⚠️ This provider averages 629 services per working day — physically unusual for an individual practitioner
Based on 1.6M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $35.1M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 629 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1500% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 135% in 2021
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 | $15.54 | $3.88 | 4.01x | $11.66 | $717.3K | 185.1K | 29 |
| 2015 | $50.94 | $15.89 | 3.21x | $35.05 | $1.4M | 85.4K | 34 |
| 2016 | $72.26 | $33.61 | 2.15x | $38.65 | $2.5M | 75.4K | 29 |
| 2017 | $45.71 | $23.98 | 1.91x | $21.73 | $3.0M | 124.5K | 28 |
| 2018 | $38.99 | $20.96 | 1.86x | $18.03 | $2.4M | 113.9K | 34 |
| 2019 | $39.39 | $20.11 | 1.96x | $19.28 | $2.3M | 114.1K | 28 |
| 2020 | $33.51 | $17.24 | 1.94x | $16.27 | $1.5M | 88.6K | 27 |
| 2021 | $45.78 | $24.16 | 1.89x | $21.62 | $3.6M | 148.3K | 31 |
| 2022 | $44.79 | $24.63 | 1.82x | $20.16 | $6.2M | 253.3K | 32 |
| 2023 | $56.91 | $29.91 | 1.90x | $27.00 | $11.5M | 383.7K | 34 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9035 | Injection, bevacizumab, 10 mg | 87.3K | $5.1M | $58.33 | 1.93x |
| J9271 | Injection, pembrolizumab, 1 mg | 101.2K | $4.3M | $42.55 | 1.87x |
| J9299 | Injection, nivolumab, 1 mg | 170.9K | $3.8M | $21.94 | 1.88x |
| Q5107 | Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg | 92.7K | $3.0M | $31.95 | 2.02x |
| J9228 | Injection, ipilimumab, 1 mg | 26.2K | $2.9M | $111.87 | 1.57x |
| J9145 | Injection, daratumumab, 10 mg | 40.9K | $2.0M | $47.69 | 1.90x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 195.2K | $1.8M | $9.46 | 1.83x |
| J9047 | Injection, carfilzomib, 1 mg | 44.3K | $1.6M | $35.98 | 1.91x |
| J9310 | Injection, rituximab, 100 mg | 2.5K | $1.5M | $621.81 | 1.52x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 11.0K | $1.2M | $112.01 | 2.31x |
| J9312 | Injection, rituximab, 10 mg | 16.9K | $1.2M | $68.15 | 1.96x |
| J0897 | Injection, denosumab, 1 mg | 65.8K | $1.0M | $15.58 | 1.88x |
| J9355 | Injection, trastuzumab, 10 mg | 12.1K | $877.8K | $72.73 | 2.29x |
| Q5119 | Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg | 30.9K | $851.3K | $27.56 | 2.18x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 6.9K | $781.6K | $112.91 | 2.18x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 10.6K | $584.5K | $55.27 | 2.59x |
| Q5115 | Injection, rituximab-abbs, biosimilar, (truxima), 10 mg | 5.6K | $346.8K | $61.91 | 1.92x |
| 96417 | Administration of additional new drug or substance into vein, 1 hour or less | 5.1K | $276.0K | $54.16 | 2.35x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 3.0K | $274.3K | $90.88 | 1.94x |
| 96361 | Infusion into a vein for hydration, each additional hour | 23.7K | $267.7K | $11.27 | 5.09x |
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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Luke Dreisbach, M.D. | Rancho Mirage, CA | $77.2M | ✓ Clear |
| Sachin Gupta, M.D. | Fresno, CA | $55.1M | ✓ Clear |
| Ravi Rao, MD | Fresno, CA | $49.1M | ⚠️ Flagged |
| Michael Sherman, M.D., PHD | Walnut Creek, CA | $38.9M | ✓ Clear |
| Nerses Tchekmedyian, M.D. | Irvine, CA | $38.0M | ✓ 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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