This provider averages 107 services per working day
Based on 268.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.0M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Averaging 107 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 | $93.06 | $34.63 | 2.69x | $58.43 | $627.4K | 26.3K | 8.2K |
| 2015 | $95.96 | $36.82 | 2.61x | $59.14 | $672.5K | 27.6K | 8.9K |
| 2016 | $144.38 | $53.95 | 2.68x | $90.43 | $758.5K | 32.5K | 9.9K |
| 2017 | $98.29 | $40.65 | 2.42x | $57.64 | $763.7K | 31.9K | 10.8K |
| 2018 | $122.85 | $42.09 | 2.92x | $80.76 | $811.9K | 34.2K | 11.6K |
| 2019 | $122.13 | $35.81 | 3.41x | $86.32 | $1.0M | 35.5K | 12.8K |
| 2020 | $144.83 | $48.67 | 2.98x | $96.16 | $1.5M | 33.2K | 12.2K |
| 2021 | $120.56 | $33.93 | 3.55x | $86.63 | $742.8K | 24.8K | 10.6K |
| 2022 | $163.69 | $43.38 | 3.77x | $120.31 | $523.5K | 10.8K | 3.8K |
| 2023 | $201.59 | $43.09 | 4.68x | $158.50 | $568.8K | 11.5K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 10.2K | $941.4K | $92.55 | 3.19x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 6.4K | $803.2K | $124.73 | 3.40x |
| J3490 | Unclassified drugs | 3.7K | $785.9K | $210.71 | 2.11x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.0K | $523.1K | $58.24 | 2.54x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 3.1K | $422.8K | $134.61 | 2.84x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 5.0K | $313.9K | $63.09 | 3.27x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 5.1K | $308.8K | $60.42 | 3.15x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 32.4K | $304.5K | $9.40 | 4.69x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.5K | $257.8K | $167.19 | 2.23x |
| 80053 | Blood test, comprehensive group of blood chemicals | 19.0K | $221.3K | $11.65 | 3.15x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.5K | $216.9K | $86.58 | 2.68x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.2K | $197.9K | $171.78 | 2.68x |
| 82378 | Carcinoembryonic antigen (CEA) protein level | 8.3K | $189.5K | $22.95 | 4.40x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 6.7K | $184.6K | $27.41 | 3.67x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 9.4K | $156.7K | $16.61 | 3.34x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 4.4K | $145.9K | $33.21 | 3.15x |
| 82728 | Ferritin (blood protein) level | 8.4K | $134.7K | $15.98 | 4.18x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 2.1K | $123.3K | $59.95 | 3.69x |
| 86300 | Immunologic analysis for detection of tumor antigen | 4.5K | $113.5K | $25.24 | 4.63x |
| J9310 | Injection, rituximab, 100 mg | 163 | $108.0K | $662.72 | 1.58x |
This provider submits charges 3.24 times higher than what Medicare actually pays.
A markup ratio of 3.24x means for every $100 Medicare pays, this provider initially charges $324. 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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