This provider averages 93 services per working day
Based on 231.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.5M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Averaging 93 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 | $194.06 | $63.59 | 3.05x | $130.47 | $724.0K | 21.0K | 8.9K |
| 2015 | $182.14 | $63.55 | 2.87x | $118.59 | $835.0K | 23.9K | 10.0K |
| 2016 | $183.65 | $66.72 | 2.75x | $116.93 | $870.9K | 24.3K | 10.0K |
| 2017 | $194.08 | $69.19 | 2.81x | $124.89 | $800.3K | 23.3K | 9.3K |
| 2018 | $244.90 | $73.35 | 3.34x | $171.55 | $864.1K | 23.9K | 9.4K |
| 2019 | $261.86 | $80.44 | 3.26x | $181.42 | $859.7K | 23.0K | 10.1K |
| 2020 | $204.65 | $56.44 | 3.63x | $148.21 | $874.9K | 27.9K | 10.3K |
| 2021 | $193.81 | $49.96 | 3.88x | $143.85 | $693.1K | 26.5K | 10.1K |
| 2022 | $108.04 | $28.27 | 3.82x | $79.77 | $461.5K | 20.0K | 8.4K |
| 2023 | $140.60 | $34.92 | 4.03x | $105.68 | $521.1K | 18.0K | 6.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 567 | $1.7M | $3.1K | 2.68x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 15.2K | $1.3M | $86.80 | 3.25x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 7.1K | $743.6K | $105.03 | 3.82x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 36.2K | $328.4K | $9.08 | 3.20x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 4.2K | $221.7K | $52.42 | 3.57x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.3K | $192.3K | $57.46 | 3.30x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.5K | $173.9K | $119.43 | 3.20x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 10.8K | $162.4K | $15.07 | 4.11x |
| 80053 | Blood test, comprehensive group of blood chemicals | 13.6K | $160.8K | $11.84 | 3.29x |
| J9310 | Injection, rituximab, 100 mg | 256 | $159.3K | $622.18 | 2.46x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 2.7K | $153.1K | $57.46 | 3.33x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 834 | $133.3K | $159.89 | 3.28x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 872 | $109.4K | $125.42 | 3.34x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 4.6K | $108.6K | $23.63 | 4.21x |
| 36415 | Insertion of needle into vein for collection of blood sample | 29.1K | $104.5K | $3.60 | 2.50x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 5.7K | $89.1K | $15.60 | 3.34x |
| 82728 | Ferritin (blood protein) level | 5.5K | $88.1K | $15.87 | 3.15x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.7K | $86.7K | $51.25 | 3.84x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 549 | $86.5K | $157.47 | 3.25x |
| 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 | 425 | $66.6K | $156.74 | 2.55x |
This provider submits charges 3.31 times higher than what Medicare actually pays.
A markup ratio of 3.31x means for every $100 Medicare pays, this provider initially charges $331. 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 |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data