This provider averages 64 services per working day
Based on 158.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.1M in total Medicare payments ranks in the 98th percentile of Medical Oncology providers nationally.
Averaging 64 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 | $272.80 | $101.93 | 2.68x | $170.87 | $526.8K | 13.6K | 3.5K |
| 2015 | $270.73 | $104.55 | 2.59x | $166.18 | $721.1K | 16.2K | 4.1K |
| 2016 | $342.81 | $105.98 | 3.23x | $236.83 | $941.9K | 20.0K | 4.4K |
| 2017 | $300.36 | $116.48 | 2.58x | $183.88 | $732.1K | 16.9K | 3.8K |
| 2018 | $317.46 | $109.46 | 2.90x | $208.00 | $867.9K | 18.4K | 3.9K |
| 2019 | $152.86 | $38.46 | 3.97x | $114.40 | $775.3K | 20.2K | 4.3K |
| 2020 | $156.14 | $36.84 | 4.24x | $119.30 | $433.9K | 15.6K | 3.7K |
| 2021 | $166.90 | $43.42 | 3.84x | $123.48 | $367.2K | 12.6K | 3.1K |
| 2022 | $165.48 | $40.29 | 4.11x | $125.19 | $390.4K | 13.2K | 3.6K |
| 2023 | $166.29 | $36.44 | 4.56x | $129.85 | $365.3K | 12.2K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 9.6K | $933.7K | $97.11 | 4.82x |
| J2505 | Injection, pegfilgrastim, 6 mg | 306 | $925.5K | $3.0K | 2.75x |
| G9678 | Oncology Care Model service | 4.6K | $724.9K | $156.80 | 1.02x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.8K | $609.4K | $78.00 | 2.44x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 3.4K | $389.3K | $114.13 | 2.61x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 32.4K | $291.7K | $9.00 | 3.20x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 5.8K | $281.3K | $48.57 | 4.28x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.6K | $196.3K | $55.11 | 2.83x |
| J9310 | Injection, rituximab, 100 mg | 324 | $193.6K | $597.60 | 1.76x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 851 | $128.7K | $151.27 | 2.18x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 5.8K | $124.1K | $21.50 | 5.16x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 821 | $122.0K | $148.59 | 2.42x |
| 96416 | Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours | 1.1K | $112.7K | $99.21 | 4.94x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 2.1K | $98.0K | $46.19 | 4.95x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 6.8K | $88.7K | $13.04 | 5.46x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 5.9K | $83.7K | $14.11 | 3.78x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.4K | $74.3K | $54.98 | 2.09x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 924 | $72.3K | $78.22 | 2.05x |
| 96411 | Infusion of different chemotherapy drug or substance into a vein | 1.5K | $64.7K | $42.42 | 4.43x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 5.6K | $64.3K | $11.53 | 4.46x |
This provider submits charges 3.32 times higher than what Medicare actually pays.
A markup ratio of 3.32x means for every $100 Medicare pays, this provider initially charges $332. 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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