⚠️ This provider averages 2.7K services per working day — physically unusual for an individual practitioner
Based on 6.8M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $26.6M in total Medicare payments ranks in the 99th percentile of Medical Oncology providers nationally.
Their average markup ratio of 7.36x is significantly above the specialty median of 3.6x.
Averaging 2.7K services per working day raises questions about billing patterns.
Medicare payments to this provider grew 71% from 2014 to 2023.
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 | $17.48 | $4.03 | 4.34x | $13.45 | $1.9M | 470.5K | 72 |
| 2015 | $34.03 | $2.84 | 11.98x | $31.19 | $2.3M | 795.3K | 64 |
| 2016 | $36.45 | $3.24 | 11.25x | $33.21 | $2.6M | 793.7K | 72 |
| 2017 | $40.38 | $3.78 | 10.68x | $36.60 | $2.6M | 686.3K | 71 |
| 2018 | $37.53 | $3.60 | 10.43x | $33.93 | $2.0M | 566.9K | 63 |
| 2019 | $38.74 | $4.12 | 9.40x | $34.62 | $2.8M | 685.5K | 60 |
| 2020 | $15.48 | $4.10 | 3.78x | $11.38 | $2.4M | 582.2K | 66 |
| 2021 | $19.46 | $3.80 | 5.12x | $15.66 | $3.0M | 799.1K | 63 |
| 2022 | $22.60 | $4.89 | 4.62x | $17.71 | $3.7M | 764.8K | 62 |
| 2023 | $21.83 | $5.02 | 4.35x | $16.81 | $3.2M | 644.1K | 62 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 2.0M | $5.8M | $2.88 | 6.33x |
| J2505 | Injection, pegfilgrastim, 6 mg | 762 | $2.3M | $3.0K | 5.44x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 2.3M | $1.9M | $0.85 | 20.47x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 1.3K | $1.5M | $1.2K | 5.35x |
| J9299 | Injection, nivolumab, 1 mg | 66.0K | $1.5M | $22.43 | 5.10x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15.5K | $1.4M | $87.45 | 4.01x |
| J9022 | Injection, atezolizumab, 10 mg | 19.6K | $1.2M | $62.20 | 4.05x |
| J0897 | Injection, denosumab, 1 mg | 55.4K | $938.4K | $16.94 | 3.83x |
| J9310 | Injection, rituximab, 100 mg | 1.1K | $737.1K | $660.45 | 6.62x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 11.1K | $673.4K | $60.43 | 4.05x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 20.1K | $662.6K | $33.03 | 3.70x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 11.0K | $393.8K | $35.83 | 3.27x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 3.3K | $374.3K | $114.61 | 5.66x |
| 96372 | Injection of drug or substance under skin or into muscle | 21.9K | $340.2K | $15.51 | 7.15x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 2.7K | $322.4K | $120.68 | 3.84x |
| Q5122 | Injection, pegfilgrastim-apgf, biosimilar, (nyvepria), 0.5 mg | 1.5K | $303.6K | $202.37 | 4.17x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.3K | $293.8K | $225.28 | 7.91x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 32.2K | $290.6K | $9.02 | 4.19x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 5.0K | $288.3K | $57.37 | 6.06x |
| 82728 | Ferritin (blood protein) level | 16.5K | $257.5K | $15.64 | 3.74x |
This provider submits charges 7.36 times higher than what Medicare actually pays.
A markup ratio of 7.36x means for every $100 Medicare pays, this provider initially charges $736. 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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