⚠️ This provider averages 918 services per working day — physically unusual for an individual practitioner
Based on 2.3M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $21.6M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 918 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1772% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 804% in 2015
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 | $67.12 | $21.01 | 3.19x | $46.11 | $168.2K | 8.0K | 17 |
| 2015 | $28.56 | $8.53 | 3.35x | $20.03 | $1.5M | 178.4K | 43 |
| 2016 | $21.76 | $6.78 | 3.21x | $14.98 | $1.7M | 255.3K | 48 |
| 2017 | $23.74 | $7.64 | 3.11x | $16.10 | $1.8M | 242.1K | 47 |
| 2018 | $30.13 | $10.21 | 2.95x | $19.92 | $2.3M | 226.6K | 49 |
| 2019 | $34.10 | $10.37 | 3.29x | $23.73 | $1.8M | 169.9K | 50 |
| 2020 | $35.80 | $11.32 | 3.16x | $24.48 | $2.9M | 260.6K | 51 |
| 2021 | $28.31 | $9.12 | 3.10x | $19.19 | $2.8M | 312.2K | 46 |
| 2022 | $29.90 | $10.18 | 2.94x | $19.72 | $3.3M | 326.1K | 44 |
| 2023 | $33.23 | $9.94 | 3.34x | $23.29 | $3.1M | 316.9K | 45 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 132.8K | $5.6M | $41.92 | 2.19x |
| J2505 | Injection, pegfilgrastim, 6 mg | 610 | $2.0M | $3.2K | 2.57x |
| J0897 | Injection, denosumab, 1 mg | 106.9K | $1.7M | $15.84 | 1.90x |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 22.2K | $1.2M | $55.52 | 2.74x |
| J9312 | Injection, rituximab, 10 mg | 13.6K | $994.5K | $73.30 | 2.73x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 8.9K | $858.8K | $97.02 | 4.38x |
| J9310 | Injection, rituximab, 100 mg | 1.2K | $785.2K | $633.20 | 1.67x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 5.6K | $678.9K | $121.36 | 2.10x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 7.8K | $645.4K | $83.20 | 2.24x |
| Q0138 | Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) | 894.1K | $594.3K | $0.66 | 4.26x |
| J2350 | Injection, ocrelizumab, 1 mg | 13.2K | $571.2K | $43.27 | 2.66x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 63.7K | $549.9K | $8.63 | 3.48x |
| Q5122 | Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg | 3.5K | $514.5K | $147.84 | 6.09x |
| Q5104 | Injection, infliximab-abda, biosimilar, (renflexis), 10 mg | 9.3K | $317.7K | $34.28 | 5.25x |
| J3490 | Unclassified drugs | 625 | $317.4K | $507.83 | 2.57x |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 14.7K | $269.0K | $18.30 | 3.33x |
| J9035 | Injection, bevacizumab, 10 mg | 4.4K | $239.1K | $54.00 | 2.32x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 24.1K | $209.2K | $8.69 | 7.45x |
| 80053 | Blood test, comprehensive group of blood chemicals | 17.2K | $191.7K | $11.17 | 5.55x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 20.4K | $169.9K | $8.32 | 5.69x |
This provider submits charges 3.15 times higher than what Medicare actually pays.
A markup ratio of 3.15x means for every $100 Medicare pays, this provider initially charges $315. 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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