⚠️ This provider averages 1.1K services per working day — physically unusual for an individual practitioner
Based on 2.6M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $28.1M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.1K services per working day raises questions about billing patterns.
Medicare payments to this provider grew 194% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 82% 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 | $34.55 | $10.59 | 3.26x | $23.96 | $1.1M | 101.8K | 40 |
| 2015 | $35.68 | $11.59 | 3.08x | $24.09 | $2.0M | 168.8K | 45 |
| 2016 | $30.65 | $9.85 | 3.11x | $20.80 | $3.0M | 307.3K | 47 |
| 2017 | $32.84 | $10.71 | 3.07x | $22.13 | $2.6M | 247.1K | 42 |
| 2018 | $38.27 | $10.78 | 3.55x | $27.49 | $3.2M | 293.4K | 50 |
| 2019 | $37.25 | $9.99 | 3.73x | $27.26 | $3.3M | 331.3K | 46 |
| 2020 | $41.24 | $10.77 | 3.83x | $30.47 | $3.1M | 292.0K | 44 |
| 2021 | $35.44 | $10.10 | 3.51x | $25.34 | $3.6M | 360.1K | 44 |
| 2022 | $43.13 | $11.54 | 3.74x | $31.59 | $3.0M | 258.3K | 41 |
| 2023 | $46.35 | $11.73 | 3.95x | $34.62 | $3.2M | 270.2K | 42 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 154.4K | $6.3M | $40.77 | 3.68x |
| J9035 | Injection, bevacizumab, 10 mg | 58.0K | $3.4M | $58.85 | 3.02x |
| J2505 | Injection, pegfilgrastim, 6 mg | 776 | $2.4M | $3.2K | 2.67x |
| J0897 | Injection, denosumab, 1 mg | 151.4K | $2.3M | $15.01 | 2.68x |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 658.8K | $1.9M | $2.87 | 4.27x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 35.3K | $1.3M | $36.42 | 2.79x |
| J9310 | Injection, rituximab, 100 mg | 2.1K | $1.3M | $615.68 | 2.76x |
| J9041 | Injection, bortezomib (velcade), 0.1 mg | 33.2K | $1.2M | $35.82 | 3.04x |
| J9299 | Injection, nivolumab, 1 mg | 42.9K | $916.3K | $21.38 | 2.89x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 9.4K | $762.5K | $80.95 | 3.29x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 6.9K | $683.3K | $99.11 | 3.68x |
| J9355 | Injection, trastuzumab, 10 mg | 6.7K | $468.3K | $69.40 | 2.76x |
| Q5107 | Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg | 16.1K | $434.7K | $26.96 | 5.49x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 8.6K | $434.1K | $50.65 | 3.90x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 463.5K | $394.4K | $0.85 | 3.29x |
| Q5115 | Injection, rituximab-abbs, biosimilar, (truxima), 10 mg | 8.5K | $367.7K | $43.17 | 2.66x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 31.8K | $346.7K | $10.91 | 6.05x |
| 96367 | Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less | 11.5K | $257.8K | $22.38 | 3.37x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 2.0K | $247.1K | $126.47 | 3.19x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 5.7K | $187.3K | $33.10 | 2.23x |
This provider submits charges 3.53 times higher than what Medicare actually pays.
A markup ratio of 3.53x means for every $100 Medicare pays, this provider initially charges $353. 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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