⚠️ This provider averages 635 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 $24.5M in total Medicare payments ranks in the 99th percentile of Medical Oncology providers nationally.
Averaging 635 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 401% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 88% in 2022
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 | $37.61 | $10.46 | 3.60x | $27.15 | $920.3K | 88.0K | 44 |
| 2015 | $27.99 | $8.27 | 3.38x | $19.72 | $1.2M | 142.1K | 45 |
| 2016 | $32.40 | $9.79 | 3.31x | $22.61 | $1.6M | 168.3K | 55 |
| 2017 | $46.45 | $13.98 | 3.32x | $32.47 | $2.4M | 173.8K | 48 |
| 2018 | $41.91 | $12.35 | 3.39x | $29.56 | $2.4M | 193.3K | 50 |
| 2019 | $52.77 | $11.98 | 4.40x | $40.79 | $2.0M | 170.1K | 51 |
| 2020 | $54.28 | $11.38 | 4.77x | $42.90 | $2.1M | 186.7K | 49 |
| 2021 | $71.43 | $15.15 | 4.71x | $56.28 | $2.5M | 164.0K | 61 |
| 2022 | $101.92 | $26.16 | 3.90x | $75.76 | $4.7M | 179.0K | 59 |
| 2023 | $141.32 | $37.86 | 3.73x | $103.46 | $4.6M | 121.8K | 53 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 126.0K | $5.1M | $40.11 | 4.00x |
| A9607 | Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie | 13.8K | $3.5M | $251.70 | 2.98x |
| J0897 | Injection, denosumab, 1 mg | 130.5K | $1.8M | $14.04 | 3.75x |
| J2505 | Injection, pegfilgrastim, 6 mg | 497 | $1.5M | $3.0K | 3.86x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15.9K | $1.3M | $83.14 | 4.04x |
| A9699 | Radiopharmaceutical, therapeutic, not otherwise classified | 305 | $1.3M | $4.3K | 2.89x |
| J9310 | Injection, rituximab, 100 mg | 1.4K | $844.3K | $600.07 | 3.22x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 90.4K | $808.7K | $8.94 | 3.78x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 21.9K | $725.1K | $33.16 | 4.38x |
| J1557 | Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg | 15.3K | $512.4K | $33.47 | 2.89x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 5.3K | $510.9K | $96.27 | 5.48x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 8.9K | $489.3K | $55.09 | 4.01x |
| J9355 | Injection, trastuzumab, 10 mg | 6.0K | $456.4K | $76.68 | 3.13x |
| Q5118 | Injection, bevacizumab-bvzr, biosimilar, (zirabev), 10 mg | 6.2K | $281.4K | $45.17 | 4.82x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 323.3K | $268.7K | $0.83 | 3.78x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 7.4K | $260.9K | $35.36 | 4.34x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 26.4K | $234.7K | $8.90 | 3.64x |
| J1454 | Injection, fosnetupitant 235 mg and palonosetron 0.25 mg | 632 | $231.1K | $365.69 | 5.59x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 2.0K | $227.9K | $114.77 | 3.65x |
| J9299 | Injection, nivolumab, 1 mg | 11.1K | $224.5K | $20.30 | 3.14x |
This provider submits charges 3.88 times higher than what Medicare actually pays.
A markup ratio of 3.88x means for every $100 Medicare pays, this provider initially charges $388. 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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