⚠️ This provider averages 962 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 $23.8M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 962 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 335% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 111% 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 | $38.02 | $7.24 | 5.25x | $30.78 | $723.0K | 99.8K | 39 |
| 2015 | $26.63 | $4.73 | 5.63x | $21.90 | $680.5K | 143.9K | 45 |
| 2016 | $42.66 | $8.91 | 4.79x | $33.75 | $1.4M | 160.9K | 49 |
| 2017 | $38.75 | $7.68 | 5.05x | $31.07 | $1.5M | 189.6K | 46 |
| 2018 | $55.32 | $12.27 | 4.51x | $43.05 | $3.0M | 245.6K | 56 |
| 2019 | $48.36 | $10.66 | 4.54x | $37.70 | $2.9M | 272.1K | 53 |
| 2020 | $48.83 | $11.73 | 4.16x | $37.10 | $3.2M | 275.1K | 49 |
| 2021 | $47.62 | $11.24 | 4.24x | $36.38 | $3.8M | 333.8K | 52 |
| 2022 | $40.95 | $8.91 | 4.60x | $32.04 | $3.5M | 387.5K | 53 |
| 2023 | $49.02 | $10.61 | 4.62x | $38.41 | $3.1M | 296.3K | 49 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 135.6K | $5.6M | $41.19 | 3.31x |
| J9299 | Injection, nivolumab, 1 mg | 111.9K | $2.5M | $22.29 | 3.39x |
| J0897 | Injection, denosumab, 1 mg | 120.6K | $1.9M | $15.38 | 3.49x |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 580.2K | $1.7M | $2.87 | 7.02x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 13.3K | $1.1M | $79.78 | 2.81x |
| J2505 | Injection, pegfilgrastim, 6 mg | 352 | $1.1M | $3.0K | 5.06x |
| J9310 | Injection, rituximab, 100 mg | 1.3K | $839.3K | $642.16 | 3.36x |
| J9355 | Injection, trastuzumab, excludes biosimilar, 10 mg | 7.3K | $605.1K | $82.67 | 3.39x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 635 | $604.8K | $952.38 | 3.79x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 6.2K | $586.3K | $94.13 | 7.29x |
| J9035 | Injection, bevacizumab, 10 mg | 9.2K | $575.0K | $62.57 | 3.42x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 16.2K | $513.6K | $31.72 | 4.77x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 48.1K | $483.5K | $10.04 | 3.86x |
| J9034 | Injection, bendamustine hcl (bendeka), 1 mg | 18.3K | $311.4K | $16.98 | 3.94x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 5.6K | $294.1K | $52.87 | 2.80x |
| J9312 | Injection, rituximab, 10 mg | 3.8K | $279.9K | $74.45 | 3.41x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 2.5K | $278.1K | $110.97 | 2.71x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 7.0K | $264.9K | $37.74 | 3.61x |
| J9041 | Injection, bortezomib, 0.1 mg | 8.5K | $252.7K | $29.71 | 4.17x |
| Q5119 | Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg | 5.5K | $240.6K | $43.82 | 4.43x |
This provider submits charges 4.55 times higher than what Medicare actually pays.
A markup ratio of 4.55x means for every $100 Medicare pays, this provider initially charges $455. This is higher than the national average.
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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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