⚠️ This provider averages 1.9K services per working day — physically unusual for an individual practitioner
Based on 4.8M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $37.9M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.9K services per working day raises questions about billing patterns.
Medicare payments to this provider grew 442% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 137% in 2017
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 | $28.94 | $8.75 | 3.31x | $20.19 | $906.2K | 103.6K | 29 |
| 2015 | $15.39 | $4.86 | 3.17x | $10.53 | $1.4M | 282.6K | 30 |
| 2016 | $19.18 | $5.42 | 3.54x | $13.76 | $1.7M | 307.5K | 32 |
| 2017 | $23.05 | $7.71 | 2.99x | $15.34 | $4.0M | 513.0K | 37 |
| 2018 | $29.38 | $9.17 | 3.20x | $20.21 | $4.7M | 507.4K | 40 |
| 2019 | $22.16 | $6.86 | 3.23x | $15.30 | $5.0M | 725.9K | 42 |
| 2020 | $25.63 | $8.00 | 3.20x | $17.63 | $4.3M | 542.2K | 35 |
| 2021 | $26.01 | $8.68 | 3.00x | $17.33 | $5.1M | 585.9K | 38 |
| 2022 | $28.12 | $9.09 | 3.09x | $19.03 | $6.0M | 659.3K | 38 |
| 2023 | $28.61 | $8.95 | 3.20x | $19.66 | $4.9M | 548.5K | 42 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9299 | Injection, nivolumab, 1 mg | 360.4K | $8.0M | $22.18 | 2.91x |
| J9271 | Injection, pembrolizumab, 1 mg | 159.0K | $6.6M | $41.26 | 2.89x |
| J9310 | Injection, rituximab, 100 mg | 4.4K | $2.8M | $627.80 | 2.73x |
| J0897 | Injection, denosumab, 1 mg | 158.1K | $2.5M | $15.59 | 2.83x |
| J2505 | Injection, pegfilgrastim, 6 mg | 676 | $2.3M | $3.4K | 2.82x |
| J9035 | Injection, bevacizumab, 10 mg | 21.5K | $1.3M | $60.99 | 3.05x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19.8K | $1.2M | $61.67 | 3.10x |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 402.7K | $1.2M | $2.86 | 3.42x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 31.1K | $1.0M | $32.73 | 2.72x |
| Q0138 | Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) | 1.4M | $1.0M | $0.74 | 3.78x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 10.8K | $948.4K | $87.67 | 3.22x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 8.2K | $890.8K | $108.36 | 3.62x |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 11.6K | $613.2K | $52.65 | 3.82x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 5.3K | $580.7K | $109.90 | 3.52x |
| Q5122 | Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg | 3.5K | $572.4K | $163.36 | 5.16x |
| J9312 | Injection, rituximab, 10 mg | 7.2K | $536.5K | $74.57 | 2.94x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 57.8K | $453.4K | $7.84 | 4.09x |
| J3245 | Injection, tildrakizumab, 1 mg | 3.8K | $409.2K | $107.58 | 2.79x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 405.8K | $349.4K | $0.86 | 4.29x |
| Q5101 | Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram | 798.7K | $323.9K | $0.41 | 4.34x |
This provider submits charges 3.15 times higher than what Medicare actually pays.
A markup ratio of 3.15x means for every $100 Medicare pays, this provider initially charges $315. 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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