Statistical flag only — not an accusation of fraud
⚠️ This provider averages 794 services per working day — physically unusual for an individual practitioner
Based on 2.0M 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 794 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 369% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 67/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 64% in 2018
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 | $54.22 | $14.24 | 3.81x | $39.98 | $880.8K | 61.9K | 42 |
| 2015 | $26.69 | $8.26 | 3.23x | $18.43 | $1.2M | 145.7K | 38 |
| 2016 | $29.14 | $9.55 | 3.05x | $19.59 | $1.7M | 179.8K | 40 |
| 2017 | $47.68 | $14.79 | 3.22x | $32.89 | $2.2M | 145.9K | 43 |
| 2018 | $49.32 | $13.95 | 3.54x | $35.37 | $3.5M | 253.4K | 45 |
| 2019 | $53.37 | $14.89 | 3.58x | $38.48 | $3.3M | 223.1K | 48 |
| 2020 | $50.29 | $13.12 | 3.83x | $37.17 | $3.6M | 273.4K | 43 |
| 2021 | $53.91 | $14.94 | 3.61x | $38.97 | $3.6M | 241.8K | 46 |
| 2022 | $58.83 | $17.38 | 3.38x | $41.45 | $3.9M | 226.3K | 46 |
| 2023 | $61.87 | $17.73 | 3.49x | $44.14 | $4.1M | 232.8K | 41 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 154.8K | $6.2M | $40.34 | 2.97x |
| J9299 | Injection, nivolumab, 1 mg | 209.8K | $4.7M | $22.32 | 2.79x |
| J0897 | Injection, denosumab, 1 mg | 141.2K | $2.0M | $14.35 | 3.04x |
| J2505 | Injection, pegfilgrastim, 6 mg | 676 | $2.0M | $2.9K | 2.76x |
| J9310 | Injection, rituximab, 100 mg | 2.6K | $1.6M | $613.10 | 2.37x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 123.2K | $1.0M | $8.31 | 2.88x |
| J9311 | Injection, rituximab 10 mg and hyaluronidase | 31.9K | $984.9K | $30.89 | 3.88x |
| J9312 | Injection, rituximab, 10 mg | 12.5K | $912.0K | $72.96 | 2.91x |
| J9041 | Injection, bortezomib (velcade), 0.1 mg | 25.2K | $751.9K | $29.88 | 3.79x |
| J9355 | Injection, trastuzumab, 10 mg | 8.9K | $698.8K | $78.41 | 2.85x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 8.4K | $688.5K | $81.69 | 2.94x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 7.2K | $662.6K | $92.62 | 4.47x |
| J9395 | Injection, fulvestrant, 25 mg | 10.7K | $544.4K | $51.12 | 4.57x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 10.0K | $469.8K | $47.18 | 3.02x |
| J9035 | Injection, bevacizumab, 10 mg | 7.0K | $433.5K | $62.38 | 3.01x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 38.8K | $394.7K | $10.16 | 5.85x |
| J9305 | Injection, pemetrexed, 10 mg | 6.9K | $332.5K | $48.19 | 2.68x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 324.8K | $274.4K | $0.84 | 3.10x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 30.9K | $265.4K | $8.59 | 4.07x |
| 80053 | Blood test, comprehensive group of blood chemicals | 20.0K | $233.8K | $11.72 | 7.80x |
This provider submits charges 3.5 times higher than what Medicare actually pays.
A markup ratio of 3.5x means for every $100 Medicare pays, this provider initially charges $350. 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 MS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Guangzhi Qu, M.D. | Jackson, MS | $55.7M | ⚠️ Flagged |
| Tammy Young, M.D. | Jackson, MS | $45.2M | ⚠️ Flagged |
Share this provider's Medicare payment information
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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