This provider averages 84 services per working day
Based on 209.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.6M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Averaging 84 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 304% in 2015
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 | $297.79 | $98.37 | 3.03x | $199.42 | $288.6K | 5.2K | 3.2K |
| 2015 | $284.20 | $88.48 | 3.21x | $195.72 | $1.2M | 23.5K | 9.2K |
| 2016 | $258.56 | $80.29 | 3.22x | $178.27 | $1.5M | 31.4K | 12.1K |
| 2017 | $263.83 | $82.86 | 3.18x | $180.97 | $1.4M | 27.8K | 10.7K |
| 2018 | $280.00 | $82.04 | 3.41x | $197.96 | $1.1M | 23.9K | 9.7K |
| 2019 | $241.78 | $74.59 | 3.24x | $167.19 | $897.3K | 22.3K | 9.0K |
| 2020 | $244.47 | $71.65 | 3.41x | $172.82 | $769.2K | 23.1K | 9.4K |
| 2021 | $204.36 | $53.66 | 3.81x | $150.70 | $671.8K | 22.0K | 8.1K |
| 2022 | $104.01 | $29.34 | 3.54x | $74.67 | $414.4K | 16.2K | 6.0K |
| 2023 | $111.24 | $30.02 | 3.71x | $81.22 | $368.9K | 13.6K | 4.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 620 | $1.9M | $3.1K | 2.61x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.8K | $1.2M | $90.62 | 3.16x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 6.8K | $766.1K | $112.07 | 3.60x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 599 | $625.1K | $1.0K | 4.08x |
| G9678 | Oncology Care Model service | 3.0K | $476.5K | $157.05 | 2.55x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.1K | $348.6K | $57.53 | 3.23x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 31.2K | $281.0K | $9.01 | 3.22x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 665 | $243.4K | $366.08 | 1.75x |
| 80053 | Blood test, comprehensive group of blood chemicals | 15.2K | $181.1K | $11.94 | 3.27x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 2.9K | $162.6K | $55.57 | 3.37x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 9.6K | $144.6K | $15.01 | 4.16x |
| J9310 | Injection, rituximab, 100 mg | 225 | $141.8K | $630.40 | 2.45x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 1.8K | $112.3K | $61.52 | 3.11x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 766 | $101.1K | $132.04 | 3.13x |
| 36415 | Insertion of needle into vein for collection of blood sample | 27.2K | $94.9K | $3.49 | 2.58x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 649 | $82.0K | $126.39 | 3.16x |
| 74177 | CT scan of abdomen and pelvis with contrast | 449 | $79.4K | $176.92 | 3.70x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 3.1K | $76.3K | $24.86 | 4.05x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.3K | $72.8K | $54.17 | 3.67x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.2K | $68.3K | $59.28 | 2.95x |
This provider submits charges 3.22 times higher than what Medicare actually pays.
A markup ratio of 3.22x means for every $100 Medicare pays, this provider initially charges $322. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Christopher Lobo, MD | Port Charlotte, FL | $60.5M | ⚠️ Flagged |
| Maen Hussein, M.D. | Tavares, FL | $57.6M | ✓ Clear |
| Vikas Malhotra, M.D. | Spring Hill, FL | $52.8M | ✓ Clear |
| Andrew Lipman, M.D. | Naples, FL | $51.1M | ⚠️ Flagged |
| Syed Zafar, M.D. | Fort Myers, FL | $48.1M | ⚠️ 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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