⚠️ This provider averages 1.4K services per working day — physically unusual for an individual practitioner
Based on 3.5M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $34.2M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.4K services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 63% 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 | $29.82 | $9.85 | 3.03x | $19.97 | $3.1M | 318.9K | 12.7K |
| 2015 | $28.03 | $9.85 | 2.85x | $18.18 | $2.6M | 262.4K | 10.4K |
| 2016 | $15.19 | $9.85 | 1.54x | $5.34 | $3.5M | 357.1K | 14.2K |
| 2017 | $34.22 | $9.85 | 3.47x | $24.37 | $4.0M | 402.5K | 16.0K |
| 2018 | $19.04 | $9.85 | 1.93x | $9.19 | $2.7M | 279.0K | 11.1K |
| 2019 | $18.58 | $9.85 | 1.89x | $8.73 | $3.9M | 398.2K | 15.8K |
| 2020 | $18.53 | $9.85 | 1.88x | $8.68 | $3.2M | 327.7K | 13.0K |
| 2021 | $38.49 | $9.85 | 3.91x | $28.64 | $2.6M | 260.5K | 10.3K |
| 2022 | $38.72 | $9.85 | 3.93x | $28.87 | $4.2M | 423.5K | 16.8K |
| 2023 | $16.65 | $9.85 | 1.69x | $6.80 | $4.3M | 441.3K | 17.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96413 | Chemotherapy administration, IV infusion, first hour | 503.9K | $6.2M | $12.39 | 1.97x |
| 96415 | Chemotherapy IV infusion, each additional hour | 512.4K | $5.5M | $10.67 | 1.63x |
| 99214 | Office/outpatient visit, moderate complexity | 238.9K | $3.9M | $16.19 | 2.57x |
| 96365 | IV infusion for therapy, first hour | 354.8K | $2.7M | $7.69 | 2.97x |
| 36415 | Insertion of needle into vein | 125.8K | $2.1M | $16.94 | 2.55x |
| 99215 | Office/outpatient visit, high complexity | 146.8K | $1.4M | $9.77 | 2.94x |
| 85025 | Complete blood cell count | 113.4K | $1.4M | $12.55 | 4.35x |
| 96375 | Therapeutic IV push, each additional substance | 201.5K | $1.4M | $6.92 | 2.43x |
| 80053 | Comprehensive metabolic panel | 145.6K | $1.3M | $9.18 | 4.37x |
| J9271 | Injection, pembrolizumab | 83.5K | $1.3M | $15.80 | 1.31x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. This is lower 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 AR for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Kamal Patel, M.D. | Little Rock, AR | $58.7M | ⚠️ Flagged |
| Balagopalan Nair, M.D. | Little Rock, AR | $54.5M | ⚠️ Flagged |
| Eric Schaefer, M.D. | Fayetteville, AR | $35.5M | ✓ Clear |
| Thomas Sneed, M.D. | Little Rock, AR | $34.7M | ✓ Clear |
| Lawrence Mendelsohn, MD | Little Rock, AR | $34.6M | ⚠️ Flagged |
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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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