⚠️ This provider averages 1.5K services per working day — physically unusual for an individual practitioner
Based on 3.9M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $40.9M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.5K 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 | $28.71 | $10.60 | 2.71x | $18.11 | $3.4M | 317.7K | 12.5K |
| 2015 | $39.35 | $10.60 | 3.71x | $28.75 | $2.9M | 277.8K | 10.9K |
| 2016 | $40.99 | $10.60 | 3.87x | $30.39 | $4.3M | 409.3K | 16.1K |
| 2017 | $35.56 | $10.60 | 3.35x | $24.96 | $4.0M | 381.7K | 15.0K |
| 2018 | $41.62 | $10.60 | 3.93x | $31.02 | $4.2M | 395.4K | 15.5K |
| 2019 | $21.74 | $10.60 | 2.05x | $11.14 | $5.1M | 481.5K | 18.9K |
| 2020 | $16.33 | $10.60 | 1.54x | $5.73 | $3.7M | 350.6K | 13.8K |
| 2021 | $25.81 | $10.60 | 2.43x | $15.21 | $4.8M | 451.1K | 17.7K |
| 2022 | $25.85 | $10.60 | 2.44x | $15.25 | $4.8M | 457.2K | 18.0K |
| 2023 | $41.01 | $10.60 | 3.87x | $30.41 | $3.6M | 341.2K | 13.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96413 | Chemotherapy administration, IV infusion, first hour | 929.9K | $14.2M | $15.32 | 1.78x |
| 99214 | Office/outpatient visit, moderate complexity | 362.6K | $3.2M | $8.95 | 2.03x |
| 85025 | Complete blood cell count | 343.7K | $3.0M | $8.65 | 4.84x |
| 96415 | Chemotherapy IV infusion, each additional hour | 388.1K | $3.0M | $7.65 | 2.26x |
| 36415 | Insertion of needle into vein | 372.7K | $2.7M | $7.37 | 2.29x |
| 96365 | IV infusion for therapy, first hour | 123.5K | $1.9M | $15.24 | 2.83x |
| 80053 | Comprehensive metabolic panel | 106.5K | $1.4M | $13.53 | 4.47x |
| 99215 | Office/outpatient visit, high complexity | 136.5K | $1.4M | $10.29 | 2.45x |
| J9271 | Injection, pembrolizumab | 107.0K | $931.8K | $8.71 | 1.36x |
| 96375 | Therapeutic IV push, each additional substance | 90.7K | $922.8K | $10.18 | 2.65x |
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 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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