⚠️ This provider averages 1.1K services per working day — physically unusual for an individual practitioner
Based on 2.8M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $33.7M 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 56% from 2014 to 2023.
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 | $50.44 | $11.37 | 4.44x | $39.07 | $2.4M | 215.4K | 160 |
| 2015 | $50.40 | $11.75 | 4.29x | $38.65 | $2.6M | 222.7K | 164 |
| 2016 | $45.82 | $11.60 | 3.95x | $34.22 | $3.1M | 271.0K | 175 |
| 2017 | $42.91 | $10.78 | 3.98x | $32.13 | $3.2M | 296.9K | 174 |
| 2018 | $49.71 | $12.61 | 3.94x | $37.10 | $3.6M | 284.3K | 178 |
| 2019 | $48.96 | $11.21 | 4.37x | $37.75 | $3.6M | 320.6K | 165 |
| 2020 | $54.71 | $13.11 | 4.17x | $41.60 | $3.5M | 268.5K | 168 |
| 2021 | $55.05 | $12.84 | 4.29x | $42.21 | $4.0M | 312.9K | 168 |
| 2022 | $54.43 | $12.39 | 4.39x | $42.04 | $3.8M | 305.4K | 174 |
| 2023 | $58.65 | $12.59 | 4.66x | $46.06 | $3.8M | 303.6K | 171 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 61.6K | $2.5M | $40.44 | 1.91x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 137.4K | $1.9M | $13.92 | 5.56x |
| 80053 | Blood test, comprehensive group of blood chemicals | 162.4K | $1.9M | $11.56 | 5.52x |
| 36415 | Insertion of needle into vein for collection of blood sample | 469.0K | $1.7M | $3.56 | 3.74x |
| 84443 | Blood test, thyroid stimulating hormone (tsh) | 86.1K | $1.7M | $19.37 | 4.99x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 178.4K | $1.6M | $8.93 | 5.05x |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 18.0K | $1.5M | $81.04 | 1.24x |
| 83036 | Hemoglobin a1c level | 110.0K | $1.2M | $11.06 | 5.10x |
| 82306 | Vitamin d-3 level | 31.1K | $1.1M | $34.27 | 3.45x |
| 80048 | Blood test, basic group of blood chemicals (calcium, total) | 93.0K | $867.4K | $9.33 | 5.57x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 22.1K | $817.7K | $36.94 | 2.18x |
| 83970 | Parathormone (parathyroid hormone) level | 16.1K | $744.7K | $46.22 | 5.20x |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 11.9K | $599.3K | $50.38 | 4.22x |
| 84153 | Psa (prostate specific antigen) measurement, total | 25.1K | $524.3K | $20.92 | 5.11x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 14.6K | $427.9K | $29.27 | 4.08x |
| J2505 | Injection, pegfilgrastim, 6 mg | 129 | $426.3K | $3.3K | 3.01x |
| 82607 | Cyanocobalamin (vitamin b-12) level | 24.6K | $421.5K | $17.16 | 5.10x |
| 87086 | Bacterial colony count, urine | 44.4K | $411.6K | $9.26 | 5.08x |
| J9310 | Injection, rituximab, 100 mg | 571 | $378.3K | $662.49 | 3.21x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 2.5K | $376.0K | $147.46 | 4.70x |
This provider submits charges 4.25 times higher than what Medicare actually pays.
A markup ratio of 4.25x means for every $100 Medicare pays, this provider initially charges $425. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Luke Dreisbach, M.D. | Rancho Mirage, CA | $77.2M | ✓ Clear |
| Sachin Gupta, M.D. | Fresno, CA | $55.1M | ✓ Clear |
| Ravi Rao, MD | Fresno, CA | $49.1M | ⚠️ Flagged |
| Michael Sherman, M.D., PHD | Walnut Creek, CA | $38.9M | ✓ Clear |
| Nerses Tchekmedyian, M.D. | Irvine, CA | $38.0M | ✓ 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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