This provider averages 62 services per working day
Based on 156.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.9M in total Medicare payments ranks in the 97th percentile of Hematology-Oncology providers nationally.
Averaging 62 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 768% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 419% 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 | $225.40 | $85.97 | 2.62x | $139.43 | $70.4K | 850 | 568 |
| 2015 | $234.61 | $96.97 | 2.42x | $137.64 | $96.8K | 1.2K | 733 |
| 2016 | $154.53 | $57.05 | 2.71x | $97.48 | $132.5K | 2.0K | 1.0K |
| 2017 | $327.82 | $83.55 | 3.92x | $244.27 | $688.1K | 20.7K | 5.1K |
| 2018 | $313.53 | $77.58 | 4.04x | $235.95 | $777.4K | 21.1K | 5.5K |
| 2019 | $301.65 | $73.72 | 4.09x | $227.93 | $988.9K | 24.2K | 5.7K |
| 2020 | $333.52 | $67.93 | 4.91x | $265.59 | $965.1K | 23.4K | 5.9K |
| 2021 | $342.44 | $58.61 | 5.84x | $283.83 | $935.8K | 22.2K | 5.9K |
| 2022 | $176.96 | $33.05 | 5.35x | $143.91 | $600.2K | 19.1K | 5.9K |
| 2023 | $142.96 | $25.94 | 5.51x | $117.02 | $610.9K | 21.3K | 6.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 15.9K | $1.4M | $85.57 | 2.22x |
| J2505 | Injection, pegfilgrastim, 6 mg | 295 | $927.2K | $3.1K | 4.70x |
| G9678 | Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation | 3.6K | $565.5K | $159.15 | 1.01x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 5.3K | $546.9K | $102.87 | 4.87x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.7K | $267.3K | $57.05 | 2.27x |
| G0498 | Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted l | 1.1K | $214.8K | $194.03 | 1.54x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $145.9K | $120.96 | 2.50x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 2.8K | $143.9K | $52.19 | 4.07x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.7K | $136.8K | $81.19 | 2.65x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 4.7K | $109.4K | $23.18 | 5.99x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 7.5K | $92.8K | $12.34 | 4.45x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.6K | $89.3K | $56.58 | 3.13x |
| 80053 | Blood test, comprehensive group of blood chemicals | 7.9K | $87.6K | $11.11 | 6.57x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.6K | $82.8K | $50.34 | 4.81x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 691 | $73.4K | $106.22 | 2.99x |
| 96360 | Hydration infusion into a vein 31 minutes to 1 hour | 2.2K | $66.2K | $29.54 | 5.65x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 4.5K | $58.8K | $13.01 | 5.76x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 360 | $55.7K | $154.77 | 2.59x |
| 96411 | Infusion of different chemotherapy drug or substance into a vein | 964 | $42.5K | $44.10 | 4.94x |
| 96374 | Injection of drug or substance into a vein for therapy, diagnosis, or prevention | 1.4K | $41.1K | $30.30 | 4.95x |
This provider submits charges 3.67 times higher than what Medicare actually pays.
A markup ratio of 3.67x means for every $100 Medicare pays, this provider initially charges $367. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Pramern Sriratana, M.D. | Normal, IL | $33.5M | ✓ 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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