⚠️ This provider averages 1.1K services per working day — physically unusual for an individual practitioner
Based on 2.6M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $36.2M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.1K services per working day raises questions about billing patterns.
Medicare payments to this provider grew 74% from 2014 to 2023.
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 | $22.76 | $12.99 | 1.75x | $9.77 | $2.3M | 180.1K | 40 |
| 2015 | $15.30 | $9.13 | 1.68x | $6.17 | $2.0M | 214.5K | 39 |
| 2016 | $30.77 | $15.51 | 1.98x | $15.26 | $2.6M | 164.6K | 39 |
| 2017 | $24.62 | $13.10 | 1.88x | $11.52 | $3.1M | 236.0K | 38 |
| 2018 | $32.15 | $18.22 | 1.76x | $13.93 | $4.6M | 253.9K | 47 |
| 2019 | $23.26 | $12.29 | 1.89x | $10.97 | $4.4M | 356.7K | 46 |
| 2020 | $21.17 | $13.74 | 1.54x | $7.43 | $5.5M | 400.5K | 42 |
| 2021 | $28.84 | $18.00 | 1.60x | $10.84 | $4.2M | 231.4K | 41 |
| 2022 | $25.05 | $15.25 | 1.64x | $9.80 | $3.5M | 232.7K | 38 |
| 2023 | $18.61 | $11.51 | 1.62x | $7.10 | $4.1M | 353.5K | 41 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 171.8K | $7.0M | $40.63 | 1.40x |
| J9299 | Injection, nivolumab, 1 mg | 118.8K | $2.6M | $21.93 | 1.44x |
| J9145 | Injection, daratumumab, 10 mg | 39.0K | $1.6M | $41.21 | 1.48x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 42.3K | $1.6M | $36.93 | 1.66x |
| J9310 | Injection, rituximab, 100 mg | 2.5K | $1.5M | $609.96 | 1.47x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 17.6K | $1.5M | $86.17 | 1.37x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 156.6K | $1.5M | $9.29 | 1.57x |
| J9035 | Injection, bevacizumab, 10 mg | 24.1K | $1.4M | $56.31 | 1.56x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 147.1K | $1.3M | $9.04 | 2.30x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 41.7K | $1.2M | $29.93 | 2.84x |
| J9041 | Injection, bortezomib, 0.1 mg | 42.3K | $1.2M | $29.07 | 1.97x |
| J9355 | Injection, trastuzumab, 10 mg | 15.6K | $1.1M | $69.96 | 1.53x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 7.7K | $898.8K | $116.26 | 1.27x |
| J9305 | Injection, pemetrexed, not otherwise specified, 10 mg | 13.0K | $731.1K | $56.15 | 1.46x |
| J1556 | Injection, immune globulin (bivigam), 500 mg | 12.7K | $711.0K | $56.21 | 1.42x |
| Q5106 | Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units | 96.4K | $682.5K | $7.08 | 2.06x |
| J2505 | Injection, pegfilgrastim, 6 mg | 203 | $614.7K | $3.0K | 1.84x |
| J2820 | Injection, sargramostim (gm-csf), 50 mcg | 21.0K | $584.7K | $27.85 | 2.00x |
| J0897 | Injection, denosumab, 1 mg | 31.5K | $475.3K | $15.09 | 1.44x |
| J9173 | Injection, durvalumab, 10 mg | 7.7K | $466.2K | $60.44 | 1.55x |
This provider submits charges 1.72 times higher than what Medicare actually pays.
A markup ratio of 1.72x means for every $100 Medicare pays, this provider initially charges $172. 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.
Other Hematology-Oncology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Luke Dreisbach, M.D. | Rancho Mirage, CA | $77.2M | ✓ Clear |
| Sachin Gupta, M.D. | Fresno, CA | $55.1M | ✓ Clear |
| Ravi Rao, MD | Fresno, CA | $49.1M | ⚠️ Flagged |
| Michael Sherman, M.D., PHD | Walnut Creek, CA | $38.9M | ✓ Clear |
| Nerses Tchekmedyian, M.D. | Irvine, CA | $38.0M | ✓ Clear |
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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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