Statistical flag only — not an accusation of fraud
⚠️ This provider averages 1.0K services per working day — physically unusual for an individual practitioner
Based on 2.3M total services over 9 years (250 working days/year). Learn about impossible service volumes →
This provider's $26.5M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.0K services per working day raises questions about billing patterns.
Medicare payments to this provider grew 30143% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 70/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 4431% in 2016
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 | $170.24 | $72.03 | 2.36x | $98.21 | $15.1K | 209 | 4 |
| 2016 | $53.71 | $11.70 | 4.59x | $42.01 | $682.2K | 58.3K | 41 |
| 2017 | $56.09 | $11.92 | 4.71x | $44.17 | $2.0M | 168.2K | 61 |
| 2018 | $44.07 | $9.49 | 4.64x | $34.58 | $3.1M | 325.8K | 77 |
| 2019 | $44.87 | $10.04 | 4.47x | $34.83 | $3.9M | 385.1K | 78 |
| 2020 | $46.21 | $11.61 | 3.98x | $34.60 | $4.1M | 349.0K | 78 |
| 2021 | $48.73 | $12.32 | 3.96x | $36.41 | $4.4M | 361.2K | 76 |
| 2022 | $42.51 | $10.12 | 4.20x | $32.39 | $3.8M | 375.9K | 73 |
| 2023 | $61.32 | $16.32 | 3.76x | $45.00 | $4.6M | 279.0K | 69 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9299 | Injection, nivolumab, 1 mg | 230.1K | $5.2M | $22.41 | 2.93x |
| J9271 | Injection, pembrolizumab, 1 mg | 115.4K | $4.8M | $41.70 | 2.86x |
| J2505 | Injection, pegfilgrastim, 6 mg | 400 | $1.3M | $3.2K | 3.18x |
| J0897 | Injection, denosumab, 1 mg | 79.7K | $1.3M | $15.84 | 2.84x |
| J9035 | Injection, bevacizumab, 10 mg | 17.8K | $1.1M | $60.34 | 2.72x |
| Q5115 | Injection, rituximab-abbs, biosimilar, (truxima), 10 mg | 17.7K | $872.9K | $49.29 | 4.28x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 8.0K | $765.2K | $95.64 | 6.90x |
| J9310 | Injection, rituximab, 100 mg | 1.1K | $733.2K | $664.13 | 2.64x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 8.7K | $711.2K | $81.73 | 3.76x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 65.3K | $647.9K | $9.92 | 3.23x |
| J9041 | Injection, bortezomib, 0.1 mg | 21.6K | $645.0K | $29.82 | 3.83x |
| J9355 | Injection, trastuzumab, 10 mg | 6.4K | $508.1K | $79.69 | 2.77x |
| J9022 | Injection, atezolizumab, 10 mg | 7.5K | $477.5K | $63.57 | 2.96x |
| J9305 | Injection, pemetrexed, not otherwise specified, 10 mg | 8.4K | $471.8K | $56.16 | 3.03x |
| J9173 | Injection, durvalumab, 10 mg | 7.6K | $465.6K | $60.94 | 2.97x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 53.6K | $455.7K | $8.50 | 4.50x |
| Q5107 | Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg | 10.8K | $414.9K | $38.54 | 4.38x |
| Q0138 | Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) | 383.5K | $275.9K | $0.72 | 10.43x |
| J9034 | Injection, bendamustine hcl (bendeka), 1 mg | 15.2K | $270.3K | $17.83 | 3.29x |
| J9312 | Injection, rituximab, 10 mg | 3.6K | $266.2K | $74.57 | 2.91x |
This provider submits charges 4.19 times higher than what Medicare actually pays.
A markup ratio of 4.19x means for every $100 Medicare pays, this provider initially charges $419. 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 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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