Statistical flag only — not an accusation of fraud
⚠️ This provider averages 1.1K services per working day — physically unusual for an individual practitioner
Based on 2.9M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $41.0M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.1K services per working day raises questions about billing patterns.
Medicare payments to this provider grew 152% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 68/100. Statistical flags are not accusations of fraud.
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 | $43.25 | $14.76 | 2.93x | $28.49 | $1.7M | 118.4K | 48 |
| 2015 | $39.28 | $13.29 | 2.96x | $25.99 | $2.5M | 190.5K | 58 |
| 2016 | $30.78 | $11.64 | 2.64x | $19.14 | $3.4M | 292.7K | 60 |
| 2017 | $29.44 | $11.44 | 2.57x | $18.00 | $4.1M | 359.4K | 61 |
| 2018 | $40.71 | $16.85 | 2.42x | $23.86 | $4.1M | 244.3K | 61 |
| 2019 | $35.06 | $14.37 | 2.44x | $20.69 | $4.0M | 279.8K | 56 |
| 2020 | $49.06 | $19.31 | 2.54x | $29.75 | $4.3M | 223.2K | 52 |
| 2021 | $33.29 | $13.15 | 2.53x | $20.14 | $5.5M | 421.3K | 57 |
| 2022 | $41.77 | $16.18 | 2.58x | $25.59 | $6.8M | 420.2K | 54 |
| 2023 | $49.98 | $14.31 | 3.49x | $35.67 | $4.4M | 307.4K | 60 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 180.5K | $7.5M | $41.31 | 2.06x |
| J9299 | Injection, nivolumab, 1 mg | 204.3K | $4.5M | $21.95 | 2.15x |
| J0897 | Injection, denosumab, 1 mg | 245.8K | $3.5M | $14.39 | 2.02x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 2.8K | $2.8M | $983.88 | 2.79x |
| J2505 | Injection, pegfilgrastim, 6 mg | 621 | $2.0M | $3.2K | 1.97x |
| J9022 | Injection, atezolizumab, 10 mg | 25.0K | $1.6M | $62.92 | 2.22x |
| J1930 | Injection, lanreotide, 1 mg | 32.0K | $1.5M | $45.98 | 2.49x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 141.8K | $1.2M | $8.43 | 3.80x |
| J9310 | Injection, rituximab, 100 mg | 1.8K | $1.1M | $614.33 | 2.15x |
| J9035 | Injection, bevacizumab, 10 mg | 19.2K | $1.1M | $56.85 | 2.19x |
| Q5107 | Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg | 25.7K | $902.4K | $35.06 | 3.71x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 7.7K | $757.6K | $98.31 | 2.85x |
| J9041 | Injection, bortezomib, 0.1 mg | 26.7K | $732.0K | $27.41 | 3.26x |
| Q5108 | Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg | 4.3K | $718.0K | $165.74 | 3.99x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 9.0K | $712.7K | $79.19 | 1.80x |
| J9355 | Injection, trastuzumab, excludes biosimilar, 10 mg | 9.8K | $706.1K | $72.04 | 2.28x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 77.5K | $660.1K | $8.52 | 2.23x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2.8K | $648.2K | $228.81 | 2.84x |
| Q5115 | Injection, rituximab-abbs, biosimilar, (truxima), 10 mg | 11.8K | $562.2K | $47.49 | 3.42x |
| J9145 | Injection, daratumumab, 10 mg | 12.2K | $553.9K | $45.29 | 2.18x |
This provider submits charges 2.68 times higher than what Medicare actually pays.
A markup ratio of 2.68x means for every $100 Medicare pays, this provider initially charges $268. 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 KS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Pavan Reddy, M.D. | Wichita, KS | $52.9M | ⚠️ Flagged |
| Bassam Mattar, MD | Wichita, KS | $50.2M | ⚠️ Flagged |
| Dennis Moore, MD | Wichita, KS | $44.1M | ⚠️ Flagged |
| Jeremy Deutsch, MD | Wichita, KS | $39.7M | ⚠️ Flagged |
| Travis Koeneke, MD | Manhattan, KS | $33.6M | ⚠️ 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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