This provider averages 66 services per working day
Based on 165.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.2M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Averaging 66 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 | $250.50 | $59.85 | 4.19x | $190.65 | $471.1K | 12.6K | 3.6K |
| 2015 | $422.05 | $95.57 | 4.42x | $326.48 | $524.6K | 12.5K | 3.6K |
| 2016 | $398.55 | $93.07 | 4.28x | $305.48 | $604.2K | 12.3K | 3.5K |
| 2017 | $399.09 | $89.85 | 4.44x | $309.24 | $746.5K | 15.5K | 4.8K |
| 2018 | $442.30 | $100.17 | 4.42x | $342.13 | $970.3K | 19.0K | 5.5K |
| 2019 | $440.35 | $100.44 | 4.38x | $339.91 | $930.5K | 18.3K | 5.0K |
| 2020 | $492.39 | $95.34 | 5.16x | $397.05 | $845.3K | 17.4K | 4.8K |
| 2021 | $478.95 | $79.11 | 6.05x | $399.84 | $822.0K | 18.7K | 5.2K |
| 2022 | $265.12 | $48.34 | 5.48x | $216.78 | $611.7K | 19.1K | 5.0K |
| 2023 | $249.80 | $46.58 | 5.36x | $203.22 | $624.9K | 20.1K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 367 | $1.2M | $3.2K | 4.50x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.2K | $1.1M | $80.41 | 2.35x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 8.6K | $995.4K | $115.43 | 2.32x |
| G9678 | Oncology Care Model service | 5.4K | $849.1K | $157.45 | 1.02x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 6.8K | $692.7K | $102.01 | 4.93x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 233 | $231.2K | $992.30 | 4.54x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 10.2K | $141.2K | $13.88 | 3.95x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 5.4K | $124.1K | $22.85 | 6.03x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.2K | $111.9K | $49.89 | 2.49x |
| 80053 | Blood test, comprehensive group of blood chemicals | 9.4K | $108.5K | $11.54 | 6.31x |
| J9310 | Injection, rituximab, 100 mg | 186 | $106.6K | $573.07 | 2.99x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.6K | $80.8K | $49.44 | 4.89x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 513 | $78.6K | $153.17 | 2.52x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 662 | $77.2K | $116.65 | 2.52x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 5.4K | $74.4K | $13.88 | 5.40x |
| 74177 | CT scan of abdomen and pelvis with contrast | 455 | $74.2K | $162.97 | 9.27x |
| 96374 | Injection of drug or substance into a vein for therapy, diagnosis, or prevention | 2.1K | $71.5K | $33.91 | 4.40x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 254 | $66.0K | $259.78 | 2.99x |
| 85027 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 8.1K | $59.0K | $7.26 | 5.90x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 1.1K | $53.8K | $50.69 | 4.21x |
This provider submits charges 3.74 times higher than what Medicare actually pays.
A markup ratio of 3.74x means for every $100 Medicare pays, this provider initially charges $374. 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 IL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Pramern Sriratana, M.D. | Normal, IL | $33.5M | ✓ 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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