This provider averages 83 services per working day
Based on 206.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.9M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Averaging 83 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 90% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 102% in 2021
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 | $218.50 | $96.89 | 2.26x | $121.61 | $526.9K | 15.2K | 10.5K |
| 2015 | $205.79 | $94.23 | 2.18x | $111.56 | $690.0K | 18.4K | 12.5K |
| 2016 | $217.89 | $103.13 | 2.11x | $114.76 | $792.2K | 20.3K | 13.0K |
| 2017 | $199.01 | $100.02 | 1.99x | $98.99 | $810.5K | 19.7K | 13.0K |
| 2018 | $124.16 | $40.38 | 3.07x | $83.78 | $549.0K | 18.6K | 12.7K |
| 2019 | $146.09 | $45.26 | 3.23x | $100.83 | $506.7K | 16.3K | 10.1K |
| 2020 | $147.29 | $44.05 | 3.34x | $103.24 | $592.7K | 18.2K | 10.5K |
| 2021 | $162.66 | $49.08 | 3.31x | $113.58 | $1.2M | 31.8K | 16.5K |
| 2022 | $164.43 | $48.29 | 3.41x | $116.14 | $1.2M | 28.9K | 15.0K |
| 2023 | $151.73 | $44.79 | 3.39x | $106.94 | $1.0M | 19.6K | 9.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 16.2K | $2.3M | $138.87 | 2.34x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 3.6K | $856.9K | $239.69 | 2.71x |
| J2505 | Injection, pegfilgrastim, 6 mg | 133 | $399.3K | $3.0K | 1.50x |
| 76872 | Ultrasound of rectum | 3.6K | $373.5K | $104.55 | 2.39x |
| 84403 | Testosterone (hormone) level | 10.7K | $312.3K | $29.18 | 3.08x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.4K | $297.3K | $88.34 | 2.55x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 1.7K | $274.0K | $160.13 | 4.68x |
| 84153 | PSA (prostate specific antigen) measurement | 12.7K | $264.1K | $20.74 | 2.89x |
| 84270 | Sex hormone binding globulin (protein) level | 10.3K | $252.8K | $24.62 | 2.44x |
| 83001 | Gonadotropin, follicle stimulating (reproductive hormone) level | 10.0K | $211.0K | $21.02 | 3.57x |
| 82670 | Estradiol (hormone) level | 7.2K | $210.5K | $29.44 | 2.04x |
| 83002 | Gonadotropin, luteinizing (reproductive hormone) level | 10.0K | $210.3K | $20.95 | 3.58x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 922 | $161.4K | $175.03 | 4.59x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 1.3K | $135.1K | $106.38 | 4.23x |
| 84066 | Phosphatase, prostatic (prostate enzyme) level | 11.1K | $119.7K | $10.81 | 3.24x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 12.5K | $109.6K | $8.76 | 2.85x |
| 84481 | Thyroid hormone, T3 measurement | 4.8K | $91.9K | $19.33 | 2.59x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 4.7K | $90.6K | $19.16 | 2.87x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 6.1K | $90.4K | $14.73 | 5.77x |
| 80048 | Blood test, basic group of blood chemicals | 11.2K | $84.7K | $7.53 | 3.19x |
This provider submits charges 2.81 times higher than what Medicare actually pays.
A markup ratio of 2.81x means for every $100 Medicare pays, this provider initially charges $281. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Luke Dreisbach, M.D. | Rancho Mirage, CA | $77.2M | ✓ Clear |
| Sachin Gupta, M.D. | Fresno, CA | $55.1M | ✓ Clear |
| Ravi Rao, MD | Fresno, CA | $49.1M | ⚠️ Flagged |
| Michael Sherman, M.D., PHD | Walnut Creek, CA | $38.9M | ✓ Clear |
| Nerses Tchekmedyian, M.D. | Irvine, CA | $38.0M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data