⚠️ This provider averages 323 services per working day — physically unusual for an individual practitioner
Based on 808.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $21.8M in total Medicare payments ranks in the 99th percentile of Medical Oncology providers nationally.
Averaging 323 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 133% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 173% in 2022
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 | $51.03 | $16.62 | 3.07x | $34.41 | $1.6M | 94.9K | 32 |
| 2015 | $49.18 | $15.33 | 3.21x | $33.85 | $1.4M | 93.9K | 34 |
| 2016 | $88.07 | $30.02 | 2.93x | $58.05 | $2.4M | 80.7K | 28 |
| 2017 | $55.94 | $17.96 | 3.11x | $37.98 | $1.6M | 87.6K | 31 |
| 2018 | $79.56 | $22.55 | 3.53x | $57.01 | $1.2M | 54.6K | 29 |
| 2019 | $73.79 | $25.89 | 2.85x | $47.90 | $2.1M | 80.8K | 30 |
| 2020 | $87.77 | $28.23 | 3.11x | $59.54 | $2.2M | 78.8K | 36 |
| 2021 | $96.09 | $17.80 | 5.40x | $78.29 | $1.5M | 83.8K | 35 |
| 2022 | $191.24 | $50.21 | 3.81x | $141.03 | $4.1M | 81.2K | 37 |
| 2023 | $209.63 | $50.77 | 4.13x | $158.86 | $3.7M | 72.5K | 38 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 274.6K | $3.7M | $13.50 | 2.22x |
| A9607 | Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie | 15.4K | $3.0M | $192.17 | 2.52x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 15.7K | $2.5M | $160.06 | 7.33x |
| J2505 | Injection, pegfilgrastim, 6 mg | 607 | $1.9M | $3.1K | 2.21x |
| J9043 | Injection, cabazitaxel, 1 mg | 9.5K | $1.4M | $142.90 | 2.38x |
| J9271 | Injection, pembrolizumab, 1 mg | 42.8K | $1.1M | $24.94 | 3.02x |
| J9035 | Injection, bevacizumab, 10 mg | 40.4K | $907.2K | $22.44 | 3.18x |
| Q2043 | Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion | 29 | $856.5K | $29.5K | 2.54x |
| A9699 | Radiopharmaceutical, therapeutic, not otherwise classified | 25 | $833.7K | $33.3K | 2.69x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 9.4K | $762.5K | $81.24 | 2.95x |
| A9596 | Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | 775 | $638.9K | $824.40 | 3.48x |
| J9299 | Injection, nivolumab, 1 mg | 24.4K | $528.6K | $21.64 | 2.31x |
| 84403 | Testosterone (hormone) level, total | 14.2K | $417.4K | $29.32 | 3.00x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 6.8K | $371.2K | $54.28 | 3.30x |
| 84153 | Psa (prostate specific antigen) measurement, total | 16.1K | $336.4K | $20.89 | 3.60x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 3.0K | $307.0K | $102.72 | 2.86x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 233 | $251.0K | $1.1K | 6.63x |
| Q5108 | Injection, pegfilgrastim-jmdb, biosimilar, (fulphila), 0.5 mg | 792 | $218.6K | $275.98 | 2.42x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 14.0K | $213.6K | $15.22 | 3.94x |
| J9171 | Injection, docetaxel, 1 mg | 97.3K | $172.8K | $1.78 | 16.60x |
This provider submits charges 3.55 times higher than what Medicare actually pays.
A markup ratio of 3.55x means for every $100 Medicare pays, this provider initially charges $355. 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.
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