This provider's $3.9M in total Medicare payments ranks in the 96th percentile of Hematology-Oncology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $369.82 | $85.99 | 4.30x | $283.83 | $391.3K | 9.8K | 3.7K |
| 2015 | $415.54 | $103.20 | 4.03x | $312.34 | $472.8K | 9.8K | 3.9K |
| 2016 | $345.67 | $109.16 | 3.17x | $236.51 | $494.0K | 7.6K | 3.0K |
| 2017 | $328.10 | $111.29 | 2.95x | $216.81 | $645.6K | 9.3K | 3.2K |
| 2018 | $411.22 | $153.85 | 2.67x | $257.37 | $454.1K | 6.9K | 3.1K |
| 2019 | $352.04 | $134.50 | 2.62x | $217.54 | $428.0K | 7.0K | 2.8K |
| 2020 | $167.06 | $46.64 | 3.58x | $120.42 | $267.0K | 7.4K | 2.7K |
| 2021 | $156.98 | $45.09 | 3.48x | $111.89 | $288.6K | 7.4K | 2.5K |
| 2022 | $147.08 | $35.48 | 4.15x | $111.60 | $222.4K | 6.6K | 2.3K |
| 2023 | $171.64 | $39.68 | 4.33x | $131.96 | $211.8K | 5.7K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 317 | $1.0M | $3.2K | 2.64x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.7K | $785.9K | $61.81 | 4.57x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 3.9K | $466.2K | $120.43 | 3.49x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.7K | $168.1K | $98.10 | 4.40x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 15.5K | $140.8K | $9.07 | 4.47x |
| J9310 | Injection, rituximab, 100 mg | 221 | $130.4K | $590.21 | 2.62x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.3K | $119.4K | $35.77 | 4.89x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 1.9K | $117.5K | $60.59 | 3.42x |
| G9678 | Oncology Care Model service | 644 | $102.0K | $158.45 | 1.01x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 876 | $75.9K | $86.61 | 2.87x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 1.1K | $69.4K | $66.06 | 2.80x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.1K | $62.0K | $57.66 | 6.96x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 358 | $60.3K | $168.53 | 2.64x |
| J3490 | Unclassified drugs | 805 | $54.1K | $67.24 | 4.06x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 3.1K | $53.1K | $17.14 | 10.96x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 384 | $51.9K | $135.28 | 2.81x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 2.9K | $48.1K | $16.74 | 4.41x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 1.5K | $41.4K | $26.70 | 7.32x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 274 | $31.3K | $114.35 | 2.39x |
| 96411 | Infusion of different chemotherapy drug or substance into a vein | 541 | $28.7K | $53.13 | 5.46x |
This provider submits charges 3.83 times higher than what Medicare actually pays.
A markup ratio of 3.83x means for every $100 Medicare pays, this provider initially charges $383. 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 NJ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Bhavesh Balar, MD | Freehold, NJ | $36.9M | ⚠️ Flagged |
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.
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