This provider averages 51 services per working day
Based on 126.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.5M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Averaging 51 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 | $225.95 | $100.53 | 2.25x | $125.42 | $1.0M | 15.8K | 3.4K |
| 2015 | $219.26 | $108.10 | 2.03x | $111.16 | $1.2M | 16.7K | 3.6K |
| 2016 | $209.77 | $107.70 | 1.95x | $102.07 | $1.3M | 17.1K | 4.1K |
| 2017 | $192.49 | $100.20 | 1.92x | $92.29 | $1.3M | 18.2K | 3.6K |
| 2018 | $249.47 | $117.63 | 2.12x | $131.84 | $1.4M | 17.7K | 4.1K |
| 2019 | $265.69 | $124.30 | 2.14x | $141.39 | $835.4K | 11.0K | 3.2K |
| 2020 | $298.12 | $127.36 | 2.34x | $170.76 | $368.1K | 5.8K | 2.5K |
| 2021 | $315.31 | $103.33 | 3.05x | $211.98 | $324.6K | 5.7K | 2.2K |
| 2022 | $103.00 | $45.58 | 2.26x | $57.42 | $353.0K | 8.9K | 2.7K |
| 2023 | $102.63 | $42.80 | 2.40x | $59.83 | $372.9K | 9.7K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 1.2K | $3.7M | $3.1K | 1.94x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 21.6K | $1.7M | $80.85 | 2.12x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.3K | $568.3K | $54.98 | 2.14x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 5.5K | $561.5K | $102.00 | 2.43x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 19.7K | $308.4K | $15.65 | 2.53x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.9K | $229.3K | $79.78 | 2.02x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 5.6K | $127.4K | $22.95 | 2.75x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 2.0K | $101.7K | $51.49 | 2.21x |
| 96374 | Injection of drug or substance into a vein for therapy, diagnosis, or prevention | 2.6K | $92.3K | $35.02 | 2.49x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 9.0K | $80.6K | $8.96 | 2.01x |
| 96409 | Infusion of chemotherapy into a vein using push technique | 959 | $78.7K | $82.09 | 2.22x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 518 | $78.4K | $151.40 | 2.12x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 580 | $68.4K | $117.91 | 2.16x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 5.2K | $66.3K | $12.86 | 4.49x |
| J9310 | Injection, rituximab, 100 mg | 102 | $64.5K | $632.54 | 1.54x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.1K | $59.9K | $55.05 | 2.01x |
| 99195 | Therapeutic removal of whole blood to correct blood level imbalance | 631 | $43.5K | $68.98 | 2.21x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 910 | $43.1K | $47.32 | 2.64x |
| G0008 | Administration of influenza virus vaccine | 1.5K | $32.4K | $22.20 | 1.76x |
| 90682 | Vaccine for influenza for injection into muscle | 487 | $29.9K | $61.39 | 1.10x |
This provider submits charges 2.13 times higher than what Medicare actually pays.
A markup ratio of 2.13x means for every $100 Medicare pays, this provider initially charges $213. 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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