This provider averages 54 services per working day
Based on 135.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.0M in total Medicare payments ranks in the 97th percentile of Hematology-Oncology providers nationally.
Averaging 54 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 | $196.91 | $81.01 | 2.43x | $115.90 | $618.5K | 14.2K | 3.0K |
| 2015 | $216.29 | $81.55 | 2.65x | $134.74 | $682.6K | 16.3K | 3.3K |
| 2016 | $235.57 | $86.43 | 2.73x | $149.14 | $796.1K | 15.9K | 3.6K |
| 2017 | $243.83 | $96.29 | 2.53x | $147.54 | $841.2K | 13.3K | 3.5K |
| 2018 | $243.34 | $102.07 | 2.38x | $141.27 | $637.8K | 13.0K | 3.4K |
| 2019 | $226.64 | $97.75 | 2.32x | $128.89 | $531.5K | 12.5K | 3.4K |
| 2020 | $240.30 | $89.75 | 2.68x | $150.55 | $480.1K | 12.2K | 3.3K |
| 2021 | $253.77 | $77.10 | 3.29x | $176.67 | $488.3K | 11.4K | 3.3K |
| 2022 | $125.45 | $37.91 | 3.31x | $87.54 | $466.5K | 14.1K | 3.5K |
| 2023 | $134.89 | $39.49 | 3.42x | $95.40 | $425.3K | 12.2K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 713 | $2.1M | $3.0K | 2.21x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.1K | $913.7K | $90.76 | 3.00x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 4.7K | $552.4K | $117.43 | 3.22x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.5K | $447.3K | $59.95 | 2.44x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.2K | $304.8K | $138.09 | 2.78x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 16.9K | $151.7K | $8.99 | 2.89x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.0K | $125.1K | $63.74 | 2.46x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 2.1K | $119.4K | $57.92 | 3.03x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 2.0K | $113.0K | $56.72 | 3.02x |
| 80053 | Blood test, comprehensive group of blood chemicals | 8.2K | $99.4K | $12.15 | 3.61x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 5.4K | $92.9K | $17.22 | 3.37x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 1.3K | $87.3K | $68.22 | 2.75x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 4.7K | $79.2K | $16.97 | 3.41x |
| 36415 | Insertion of needle into vein for collection of blood sample | 18.5K | $66.9K | $3.62 | 5.91x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 431 | $55.9K | $129.74 | 3.17x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 1.5K | $52.4K | $34.25 | 2.41x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 270 | $46.2K | $171.02 | 5.36x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 404 | $37.2K | $92.18 | 2.64x |
| 83735 | Magnesium level | 4.4K | $35.1K | $7.92 | 3.07x |
| 96360 | Hydration infusion into a vein 31 minutes to 1 hour | 790 | $31.5K | $39.83 | 3.60x |
This provider submits charges 2.82 times higher than what Medicare actually pays.
A markup ratio of 2.82x means for every $100 Medicare pays, this provider initially charges $282. 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 MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| David Smith, MD | Easton, MD | $48.3M | ✓ Clear |
| Frederick Smith, M.D. | Chevy Chase, MD | $33.7M | ✓ 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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