⚠️ This provider averages 2.0K services per working day — physically unusual for an individual practitioner
Based on 5.0M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $48.0M in total Medicare payments ranks in the 99th percentile of Hematology providers nationally.
Averaging 2.0K 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 | $15.80 | $7.28 | 2.17x | $8.52 | $3.5M | 475.4K | 40 |
| 2015 | $15.01 | $6.47 | 2.32x | $8.54 | $3.7M | 567.0K | 43 |
| 2016 | $18.72 | $7.30 | 2.56x | $11.42 | $4.2M | 577.8K | 42 |
| 2017 | $22.16 | $7.92 | 2.80x | $14.24 | $3.3M | 411.9K | 47 |
| 2018 | $19.27 | $7.13 | 2.70x | $12.14 | $4.9M | 683.7K | 51 |
| 2019 | $24.92 | $9.26 | 2.69x | $15.66 | $6.6M | 707.9K | 43 |
| 2020 | $43.14 | $14.81 | 2.91x | $28.33 | $6.6M | 444.1K | 44 |
| 2021 | $33.37 | $11.81 | 2.83x | $21.56 | $7.4M | 622.6K | 45 |
| 2022 | $36.50 | $14.18 | 2.57x | $22.32 | $4.2M | 296.1K | 46 |
| 2023 | $36.20 | $16.14 | 2.24x | $20.06 | $3.9M | 239.1K | 34 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 177.2K | $7.2M | $40.76 | 2.59x |
| J9035 | Injection, bevacizumab, 10 mg | 116.8K | $6.7M | $57.17 | 1.70x |
| J9299 | Injection, nivolumab, 1 mg | 245.9K | $5.6M | $22.86 | 2.62x |
| J0897 | Injection, denosumab, 1 mg | 204.1K | $3.3M | $15.95 | 1.70x |
| J2505 | Injection, pegfilgrastim, 6 mg | 881 | $2.6M | $3.0K | 2.55x |
| J9310 | Injection, rituximab, 100 mg | 4.0K | $2.5M | $620.39 | 1.65x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25.1K | $2.0M | $80.18 | 2.36x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 15.8K | $1.6M | $101.51 | 4.00x |
| J9041 | Injection, bortezomib (velcade), 0.1 mg | 43.7K | $1.6M | $35.97 | 1.78x |
| J9025 | Injection, azacitidine, 1 mg | 751.6K | $1.5M | $1.99 | 3.40x |
| Q5107 | Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg | 30.2K | $1.4M | $46.59 | 4.29x |
| J9312 | Injection, rituximab, 10 mg | 14.9K | $1.1M | $72.94 | 1.84x |
| J2353 | Injection, octreotide, depot form for intramuscular injection, 1 mg | 6.4K | $1.1M | $164.24 | 2.56x |
| J1442 | Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram | 1.2M | $933.5K | $0.78 | 4.20x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 67.4K | $707.0K | $10.48 | 3.35x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 703.5K | $603.2K | $0.86 | 3.48x |
| Q5126 | Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg | 9.8K | $534.0K | $54.52 | 2.11x |
| J2796 | Injection, romiplostim, 10 micrograms | 8.0K | $522.1K | $65.30 | 2.00x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 8.2K | $419.7K | $51.04 | 2.93x |
| J1453 | Injection, fosaprepitant, 1 mg | 280.9K | $407.0K | $1.45 | 2.77x |
This provider submits charges 2.63 times higher than what Medicare actually pays.
A markup ratio of 2.63x means for every $100 Medicare pays, this provider initially charges $263. 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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