This provider averages 52 services per working day
Based on 129.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.6M in total Medicare payments ranks in the 98th percentile of Medical Oncology providers nationally.
Averaging 52 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 | $453.46 | $108.18 | 4.19x | $345.28 | $656.9K | 11.3K | 2.9K |
| 2015 | $398.77 | $91.94 | 4.34x | $306.83 | $640.5K | 11.1K | 2.7K |
| 2016 | $453.74 | $102.87 | 4.41x | $350.87 | $668.9K | 9.7K | 2.4K |
| 2017 | $458.81 | $102.62 | 4.47x | $356.19 | $689.2K | 9.8K | 2.5K |
| 2018 | $434.34 | $98.10 | 4.43x | $336.24 | $552.7K | 13.8K | 4.0K |
| 2019 | $361.24 | $80.37 | 4.49x | $280.87 | $748.0K | 18.7K | 5.5K |
| 2020 | $374.68 | $76.23 | 4.92x | $298.45 | $430.4K | 12.4K | 4.3K |
| 2021 | $359.15 | $58.62 | 6.13x | $300.53 | $449.0K | 13.6K | 4.7K |
| 2022 | $183.14 | $32.27 | 5.68x | $150.87 | $405.7K | 15.0K | 5.0K |
| 2023 | $172.81 | $27.10 | 6.38x | $145.71 | $321.0K | 13.9K | 5.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 576 | $1.8M | $3.0K | 4.86x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.6K | $972.0K | $91.45 | 2.46x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.9K | $671.0K | $67.47 | 2.28x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 3.9K | $506.8K | $129.46 | 5.30x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 24.2K | $217.6K | $8.99 | 3.89x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 2.4K | $157.3K | $64.43 | 4.72x |
| 80053 | Blood test, comprehensive group of blood chemicals | 13.8K | $155.9K | $11.30 | 5.49x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 7.3K | $128.7K | $17.54 | 5.30x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 549 | $98.6K | $179.52 | 2.44x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 2.7K | $76.8K | $28.21 | 5.39x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 398 | $57.0K | $143.18 | 2.43x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 764 | $47.3K | $61.85 | 5.40x |
| 99195 | Therapeutic removal of whole blood to correct blood level imbalance | 505 | $43.3K | $85.70 | 2.97x |
| 82378 | Carcinoembryonic antigen (CEA) protein level | 1.9K | $41.2K | $21.56 | 4.45x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 2.0K | $35.4K | $17.40 | 6.04x |
| 82728 | Ferritin (blood protein) level | 2.4K | $33.7K | $14.34 | 4.04x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 459 | $32.1K | $69.83 | 2.94x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 506 | $31.5K | $62.19 | 2.52x |
| 86300 | Immunologic analysis for detection of tumor antigen | 1.2K | $27.1K | $23.08 | 5.37x |
| J9310 | Injection, rituximab, 100 mg | 49 | $27.0K | $551.36 | 3.35x |
This provider submits charges 4.13 times higher than what Medicare actually pays.
A markup ratio of 4.13x means for every $100 Medicare pays, this provider initially charges $413. 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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