⚠️ This provider averages 1.6K services per working day — physically unusual for an individual practitioner
Based on 4.1M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $41.9M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.6K 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 | $28.36 | $8.63 | 3.29x | $19.73 | $3.3M | 378.2K | 75 |
| 2015 | $32.57 | $10.45 | 3.12x | $22.12 | $4.0M | 384.7K | 87 |
| 2016 | $31.88 | $10.28 | 3.10x | $21.60 | $4.3M | 421.3K | 78 |
| 2017 | $29.43 | $9.33 | 3.15x | $20.10 | $4.5M | 477.1K | 85 |
| 2018 | $34.82 | $10.68 | 3.26x | $24.14 | $5.4M | 503.6K | 83 |
| 2019 | $33.96 | $10.73 | 3.16x | $23.23 | $6.1M | 566.7K | 84 |
| 2020 | $33.71 | $10.27 | 3.28x | $23.44 | $4.5M | 434.6K | 79 |
| 2021 | $38.82 | $11.60 | 3.35x | $27.22 | $3.8M | 327.9K | 73 |
| 2022 | $39.34 | $11.46 | 3.43x | $27.88 | $3.0M | 258.5K | 63 |
| 2023 | $33.39 | $9.73 | 3.43x | $23.66 | $3.1M | 320.9K | 43 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 141.3K | $5.7M | $40.38 | 3.08x |
| J9299 | Injection, nivolumab, 1 mg | 149.9K | $3.3M | $21.79 | 3.12x |
| J2357 | Injection, omalizumab, 5 mg | 92.5K | $2.4M | $26.24 | 2.12x |
| J2505 | Injection, pegfilgrastim, 6 mg | 795 | $2.4M | $3.1K | 2.61x |
| J9035 | Injection, bevacizumab, 10 mg | 41.1K | $2.4M | $57.93 | 2.77x |
| J9310 | Injection, rituximab, 100 mg | 3.0K | $1.8M | $616.83 | 2.47x |
| J0897 | Injection, denosumab, 1 mg | 122.8K | $1.8M | $14.41 | 2.81x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 51.7K | $1.8M | $33.99 | 2.98x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 189.5K | $1.6M | $8.59 | 2.77x |
| J9305 | Injection, pemetrexed, not otherwise specified, 10 mg | 29.3K | $1.5M | $51.01 | 2.43x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 16.3K | $1.4M | $84.68 | 3.24x |
| J9041 | Injection, bortezomib (velcade), 0.1 mg | 34.6K | $1.2M | $35.56 | 2.80x |
| J9173 | Injection, durvalumab, 10 mg | 18.2K | $1.1M | $60.55 | 4.20x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 8.8K | $917.5K | $104.86 | 3.86x |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 13.7K | $754.3K | $55.26 | 2.58x |
| J9355 | Injection, trastuzumab, 10 mg | 9.8K | $716.0K | $73.43 | 2.54x |
| Q0138 | Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) | 985.8K | $680.7K | $0.69 | 3.66x |
| J9312 | Injection, rituximab, 10 mg | 8.7K | $640.8K | $73.64 | 3.25x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 8.8K | $516.9K | $58.60 | 3.33x |
| 78815 | Nuclear medicine study with ct imaging skull base to mid-thigh | 476 | $473.9K | $995.59 | 4.29x |
This provider submits charges 3.24 times higher than what Medicare actually pays.
A markup ratio of 3.24x means for every $100 Medicare pays, this provider initially charges $324. 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 Hematology-Oncology providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Christopher Lobo, MD | Port Charlotte, FL | $60.5M | ⚠️ Flagged |
| Maen Hussein, M.D. | Tavares, FL | $57.6M | ✓ Clear |
| Vikas Malhotra, M.D. | Spring Hill, FL | $52.8M | ✓ Clear |
| Andrew Lipman, M.D. | Naples, FL | $51.1M | ⚠️ Flagged |
| Syed Zafar, M.D. | Fort Myers, FL | $48.1M | ⚠️ Flagged |
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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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