⚠️ This provider averages 1.3K services per working day — physically unusual for an individual practitioner
Based on 3.3M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $48.3M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.3K services per working day raises questions about billing patterns.
Medicare payments to this provider grew 72% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 89% in 2018
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 | $33.08 | $16.18 | 2.04x | $16.90 | $3.7M | 229.4K | 42 |
| 2015 | $30.74 | $14.91 | 2.06x | $15.83 | $3.5M | 231.4K | 43 |
| 2016 | $38.63 | $19.30 | 2.00x | $19.33 | $2.9M | 151.8K | 41 |
| 2017 | $27.16 | $14.50 | 1.87x | $12.66 | $3.2M | 221.8K | 33 |
| 2018 | $27.02 | $14.76 | 1.83x | $12.26 | $6.1M | 411.2K | 36 |
| 2019 | $23.53 | $11.97 | 1.97x | $11.56 | $5.9M | 493.6K | 38 |
| 2020 | $27.77 | $13.23 | 2.10x | $14.54 | $7.4M | 560.6K | 43 |
| 2021 | $33.04 | $14.84 | 2.23x | $18.20 | $4.6M | 310.6K | 31 |
| 2022 | $35.69 | $15.63 | 2.28x | $20.06 | $4.6M | 296.0K | 33 |
| 2023 | $33.88 | $15.42 | 2.20x | $18.46 | $6.4M | 413.7K | 34 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 247.5K | $10.0M | $40.27 | 1.80x |
| J9299 | Injection, nivolumab, 1 mg | 400.0K | $8.9M | $22.13 | 2.36x |
| J0897 | Injection, denosumab, 1 mg | 338.0K | $4.8M | $14.31 | 1.51x |
| J9310 | Injection, rituximab, 100 mg | 7.8K | $4.7M | $604.08 | 1.62x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 88.0K | $3.2M | $36.64 | 2.46x |
| J2505 | Injection, pegfilgrastim, 6 mg | 724 | $2.2M | $3.1K | 1.92x |
| J9145 | Injection, daratumumab, 10 mg | 35.7K | $1.6M | $43.96 | 1.48x |
| J2353 | Injection, octreotide, depot form for intramuscular injection, 1 mg | 9.9K | $1.3M | $126.52 | 1.59x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13.5K | $1.2M | $92.03 | 2.10x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 9.7K | $1.1M | $113.98 | 3.07x |
| J9312 | Injection, rituximab, 10 mg | 14.5K | $1.1M | $74.44 | 1.61x |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 331.6K | $931.5K | $2.81 | 2.49x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 11.1K | $675.1K | $60.67 | 2.31x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 789.0K | $671.0K | $0.85 | 1.88x |
| J9041 | Injection, bortezomib, 0.1 mg | 16.9K | $612.1K | $36.28 | 2.21x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 65.9K | $605.6K | $9.19 | 2.72x |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 5.4K | $339.9K | $63.16 | 1.80x |
| J9035 | Injection, bevacizumab, 10 mg | 6.0K | $297.0K | $49.61 | 1.73x |
| Q0138 | Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) | 403.1K | $295.2K | $0.73 | 2.73x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 28.1K | $288.1K | $10.26 | 4.08x |
This provider submits charges 2.06 times higher than what Medicare actually pays.
A markup ratio of 2.06x means for every $100 Medicare pays, this provider initially charges $206. 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 |
|---|---|---|---|
| Frederick Smith, M.D. | Chevy Chase, MD | $33.7M | ✓ 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