This provider averages 186 services per working day
Based on 465.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $22.0M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 186 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 | $363.24 | $94.03 | 3.86x | $269.21 | $2.8M | 68.0K | 19.5K |
| 2015 | $357.63 | $91.08 | 3.93x | $266.55 | $2.2M | 57.7K | 16.9K |
| 2016 | $355.78 | $91.10 | 3.91x | $264.68 | $2.0M | 47.7K | 14.4K |
| 2017 | $396.00 | $99.82 | 3.97x | $296.18 | $2.2M | 45.3K | 13.4K |
| 2018 | $386.98 | $95.35 | 4.06x | $291.63 | $2.7M | 51.4K | 13.6K |
| 2019 | $328.04 | $85.69 | 3.83x | $242.35 | $2.5M | 47.4K | 13.3K |
| 2020 | $398.39 | $101.69 | 3.92x | $296.70 | $1.8M | 36.9K | 11.0K |
| 2021 | $363.10 | $89.01 | 4.08x | $274.09 | $2.0M | 36.5K | 11.9K |
| 2022 | $410.58 | $91.82 | 4.47x | $318.76 | $1.9M | 35.3K | 11.6K |
| 2023 | $406.57 | $86.78 | 4.69x | $319.79 | $1.8M | 38.9K | 13.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 5.8K | $7.3M | $1.3K | 2.71x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 6.1K | $1.3M | $216.38 | 4.69x |
| G9678 | Oncology Care Model service | 8.3K | $1.3M | $157.94 | 1.01x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.0K | $1.1M | $88.03 | 3.10x |
| 74178 | CT scan of abdomen and pelvis before and after contrast | 3.9K | $1.1M | $285.51 | 3.50x |
| 78816 | Nuclear medicine study with CT imaging whole body | 617 | $763.6K | $1.2K | 2.60x |
| 71260 | CT scan chest with contrast | 5.6K | $603.5K | $107.25 | 7.54x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 4.0K | $491.0K | $123.90 | 3.20x |
| 70491 | CT scan of neck with contrast | 4.2K | $477.2K | $114.55 | 6.97x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 48.5K | $442.0K | $9.11 | 3.07x |
| 82378 | Carcinoembryonic antigen (CEA) protein level | 19.6K | $435.3K | $22.22 | 3.06x |
| 76377 | 3D radiographic procedure with computerized image postprocessing | 7.0K | $421.2K | $60.28 | 4.18x |
| 80053 | Blood test, comprehensive group of blood chemicals | 40.6K | $393.9K | $9.69 | 5.16x |
| 83735 | Magnesium level | 46.3K | $368.2K | $7.95 | 3.02x |
| 74177 | Ct scan of abdomen and pelvis with contrast | 1.1K | $284.1K | $262.58 | 4.09x |
| 70553 | MRI scan of brain before and after contrast | 953 | $264.3K | $277.38 | 6.20x |
| 83615 | Lactate dehydrogenase (enzyme) level | 49.3K | $249.4K | $5.06 | 4.35x |
| 96374 | Injection of drug or substance into a vein for therapy, diagnosis, or prevention | 5.8K | $239.6K | $41.00 | 4.76x |
| 86300 | Immunologic analysis for detection of tumor antigen | 9.4K | $228.8K | $24.41 | 3.07x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 5.5K | $201.8K | $36.91 | 4.06x |
This provider submits charges 3.46 times higher than what Medicare actually pays.
A markup ratio of 3.46x means for every $100 Medicare pays, this provider initially charges $346. 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