⚠️ This provider averages 1.2K services per working day — physically unusual for an individual practitioner
Based on 3.0M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $36.6M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.2K services per working day raises questions about billing patterns.
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 | $23.61 | $12.11 | 1.95x | $11.50 | $3.8M | 310.7K | 5.2K |
| 2015 | $35.59 | $12.11 | 2.94x | $23.48 | $2.7M | 219.0K | 3.6K |
| 2016 | $19.47 | $12.11 | 1.61x | $7.36 | $3.7M | 308.0K | 5.1K |
| 2017 | $36.88 | $12.11 | 3.05x | $24.77 | $3.8M | 311.0K | 5.2K |
| 2018 | $23.99 | $12.11 | 1.98x | $11.88 | $2.9M | 239.6K | 4.0K |
| 2019 | $40.13 | $12.11 | 3.31x | $28.02 | $4.0M | 333.2K | 5.5K |
| 2020 | $27.74 | $12.11 | 2.29x | $15.63 | $3.4M | 282.4K | 4.7K |
| 2021 | $46.65 | $12.11 | 3.85x | $34.54 | $4.1M | 340.3K | 5.7K |
| 2022 | $29.24 | $12.11 | 2.41x | $17.13 | $4.3M | 351.7K | 5.8K |
| 2023 | $39.82 | $12.11 | 3.29x | $27.71 | $3.9M | 324.9K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96413 | Chemotherapy administration, IV infusion, first hour | 877.8K | $7.5M | $8.59 | 1.46x |
| 96415 | Chemotherapy IV infusion, each additional hour | 340.5K | $5.9M | $17.20 | 2.02x |
| 96365 | IV infusion for therapy, first hour | 441.8K | $4.0M | $9.11 | 2.63x |
| 99214 | Office/outpatient visit, moderate complexity | 168.8K | $3.9M | $23.23 | 2.58x |
| J9271 | Injection, pembrolizumab | 139.0K | $2.0M | $14.06 | 1.34x |
| 36415 | Insertion of needle into vein | 121.6K | $1.9M | $15.89 | 2.58x |
| 85025 | Complete blood cell count | 195.2K | $1.8M | $9.08 | 3.99x |
| 96375 | Therapeutic IV push, each additional substance | 87.1K | $929.0K | $10.67 | 2.13x |
| 80053 | Comprehensive metabolic panel | 76.9K | $670.6K | $8.73 | 3.84x |
| 99215 | Office/outpatient visit, high complexity | 47.1K | $661.6K | $14.04 | 2.95x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. This is lower 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 TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Mohsen Arani, MD | The Woodlands, TX | $34.3M | ✓ Clear |
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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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