |
| 96375 | Therapeutic IV push, each additional substance | 200.2K | $1.4M | $7.15 | 2.42x |
| 99215 | Office/outpatient visit, high complexity | 83.8K | $1.2M | $13.79 | 2.40x |
| 80053 | Comprehensive metabolic panel | 66.6K | $550.7K | $8.27 | 3.45x |
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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Christopher Lobo, MD | Port Charlotte, FL | $60.5M | ⚠️ Flagged |
| Maen Hussein, M.D. | Tavares, FL | $57.6M | ✓ Clear |
| Vikas Malhotra, M.D. | Spring Hill, FL | $52.8M | ✓ Clear |
| Andrew Lipman, M.D. | Naples, FL | $51.1M | ⚠️ Flagged |
| Syed Zafar, M.D. | Fort Myers, FL | $48.1M | ⚠️ 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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