This provider averages 73 services per working day
Based on 182.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.3M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Averaging 73 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 | $234.00 | $85.79 | 2.73x | $148.21 | $705.0K | 16.0K | 4.3K |
| 2015 | $251.30 | $95.07 | 2.64x | $156.23 | $800.5K | 17.5K | 4.7K |
| 2016 | $263.93 | $105.44 | 2.50x | $158.49 | $980.9K | 18.9K | 4.7K |
| 2017 | $249.75 | $97.76 | 2.55x | $151.99 | $1.1M | 24.3K | 6.4K |
| 2018 | $274.14 | $108.53 | 2.53x | $165.61 | $1.0M | 23.4K | 6.0K |
| 2019 | $173.00 | $50.47 | 3.43x | $122.53 | $824.2K | 25.4K | 6.5K |
| 2020 | $135.95 | $39.95 | 3.40x | $96.00 | $664.3K | 21.1K | 5.8K |
| 2021 | $139.20 | $44.07 | 3.16x | $95.13 | $559.6K | 15.3K | 4.9K |
| 2022 | $116.47 | $36.95 | 3.15x | $79.52 | $374.2K | 11.9K | 3.8K |
| 2023 | $96.80 | $37.40 | 2.59x | $59.40 | $283.8K | 9.3K | 3.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 17.7K | $1.4M | $80.26 | 2.14x |
| J2505 | Injection, pegfilgrastim, 6 mg | 422 | $1.3M | $3.1K | 2.30x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 6.8K | $695.9K | $101.82 | 2.87x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 8.2K | $456.0K | $55.43 | 2.13x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 3.3K | $378.7K | $113.51 | 2.00x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 41.2K | $374.2K | $9.09 | 2.23x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.0K | $301.5K | $153.75 | 2.12x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.8K | $279.9K | $154.65 | 1.99x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.6K | $245.4K | $53.83 | 2.26x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 13.0K | $189.7K | $14.63 | 4.46x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 3.7K | $189.6K | $51.18 | 2.28x |
| J9310 | Injection, rituximab, 100 mg | 234 | $149.0K | $636.62 | 1.60x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 5.2K | $120.4K | $23.02 | 3.04x |
| 96360 | Hydration infusion into a vein 31 minutes to 1 hour | 2.9K | $104.5K | $36.58 | 2.87x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 596 | $94.2K | $158.09 | 10.26x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.7K | $83.3K | $49.38 | 3.38x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 640 | $67.0K | $104.73 | 3.24x |
| Q5111 | Injection, pegfilgrastim-cbqv, biosimilar, (udenyca), 0.5 mg | 276 | $62.6K | $226.82 | 4.29x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 534 | $62.0K | $116.01 | 2.71x |
| 99195 | Therapeutic removal of whole blood to correct blood level imbalance | 773 | $52.5K | $67.89 | 1.82x |
This provider submits charges 2.6 times higher than what Medicare actually pays.
A markup ratio of 2.6x means for every $100 Medicare pays, this provider initially charges $260. 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.
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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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