This provider averages 107 services per working day
Based on 268.0K total services over 10 years (250 working days/year). Learn about impossible service volumes โ
This provider's $9.2M in total Medicare payments ranks in the 99th percentile of Medical Oncology providers nationally.
Averaging 107 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $229.50 | $73.13 | 3.14x | $156.37 | $747.0K | 27.1K | 7.4K |
| 2015 | $197.42 | $69.44 | 2.84x | $127.98 | $883.0K | 30.1K | 8.8K |
| 2016 | $227.15 | $80.42 | 2.82x | $146.73 | $822.0K | 26.3K | 7.9K |
| 2017 | $215.96 | $78.34 | 2.76x | $137.62 | $1.2M | 28.0K | 8.0K |
| 2018 | $262.95 | $85.11 | 3.09x | $177.84 | $1.2M | 29.8K | 8.2K |
| 2019 | $285.48 | $89.62 | 3.19x | $195.86 | $1.3M | 33.4K | 9.4K |
| 2020 | $247.34 | $68.51 | 3.61x | $178.83 | $1.2M | 32.1K | 8.1K |
| 2021 | $91.24 | $26.50 | 3.44x | $64.74 | $979.5K | 28.0K | 7.6K |
| 2022 | $98.31 | $27.08 | 3.63x | $71.23 | $402.2K | 17.8K | 5.3K |
| 2023 | $155.60 | $38.68 | 4.02x | $116.92 | $444.6K | 15.5K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| G9678 | Oncology Care Model service | 15.5K | $2.4M | $157.89 | 2.53x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 18.4K | $1.6M | $84.76 | 3.25x |
| J2505 | Injection, pegfilgrastim, 6 mg | 301 | $931.4K | $3.1K | 2.53x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 6.6K | $696.0K | $104.83 | 3.86x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 41.5K | $377.3K | $9.09 | 3.19x |
| 80053 | Blood test, comprehensive group of blood chemicals | 20.7K | $252.5K | $12.22 | 3.19x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 4.6K | $240.9K | $52.41 | 3.57x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.6K | $206.5K | $57.91 | 3.34x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 3.1K | $183.0K | $58.38 | 3.29x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 11.9K | $177.0K | $14.93 | 4.13x |
| J9310 | Injection, rituximab, 100 mg | 265 | $164.4K | $620.20 | 2.50x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.0K | $157.0K | $155.74 | 3.23x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 6.0K | $140.1K | $23.41 | 4.21x |
| 36415 | Insertion of needle into vein for collection of blood sample | 39.3K | $132.5K | $3.37 | 2.67x |
| 86334 | Immunologic analysis technique on serum | 3.4K | $87.8K | $26.15 | 3.06x |
| 82728 | Ferritin (blood protein) level | 5.3K | $84.9K | $16.11 | 3.10x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 494 | $81.9K | $165.86 | 4.55x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 3.8K | $67.3K | $17.77 | 3.15x |
| 82746 | Folic acid level | 3.6K | $61.9K | $17.39 | 3.11x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 7.1K | $60.9K | $8.61 | 2.76x |
This provider submits charges 3.14 times higher than what Medicare actually pays.
A markup ratio of 3.14x means for every $100 Medicare pays, this provider initially charges $314. 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 Medical Oncology providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Jay Wang, M.D. | Naples, FL | $45.2M | โ ๏ธ Flagged |
| Ahmed Al-Hazzouri, M.D. | Clermont, FL | $44.2M | โ Clear |
| Thomas Niederman, MD,PHD | Boynton Beach, FL | $34.7M | โ Clear |
| Brian Berry, M.D., PHD | Bradenton, FL | $34.0M | โ Clear |
| Patrick Acevedo, M.D. | Ocala, FL | $33.8M | โ Clear |
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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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