This provider averages 60 services per working day
Based on 149.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.1M in total Medicare payments ranks in the 97th percentile of Hematology-Oncology providers nationally.
Averaging 60 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 | $223.27 | $92.40 | 2.42x | $130.87 | $913.8K | 16.3K | 2.5K |
| 2015 | $226.13 | $97.93 | 2.31x | $128.20 | $668.8K | 13.5K | 2.2K |
| 2016 | $267.63 | $114.11 | 2.35x | $153.52 | $731.8K | 15.0K | 2.4K |
| 2017 | $132.65 | $46.58 | 2.85x | $86.07 | $698.0K | 16.2K | 2.6K |
| 2018 | $106.64 | $40.54 | 2.63x | $66.10 | $534.6K | 14.2K | 2.5K |
| 2019 | $77.34 | $29.18 | 2.65x | $48.16 | $541.1K | 17.4K | 2.9K |
| 2020 | $63.57 | $23.91 | 2.66x | $39.66 | $521.2K | 17.1K | 2.5K |
| 2021 | $67.89 | $27.50 | 2.47x | $40.39 | $538.3K | 13.6K | 2.4K |
| 2022 | $71.18 | $26.69 | 2.67x | $44.49 | $499.6K | 13.1K | 2.2K |
| 2023 | $103.28 | $33.75 | 3.06x | $69.53 | $484.6K | 12.9K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 23.4K | $1.9M | $81.99 | 2.67x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 8.1K | $825.0K | $101.88 | 2.60x |
| J2505 | Injection, pegfilgrastim, 6 mg | 202 | $560.8K | $2.8K | 2.20x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 7.2K | $368.3K | $51.07 | 2.64x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.9K | $333.4K | $116.04 | 2.61x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 12.5K | $285.0K | $22.81 | 2.59x |
| J9310 | Injection, rituximab, 100 mg | 438 | $267.5K | $610.62 | 2.49x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.7K | $209.6K | $57.41 | 2.61x |
| J3490 | Unclassified drugs | 3.2K | $204.3K | $63.33 | 3.28x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 10.8K | $148.0K | $13.76 | 2.58x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 875 | $132.6K | $151.56 | 2.69x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 2.3K | $110.0K | $48.66 | 2.64x |
| 96416 | Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours | 864 | $86.1K | $99.60 | 2.64x |
| 96360 | Hydration infusion into a vein 31 minutes to 1 hour | 2.0K | $64.6K | $31.64 | 2.62x |
| 96521 | Refilling and maintenance of portable pump | 576 | $57.4K | $99.62 | 2.63x |
| 99195 | Therapeutic removal of whole blood to correct blood level imbalance | 753 | $53.6K | $71.21 | 2.70x |
| 96523 | Irrigation of implanted venous access drug delivery device | 2.4K | $42.6K | $17.87 | 2.77x |
| 96415 | Infusion of chemotherapy into a vein | 1.7K | $36.9K | $22.00 | 2.59x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis | 2.0K | $32.0K | $16.02 | 2.55x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 2.3K | $30.6K | $13.41 | 2.57x |
This provider submits charges 2.62 times higher than what Medicare actually pays.
A markup ratio of 2.62x means for every $100 Medicare pays, this provider initially charges $262. 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Benjamin Downie, MD | Georgetown, TX | $36.6M | ✓ Clear |
| Mohsen Arani, MD | The Woodlands, TX | $34.3M | ✓ 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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