⚠️ This provider averages 719 services per working day — physically unusual for an individual practitioner
Based on 1.8M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $18.0M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 719 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 822% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 78% in 2016
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 | $48.30 | $9.13 | 5.29x | $39.17 | $356.0K | 39.0K | 31 |
| 2015 | $42.10 | $8.63 | 4.88x | $33.47 | $561.3K | 65.1K | 36 |
| 2016 | $50.44 | $11.32 | 4.46x | $39.12 | $999.1K | 88.3K | 38 |
| 2017 | $27.30 | $5.44 | 5.02x | $21.86 | $1.3M | 240.2K | 41 |
| 2018 | $52.49 | $12.12 | 4.33x | $40.37 | $1.9M | 159.5K | 45 |
| 2019 | $41.89 | $8.88 | 4.72x | $33.01 | $1.7M | 186.0K | 46 |
| 2020 | $47.74 | $11.70 | 4.08x | $36.04 | $2.0M | 174.7K | 40 |
| 2021 | $46.34 | $11.07 | 4.19x | $35.27 | $3.0M | 268.4K | 44 |
| 2022 | $41.65 | $9.10 | 4.58x | $32.55 | $2.9M | 315.9K | 46 |
| 2023 | $54.15 | $12.58 | 4.30x | $41.57 | $3.3M | 260.9K | 43 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 106.8K | $4.4M | $41.55 | 3.32x |
| J9299 | Injection, nivolumab, 1 mg | 93.1K | $2.1M | $22.65 | 3.33x |
| J0897 | Injection, denosumab, 1 mg | 106.4K | $1.6M | $14.92 | 3.50x |
| J9035 | Injection, bevacizumab, 10 mg | 17.8K | $1.0M | $59.04 | 3.38x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12.0K | $972.1K | $81.07 | 2.76x |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 286.7K | $791.2K | $2.76 | 7.60x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 585 | $545.5K | $932.53 | 3.87x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 5.0K | $474.2K | $94.45 | 7.26x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 14.5K | $464.5K | $32.04 | 4.80x |
| J9022 | Injection, atezolizumab, 10 mg | 7.1K | $452.8K | $64.17 | 3.37x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 7.0K | $347.9K | $49.83 | 2.97x |
| J2505 | Injection, pegfilgrastim, 6 mg | 101 | $317.9K | $3.1K | 5.35x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 7.0K | $265.9K | $37.88 | 3.60x |
| J9173 | Injection, durvalumab, 10 mg | 4.2K | $261.3K | $62.22 | 3.40x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 2.3K | $255.3K | $113.13 | 2.66x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 23.3K | $238.6K | $10.24 | 3.86x |
| J9305 | Injection, pemetrexed, not otherwise specified, 10 mg | 4.0K | $216.8K | $53.80 | 3.50x |
| Q5119 | Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg | 4.6K | $206.4K | $45.06 | 4.31x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 18.5K | $195.3K | $10.55 | 11.22x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 204.8K | $177.5K | $0.87 | 4.74x |
This provider submits charges 4.44 times higher than what Medicare actually pays.
A markup ratio of 4.44x means for every $100 Medicare pays, this provider initially charges $444. 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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