Statistical flag only — not an accusation of fraud
⚠️ This provider averages 1.1K services per working day — physically unusual for an individual practitioner
Based on 2.7M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $39.7M 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 204% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 67/100. Statistical flags are not accusations of fraud.
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 | $35.14 | $11.90 | 2.95x | $23.24 | $1.9M | 156.8K | 51 |
| 2015 | $33.68 | $11.39 | 2.96x | $22.29 | $2.5M | 222.1K | 58 |
| 2016 | $31.42 | $11.31 | 2.78x | $20.11 | $3.2M | 280.1K | 62 |
| 2017 | $28.93 | $10.76 | 2.69x | $18.17 | $3.6M | 337.1K | 64 |
| 2018 | $40.31 | $16.52 | 2.44x | $23.79 | $5.0M | 304.9K | 62 |
| 2019 | $38.46 | $15.65 | 2.46x | $22.81 | $5.5M | 351.6K | 61 |
| 2020 | $39.58 | $15.84 | 2.50x | $23.74 | $4.1M | 259.9K | 55 |
| 2021 | $45.47 | $18.60 | 2.44x | $26.87 | $4.1M | 222.1K | 52 |
| 2022 | $46.14 | $18.30 | 2.52x | $27.84 | $4.0M | 220.2K | 55 |
| 2023 | $63.99 | $18.84 | 3.40x | $45.15 | $5.7M | 301.0K | 69 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 158.2K | $6.5M | $40.80 | 2.15x |
| J9299 | Injection, nivolumab, 1 mg | 251.6K | $5.3M | $21.02 | 2.26x |
| J1930 | Injection, lanreotide, 1 mg | 66.2K | $3.2M | $47.78 | 2.35x |
| J2505 | Injection, pegfilgrastim, 6 mg | 683 | $2.1M | $3.1K | 1.99x |
| J0897 | Injection, denosumab, 1 mg | 121.5K | $1.8M | $14.51 | 2.03x |
| J9041 | Injection, bortezomib, 0.1 mg | 51.4K | $1.7M | $32.33 | 2.73x |
| J9310 | Injection, rituximab, 100 mg | 2.4K | $1.5M | $621.84 | 2.12x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 1.3K | $1.3M | $1.0K | 2.77x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 144.7K | $1.3M | $9.00 | 2.10x |
| J9145 | Injection, daratumumab, 10 mg | 26.2K | $1.2M | $46.00 | 2.20x |
| J9035 | Injection, bevacizumab, 10 mg | 20.6K | $1.2M | $57.67 | 2.15x |
| J9355 | Injection, trastuzumab, excludes biosimilar, 10 mg | 14.9K | $1.1M | $71.18 | 2.26x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 8.8K | $856.8K | $96.91 | 2.90x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 20.7K | $664.0K | $32.06 | 4.09x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 12.3K | $655.7K | $53.39 | 1.86x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 60.9K | $539.2K | $8.86 | 3.64x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 5.7K | $454.7K | $80.47 | 1.77x |
| J9305 | Injection, pemetrexed, 10 mg | 7.6K | $399.3K | $52.33 | 2.16x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 30.7K | $394.2K | $12.83 | 6.01x |
| J9173 | Injection, durvalumab, 10 mg | 6.1K | $370.6K | $60.64 | 2.35x |
This provider submits charges 2.7 times higher than what Medicare actually pays.
A markup ratio of 2.7x means for every $100 Medicare pays, this provider initially charges $270. 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 KS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Pavan Reddy, M.D. | Wichita, KS | $52.9M | ⚠️ Flagged |
| Bassam Mattar, MD | Wichita, KS | $50.2M | ⚠️ Flagged |
| Dennis Moore, MD | Wichita, KS | $44.1M | ⚠️ Flagged |
| Shaker Dakhil, MD | Wichita, KS | $41.0M | ⚠️ Flagged |
| Travis Koeneke, MD | Manhattan, KS | $33.6M | ⚠️ 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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