Statistical flag only — not an accusation of fraud
⚠️ This provider averages 830 services per working day — physically unusual for an individual practitioner
Based on 2.1M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $28.6M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 830 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 85% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 68/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 68% in 2018
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 | $60.03 | $12.65 | 4.75x | $47.38 | $2.2M | 172.1K | 51 |
| 2015 | $54.92 | $14.85 | 3.70x | $40.07 | $2.3M | 154.1K | 50 |
| 2016 | $45.82 | $12.47 | 3.67x | $33.35 | $2.0M | 161.7K | 50 |
| 2017 | $42.88 | $12.65 | 3.39x | $30.23 | $1.8M | 140.5K | 44 |
| 2018 | $48.91 | $14.22 | 3.44x | $34.69 | $3.0M | 209.3K | 51 |
| 2019 | $36.71 | $10.23 | 3.59x | $26.48 | $1.9M | 189.3K | 46 |
| 2020 | $53.84 | $15.28 | 3.52x | $38.56 | $3.1M | 204.4K | 57 |
| 2021 | $47.70 | $12.94 | 3.69x | $34.76 | $4.9M | 375.1K | 63 |
| 2022 | $55.91 | $14.64 | 3.82x | $41.27 | $3.5M | 236.5K | 60 |
| 2023 | $65.23 | $17.46 | 3.74x | $47.77 | $4.0M | 230.7K | 60 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 155.6K | $5.0M | $32.36 | 2.66x |
| J9299 | Injection, nivolumab, 1 mg | 157.6K | $3.4M | $21.85 | 2.65x |
| J2505 | Injection, pegfilgrastim, 6 mg | 1.1K | $3.3M | $2.9K | 4.04x |
| J0897 | Injection, denosumab, 1 mg | 144.5K | $2.2M | $15.35 | 2.81x |
| J9355 | Injection, trastuzumab, 10 mg | 18.8K | $1.3M | $67.58 | 3.02x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 27.9K | $981.0K | $35.16 | 2.45x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19.1K | $971.7K | $50.99 | 2.57x |
| J9035 | Injection, bevacizumab, 10 mg | 17.8K | $953.4K | $53.57 | 3.42x |
| J9312 | Injection, rituximab, 10 mg | 11.0K | $767.0K | $69.45 | 2.97x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 7.5K | $735.3K | $98.62 | 3.61x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 818 | $581.9K | $711.40 | 5.99x |
| G6015 | Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | 2.0K | $527.9K | $260.19 | 5.15x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 476.3K | $404.9K | $0.85 | 3.61x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 33.3K | $340.2K | $10.21 | 2.96x |
| J9310 | Injection, rituximab, 100 mg | 498 | $338.0K | $678.80 | 2.79x |
| A9595 | Piflufolastat f-18, diagnostic, 1 millicurie | 586 | $328.5K | $560.66 | 2.39x |
| J9041 | Injection, bortezomib, 0.1 mg | 10.8K | $305.1K | $28.15 | 3.73x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 26.9K | $300.7K | $11.17 | 9.60x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 3.4K | $285.2K | $84.82 | 2.36x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 30.3K | $271.0K | $8.95 | 3.97x |
This provider submits charges 3.72 times higher than what Medicare actually pays.
A markup ratio of 3.72x means for every $100 Medicare pays, this provider initially charges $372. 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 SC for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Renwick Goldberg, MD | Myrtle Beach, SC | $38.6M | ⚠️ 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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