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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Providers
  3. Rama Balaraman
🎗️
MDIndividual

Rama Balaraman, M.D.

NPI: 1396709424
Ocala, FL
10 years of data
Hematology-Oncology
$30.6M
Total Payments
574
Beneficiaries
2.4M
Services
4.47x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$30.6M
Specialty median$339.6K

📋 Key Findings

1Billed $30.6M over 10 years
24.47x markup ratio (above median)
399th percentile in Hematology-Oncology by payments
4978 services/day — physically implausible
517 procedures with >3x markup

⚠️ 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 →

🔎 Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$57.69$12.124.76x$45.57$2.1M175.1K58
2015$48.29$10.364.66x$37.93$2.5M246.1K61
2016$50.87$11.084.59x$39.79$2.4M219.7K54
2017$52.59$11.324.65x$41.27$3.1M277.6K61
2018$56.08$12.974.32x$43.11$4.1M312.5K62
2019$54.52$13.004.19x$41.52$4.3M327.3K58
2020$60.84$13.914.37x$46.93$3.2M229.6K61
2021$54.77$12.134.52x$42.64$3.2M264.3K60
2022$54.69$12.034.55x$42.66$2.7M222.6K51
2023$76.56$17.544.36x$59.02$3.0M170.6K48

Top Procedures (20)

J9271Injection, pembrolizumab, 1 mg⚠ 3.3x markup
$5.6M
135.4K services$41.16/svc3.32x markup
J2505Injection, pegfilgrastim, 6 mg⚠ 4.9x markup
$2.6M
835 services$3.1K/svc4.88x markup
J9299Injection, nivolumab, 1 mg⚠ 3.4x markup
$2.3M
105.2K services$21.58/svc3.37x markup
J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg⚠ 6.7x markup
$2.0M
65.8K services$30.93/svc6.65x markup
J0897Injection, denosumab, 1 mg⚠ 3.6x markup
$1.9M
124.0K services$15.04/svc3.64x markup
J9310Injection, rituximab, 100 mg⚠ 3.4x markup
$1.8M
2.9K services$605.56/svc3.35x markup
J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)⚠ 6.9x markup
$1.6M
531.5K services$2.93/svc6.94x markup
J9035Injection, bevacizumab, 10 mg⚠ 3.4x markup
$1.5M
26.3K services$58.43/svc3.42x markup
99214Established patient office or other outpatient visit, 30-39 minutes
$1.1M
13.4K services$83.09/svc2.70x markup
J9041Injection, bortezomib (velcade), 0.1 mg⚠ 3.4x markup
$888.7K
24.7K services$35.96/svc3.41x markup
78815Nuclear medicine study from skull base to mid-thigh with ct scan⚠ 3.7x markup
$835.7K
1.0K services$808.20/svc3.67x markup
96413Administration of chemotherapy into vein, 1 hour or less⚠ 6.5x markup
$620.8K
5.9K services$105.77/svc6.49x markup
J9312Injection, rituximab, 10 mg⚠ 3.4x markup
$490.6K
6.6K services$74.54/svc3.41x markup
99213Established patient office or other outpatient visit, 20-29 minutes
$346.7K
6.1K services$56.56/svc2.62x markup
J9144Injection, daratumumab, 10 mg and hyaluronidase-fihj⚠ 3.6x markup
$345.7K
9.2K services$37.66/svc3.60x markup
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries
$306.8K
805 services$381.13/svc1.67x markup
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count⚠ 3.9x markup
$305.1K
34.0K services$8.97/svc3.90x markup
J9145Injection, daratumumab, 10 mg⚠ 3.4x markup
$287.6K
6.9K services$41.62/svc3.42x markup
J9264Injection, paclitaxel protein-bound particles, 1 mg⚠ 3.7x markup
$278.5K
35.6K services$7.81/svc3.74x markup
80053Blood test, comprehensive group of blood chemicals⚠ 6.0x markup
$274.8K
26.6K services$10.35/svc5.99x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
J9271Injection, pembrolizumab, 1 mg135.4K$5.6M$41.163.32x
J2505Injection, pegfilgrastim, 6 mg835$2.6M$3.1K4.88x
J9299Injection, nivolumab, 1 mg105.2K$2.3M$21.583.37x
J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg65.8K$2.0M$30.936.65x
J0897Injection, denosumab, 1 mg124.0K$1.9M$15.043.64x
J9310Injection, rituximab, 100 mg2.9K$1.8M$605.563.35x
J0881Injection, darbepoetin alfa, 1 microgram (non-esrd use)531.5K$1.6M$2.936.94x
J9035Injection, bevacizumab, 10 mg26.3K$1.5M$58.433.42x
99214Established patient office or other outpatient visit, 30-39 minutes13.4K$1.1M$83.092.70x
J9041Injection, bortezomib (velcade), 0.1 mg24.7K$888.7K$35.963.41x
78815Nuclear medicine study from skull base to mid-thigh with ct scan1.0K$835.7K$808.203.67x
96413Administration of chemotherapy into vein, 1 hour or less5.9K$620.8K$105.776.49x
J9312Injection, rituximab, 10 mg6.6K$490.6K$74.543.41x
99213Established patient office or other outpatient visit, 20-29 minutes6.1K$346.7K$56.562.62x
J9144Injection, daratumumab, 10 mg and hyaluronidase-fihj9.2K$345.7K$37.663.60x
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries805$306.8K$381.131.67x
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count34.0K$305.1K$8.973.90x
J9145Injection, daratumumab, 10 mg6.9K$287.6K$41.623.42x
J9264Injection, paclitaxel protein-bound particles, 1 mg35.6K$278.5K$7.813.74x
80053Blood test, comprehensive group of blood chemicals26.6K$274.8K$10.355.99x

Markup Analysis

Charge-to-Payment Ratio

4.47x

This provider submits charges 4.47 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.47x means for every $100 Medicare pays, this provider initially charges $447. This is higher than the national average.

Location

Ocala, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Hematology-Oncology providers in FL for peer comparison.

Rama Balaraman (you)
$30.6M
Christopher Lobo, MD⚠️
$60.5M
Maen Hussein, M.D.
$57.6M
Vikas Malhotra, M.D.
$52.8M
Andrew Lipman, M.D.⚠️
$51.1M
Syed Zafar, M.D.⚠️
$48.1M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Christopher Lobo, MDPort 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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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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