This provider's $7.6M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Medicare payments to this provider grew 1075% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 835% in 2017
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $195.66 | $106.95 | 1.83x | $88.71 | $90.4K | 1.2K | 341 |
| 2017 | $195.69 | $105.22 | 1.86x | $90.47 | $845.6K | 9.8K | 2.7K |
| 2018 | $172.59 | $94.31 | 1.83x | $78.28 | $1.1M | 13.5K | 4.1K |
| 2019 | $170.55 | $92.54 | 1.84x | $78.01 | $1.0M | 12.6K | 4.4K |
| 2020 | $220.76 | $99.39 | 2.22x | $121.37 | $1.2M | 13.6K | 4.7K |
| 2021 | $230.63 | $94.57 | 2.44x | $136.06 | $1.1M | 14.1K | 4.5K |
| 2022 | $230.99 | $92.32 | 2.50x | $138.67 | $1.2M | 14.7K | 4.8K |
| 2023 | $224.29 | $85.68 | 2.62x | $138.61 | $1.1M | 12.8K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 50.1K | $3.1M | $62.82 | 2.32x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 26.7K | $2.4M | $89.97 | 2.26x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 7.1K | $1.2M | $169.23 | 2.33x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 6.6K | $764.6K | $115.70 | 1.84x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 2.0K | $65.2K | $33.10 | 1.90x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 15 | $1.3K | $85.41 | 1.83x |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within t | 61 | $469.70 | $7.70 | 3.90x |
This provider submits charges 2.25 times higher than what Medicare actually pays.
A markup ratio of 2.25x means for every $100 Medicare pays, this provider initially charges $225. 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 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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