This provider averages 55 services per working day
Based on 138.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.5M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Averaging 55 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 | $176.42 | $72.60 | 2.43x | $103.82 | $804.3K | 12.4K | 4.1K |
| 2015 | $224.02 | $90.57 | 2.47x | $133.45 | $812.1K | 11.8K | 4.3K |
| 2016 | $208.89 | $84.32 | 2.48x | $124.57 | $747.7K | 11.4K | 4.6K |
| 2017 | $250.81 | $82.55 | 3.04x | $168.26 | $675.7K | 12.3K | 5.3K |
| 2018 | $297.27 | $84.11 | 3.53x | $213.16 | $913.9K | 13.6K | 5.8K |
| 2019 | $256.66 | $72.30 | 3.55x | $184.36 | $969.6K | 14.4K | 5.8K |
| 2020 | $265.69 | $70.62 | 3.76x | $195.07 | $925.8K | 13.6K | 5.5K |
| 2021 | $254.68 | $55.46 | 4.59x | $199.22 | $806.4K | 16.2K | 6.7K |
| 2022 | $146.22 | $31.16 | 4.69x | $115.06 | $394.2K | 15.6K | 6.5K |
| 2023 | $125.65 | $27.15 | 4.63x | $98.50 | $408.4K | 16.9K | 7.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 1.4K | $3.9M | $2.9K | 2.94x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.4K | $741.4K | $78.92 | 3.10x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 5.2K | $478.8K | $91.96 | 4.50x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.8K | $320.4K | $47.41 | 2.71x |
| 80053 | Blood test, comprehensive group of blood chemicals | 16.1K | $189.6K | $11.76 | 7.76x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 20.2K | $175.5K | $8.69 | 5.51x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.0K | $149.0K | $146.49 | 3.27x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.8K | $78.7K | $43.72 | 4.50x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 1.7K | $77.6K | $46.52 | 4.44x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.4K | $76.8K | $52.95 | 2.56x |
| 86300 | Immunologic analysis for detection of tumor antigen | 3.5K | $73.4K | $21.06 | 5.28x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 933 | $72.5K | $77.74 | 3.05x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 696 | $69.8K | $100.28 | 2.72x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 3.3K | $68.3K | $20.80 | 5.54x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 451 | $66.7K | $147.95 | 2.76x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 558 | $62.0K | $111.10 | 2.86x |
| 36415 | Insertion of needle into vein for collection of blood sample | 14.9K | $52.5K | $3.53 | 6.23x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 959 | $50.3K | $52.43 | 3.14x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 3.5K | $45.4K | $13.16 | 4.16x |
| J9310 | Injection, rituximab, 100 mg | 79 | $45.3K | $573.93 | 2.32x |
This provider submits charges 3.54 times higher than what Medicare actually pays.
A markup ratio of 3.54x means for every $100 Medicare pays, this provider initially charges $354. 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 |
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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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