⚠️ This provider averages 978 services per working day — physically unusual for an individual practitioner
Based on 2.4M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $30.6M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 978 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 | $57.69 | $12.12 | 4.76x | $45.57 | $2.1M | 175.1K | 58 |
| 2015 | $48.29 | $10.36 | 4.66x | $37.93 | $2.5M | 246.1K | 61 |
| 2016 | $50.87 | $11.08 | 4.59x | $39.79 | $2.4M | 219.7K | 54 |
| 2017 | $52.59 | $11.32 | 4.65x | $41.27 | $3.1M | 277.6K | 61 |
| 2018 | $56.08 | $12.97 | 4.32x | $43.11 | $4.1M | 312.5K | 62 |
| 2019 | $54.52 | $13.00 | 4.19x | $41.52 | $4.3M | 327.3K | 58 |
| 2020 | $60.84 | $13.91 | 4.37x | $46.93 | $3.2M | 229.6K | 61 |
| 2021 | $54.77 | $12.13 | 4.52x | $42.64 | $3.2M | 264.3K | 60 |
| 2022 | $54.69 | $12.03 | 4.55x | $42.66 | $2.7M | 222.6K | 51 |
| 2023 | $76.56 | $17.54 | 4.36x | $59.02 | $3.0M | 170.6K | 48 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 135.4K | $5.6M | $41.16 | 3.32x |
| J2505 | Injection, pegfilgrastim, 6 mg | 835 | $2.6M | $3.1K | 4.88x |
| J9299 | Injection, nivolumab, 1 mg | 105.2K | $2.3M | $21.58 | 3.37x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 65.8K | $2.0M | $30.93 | 6.65x |
| J0897 | Injection, denosumab, 1 mg | 124.0K | $1.9M | $15.04 | 3.64x |
| J9310 | Injection, rituximab, 100 mg | 2.9K | $1.8M | $605.56 | 3.35x |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 531.5K | $1.6M | $2.93 | 6.94x |
| J9035 | Injection, bevacizumab, 10 mg | 26.3K | $1.5M | $58.43 | 3.42x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13.4K | $1.1M | $83.09 | 2.70x |
| J9041 | Injection, bortezomib (velcade), 0.1 mg | 24.7K | $888.7K | $35.96 | 3.41x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 1.0K | $835.7K | $808.20 | 3.67x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 5.9K | $620.8K | $105.77 | 6.49x |
| J9312 | Injection, rituximab, 10 mg | 6.6K | $490.6K | $74.54 | 3.41x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 6.1K | $346.7K | $56.56 | 2.62x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 9.2K | $345.7K | $37.66 | 3.60x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 805 | $306.8K | $381.13 | 1.67x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 34.0K | $305.1K | $8.97 | 3.90x |
| J9145 | Injection, daratumumab, 10 mg | 6.9K | $287.6K | $41.62 | 3.42x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 35.6K | $278.5K | $7.81 | 3.74x |
| 80053 | Blood test, comprehensive group of blood chemicals | 26.6K | $274.8K | $10.35 | 5.99x |
This provider submits charges 4.47 times higher than what Medicare actually pays.
A markup ratio of 4.47x means for every $100 Medicare pays, this provider initially charges $447. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Christopher Lobo, MD | Port Charlotte, FL | $60.5M | ⚠️ Flagged |
| Maen Hussein, M.D. | Tavares, FL | $57.6M | ✓ Clear |
| Vikas Malhotra, M.D. | Spring Hill, FL | $52.8M | ✓ Clear |
| Andrew Lipman, M.D. | Naples, FL | $51.1M | ⚠️ Flagged |
| Syed Zafar, M.D. | Fort Myers, FL | $48.1M | ⚠️ 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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