⚠️ This provider averages 266 services per working day — physically unusual for an individual practitioner
Based on 664.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $11.2M in total Medicare payments ranks in the 99th percentile of Medical Oncology providers nationally.
Averaging 266 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1281% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 341% in 2020
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 | $151.42 | $25.43 | 5.95x | $125.99 | $272.3K | 10.7K | 28 |
| 2015 | $154.95 | $24.02 | 6.45x | $130.93 | $280.1K | 11.7K | 27 |
| 2016 | $150.39 | $23.95 | 6.28x | $126.44 | $196.4K | 8.2K | 28 |
| 2017 | $276.97 | $67.31 | 4.11x | $209.66 | $178.4K | 2.6K | 13 |
| 2018 | $311.63 | $74.25 | 4.20x | $237.38 | $145.4K | 2.0K | 10 |
| 2019 | $140.52 | $24.40 | 5.76x | $116.12 | $213.3K | 8.7K | 26 |
| 2020 | $59.68 | $11.96 | 4.99x | $47.72 | $941.4K | 78.7K | 47 |
| 2021 | $62.56 | $14.25 | 4.39x | $48.31 | $1.8M | 127.4K | 61 |
| 2022 | $74.15 | $16.22 | 4.57x | $57.93 | $3.4M | 210.2K | 70 |
| 2023 | $83.04 | $18.40 | 4.51x | $64.64 | $3.8M | 204.5K | 62 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 73.6K | $3.1M | $41.62 | 4.30x |
| J9299 | Injection, nivolumab, 1 mg | 61.5K | $1.4M | $23.07 | 4.31x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 11.6K | $875.3K | $75.45 | 4.69x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 19.3K | $711.8K | $36.96 | 3.91x |
| J0897 | Injection, denosumab, 1 mg | 30.0K | $506.2K | $16.87 | 3.87x |
| J9047 | Injection, carfilzomib, 1 mg | 6.6K | $224.4K | $34.16 | 4.22x |
| 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 | 1.3K | $212.2K | $158.02 | 1.95x |
| J9173 | Injection, durvalumab, 10 mg | 3.2K | $196.3K | $61.32 | 3.61x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 5.5K | $182.4K | $32.92 | 4.62x |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 66.9K | $170.9K | $2.56 | 4.97x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 1.7K | $159.5K | $96.33 | 5.20x |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 2.9K | $156.9K | $53.88 | 3.05x |
| J9022 | Injection, atezolizumab, 10 mg | 2.7K | $152.1K | $55.60 | 4.92x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 17.6K | $151.9K | $8.65 | 8.85x |
| J2505 | Injection, pegfilgrastim, 6 mg | 60 | $151.0K | $2.5K | 3.98x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 14.1K | $146.9K | $10.42 | 4.34x |
| J9358 | Injection, fam-trastuzumab deruxtecan-nxki, 1 mg | 7.1K | $136.7K | $19.26 | 4.61x |
| Q5107 | Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg | 5.7K | $132.2K | $23.08 | 5.60x |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1.6K | $127.9K | $79.51 | 3.02x |
| J9041 | Injection, bortezomib, 0.1 mg | 4.5K | $125.1K | $27.71 | 4.56x |
This provider submits charges 4.68 times higher than what Medicare actually pays.
A markup ratio of 4.68x means for every $100 Medicare pays, this provider initially charges $468. This is higher than the national average.
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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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