This provider averages 53 services per working day
Based on 133.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.2M in total Medicare payments ranks in the 99th percentile of Hematology providers nationally.
Averaging 53 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 | $161.83 | $93.00 | 1.74x | $68.83 | $562.8K | 14.1K | 4.7K |
| 2015 | $128.48 | $85.96 | 1.49x | $42.52 | $560.2K | 13.3K | 4.3K |
| 2016 | $191.87 | $92.88 | 2.07x | $98.99 | $585.7K | 13.3K | 4.2K |
| 2017 | $176.63 | $94.29 | 1.87x | $82.34 | $515.7K | 13.0K | 4.6K |
| 2018 | $196.98 | $109.12 | 1.81x | $87.86 | $529.1K | 13.2K | 4.6K |
| 2019 | $62.24 | $39.95 | 1.56x | $22.29 | $533.2K | 15.7K | 5.3K |
| 2020 | $70.01 | $45.46 | 1.54x | $24.55 | $543.0K | 15.2K | 5.1K |
| 2021 | $92.80 | $55.25 | 1.68x | $37.55 | $531.1K | 13.3K | 4.4K |
| 2022 | $63.53 | $40.72 | 1.56x | $22.81 | $452.0K | 12.0K | 4.2K |
| 2023 | $69.33 | $46.22 | 1.50x | $23.11 | $378.1K | 10.6K | 3.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 15.7K | $1.4M | $86.67 | 1.36x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 5.5K | $644.0K | $116.36 | 1.27x |
| J2505 | Injection, pegfilgrastim, 6 mg | 161 | $483.2K | $3.0K | 1.83x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.2K | $200.7K | $161.11 | 1.35x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 11.8K | $195.5K | $16.53 | 1.37x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 3.3K | $192.0K | $58.37 | 1.28x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 20.1K | $182.2K | $9.05 | 1.26x |
| J9310 | Injection, rituximab, 100 mg | 295 | $177.1K | $600.36 | 1.49x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.1K | $123.6K | $59.03 | 1.27x |
| J1454 | Injection, fosnetupitant 235 mg and palonosetron 0.25 mg | 295 | $122.6K | $415.52 | 1.66x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.0K | $121.8K | $119.30 | 1.33x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 1.5K | $94.0K | $62.53 | 2.80x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.7K | $93.7K | $55.14 | 1.27x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 5.8K | $91.1K | $15.71 | 1.34x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 1.3K | $84.6K | $64.36 | 1.27x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 553 | $60.9K | $110.17 | 1.28x |
| 96409 | Infusion of chemotherapy into a vein using push technique | 660 | $60.9K | $92.30 | 1.28x |
| J2820 | Injection, sargramostim (gm-csf), 50 mcg | 1.7K | $47.7K | $27.86 | 1.99x |
| 36591 | Collection of blood specimen from a completely implantable venous access device | 2.2K | $43.5K | $19.64 | 1.34x |
| 99195 | Therapeutic removal of whole blood to correct blood level imbalance | 529 | $43.3K | $81.81 | 1.33x |
This provider submits charges 1.5 times higher than what Medicare actually pays.
A markup ratio of 1.5x means for every $100 Medicare pays, this provider initially charges $150. This is lower 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.
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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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