This provider's $3.9M in total Medicare payments ranks in the 99th percentile of Gynecological Oncology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $485.32 | $105.37 | 4.61x | $379.95 | $561.4K | 6.5K | 2.1K |
| 2015 | $551.35 | $117.97 | 4.67x | $433.38 | $543.4K | 6.9K | 2.1K |
| 2016 | $537.15 | $120.75 | 4.45x | $416.40 | $411.5K | 6.6K | 1.8K |
| 2017 | $657.56 | $140.12 | 4.69x | $517.44 | $403.2K | 5.6K | 1.7K |
| 2018 | $588.26 | $128.84 | 4.57x | $459.42 | $376.3K | 6.0K | 1.8K |
| 2019 | $580.02 | $124.30 | 4.67x | $455.72 | $470.0K | 7.4K | 2.2K |
| 2020 | $552.82 | $106.68 | 5.18x | $446.14 | $482.0K | 8.4K | 2.1K |
| 2021 | $729.37 | $112.95 | 6.46x | $616.42 | $328.9K | 6.6K | 1.8K |
| 2022 | $284.41 | $59.01 | 4.82x | $225.40 | $153.3K | 4.6K | 1.6K |
| 2023 | $285.17 | $50.39 | 5.66x | $234.78 | $147.4K | 5.1K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 640 | $1.9M | $3.0K | 4.85x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 3.1K | $333.1K | $106.85 | 6.56x |
| G9678 | Oncology Care Model service | 1.5K | $244.0K | $157.90 | 1.01x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.1K | $173.9K | $82.03 | 3.08x |
| 58571 | Abdominal removal of uterus (250 grams or less) with removal of tubes and/or ovaries using an endoscope | 241 | $170.1K | $705.66 | 4.26x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.3K | $169.8K | $51.49 | 3.17x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.3K | $156.0K | $118.20 | 2.89x |
| 86304 | Immunologic analysis for detection of tumor antigen | 3.3K | $78.2K | $23.82 | 5.21x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.2K | $64.1K | $52.32 | 6.54x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 7.1K | $62.9K | $8.88 | 3.94x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 322 | $51.6K | $160.21 | 3.05x |
| 80048 | Blood test, basic group of blood chemicals | 5.0K | $49.8K | $9.90 | 4.85x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 1.9K | $46.0K | $23.83 | 6.38x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 324 | $39.0K | $120.42 | 3.07x |
| Q2050 | Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10mg | 140 | $38.7K | $276.77 | 7.79x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 2.4K | $36.1K | $14.87 | 7.06x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 2.0K | $32.8K | $16.65 | 5.59x |
| J9035 | Injection, bevacizumab, 10 mg | 448 | $26.0K | $58.07 | 3.39x |
| 80053 | Blood test, comprehensive group of blood chemicals | 2.2K | $25.4K | $11.68 | 5.31x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 2.1K | $22.6K | $10.62 | 11.15x |
This provider submits charges 4.74 times higher than what Medicare actually pays.
A markup ratio of 4.74x means for every $100 Medicare pays, this provider initially charges $474. 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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