This provider averages 102 services per working day
Based on 254.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.7M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Averaging 102 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 | $230.37 | $72.66 | 3.17x | $157.71 | $1.1M | 26.9K | 9.8K |
| 2015 | $237.50 | $76.17 | 3.12x | $161.33 | $1.1M | 26.8K | 9.8K |
| 2016 | $236.11 | $76.37 | 3.09x | $159.74 | $1.1M | 29.4K | 10.5K |
| 2017 | $251.45 | $81.75 | 3.08x | $169.70 | $1.2M | 28.3K | 10.5K |
| 2018 | $290.97 | $83.66 | 3.48x | $207.31 | $1.3M | 28.7K | 11.1K |
| 2019 | $255.80 | $76.03 | 3.36x | $179.77 | $1.0M | 28.6K | 11.7K |
| 2020 | $262.31 | $74.44 | 3.52x | $187.87 | $924.8K | 26.4K | 10.5K |
| 2021 | $251.13 | $68.26 | 3.68x | $182.87 | $809.5K | 24.8K | 9.8K |
| 2022 | $208.63 | $59.94 | 3.48x | $148.69 | $568.1K | 19.1K | 7.9K |
| 2023 | $222.65 | $61.85 | 3.60x | $160.80 | $552.9K | 15.9K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 21.1K | $1.8M | $83.60 | 3.33x |
| J2505 | Injection, pegfilgrastim, 6 mg | 418 | $1.3M | $3.0K | 2.71x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 1.1K | $1.1M | $1.0K | 3.96x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 7.1K | $745.3K | $104.40 | 3.88x |
| J9310 | Injection, rituximab, 100 mg | 970 | $596.5K | $614.91 | 2.49x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.1K | $432.6K | $379.81 | 1.71x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 34.7K | $315.1K | $9.09 | 3.19x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 5.4K | $280.3K | $52.08 | 3.60x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.6K | $255.4K | $159.95 | 3.30x |
| G9678 | Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation | 1.4K | $223.8K | $156.80 | 2.55x |
| 80053 | Blood test, comprehensive group of blood chemicals | 18.2K | $217.1K | $11.90 | 3.28x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 14.1K | $207.3K | $14.70 | 4.23x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.6K | $187.9K | $118.18 | 3.19x |
| 82378 | Carcinoembryonic antigen (CEA) protein level | 6.3K | $141.7K | $22.40 | 3.13x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 5.9K | $137.2K | $23.31 | 4.31x |
| 86300 | Immunologic analysis for detection of tumor antigen | 4.8K | $116.8K | $24.13 | 3.11x |
| 36415 | Insertion of needle into vein for collection of blood sample | 31.9K | $109.3K | $3.42 | 2.63x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.0K | $109.2K | $55.24 | 3.55x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 1.7K | $95.4K | $56.18 | 3.39x |
| 82728 | Ferritin (blood protein) level | 5.9K | $94.9K | $16.00 | 3.13x |
This provider submits charges 3.36 times higher than what Medicare actually pays.
A markup ratio of 3.36x means for every $100 Medicare pays, this provider initially charges $336. 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 FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Christopher Lobo, MD | Port Charlotte, FL | $60.5M | ⚠️ Flagged |
| Maen Hussein, M.D. | Tavares, FL | $57.6M | ✓ Clear |
| Vikas Malhotra, M.D. | Spring Hill, FL | $52.8M | ✓ Clear |
| Andrew Lipman, M.D. | Naples, FL | $51.1M | ⚠️ Flagged |
| Syed Zafar, M.D. | Fort Myers, FL | $48.1M | ⚠️ 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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