⚠️ This provider averages 706 services per working day — physically unusual for an individual practitioner
Based on 1.8M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $33.7M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 706 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 | $67.24 | $19.11 | 3.52x | $48.13 | $3.8M | 199.2K | 3.5K |
| 2015 | $29.34 | $19.11 | 1.54x | $10.23 | $2.5M | 131.3K | 2.3K |
| 2016 | $68.33 | $19.11 | 3.58x | $49.22 | $3.5M | 184.7K | 3.2K |
| 2017 | $48.52 | $19.11 | 2.54x | $29.41 | $3.2M | 167.1K | 2.9K |
| 2018 | $64.07 | $19.11 | 3.35x | $44.96 | $3.8M | 200.9K | 3.5K |
| 2019 | $59.72 | $19.11 | 3.13x | $40.61 | $3.2M | 170.0K | 3.0K |
| 2020 | $64.55 | $19.11 | 3.38x | $45.44 | $2.8M | 146.3K | 2.5K |
| 2021 | $74.59 | $19.11 | 3.90x | $55.48 | $2.9M | 151.6K | 2.6K |
| 2022 | $52.26 | $19.11 | 2.73x | $33.15 | $3.3M | 170.5K | 3.0K |
| 2023 | $41.70 | $19.11 | 2.18x | $22.59 | $4.7M | 243.9K | 4.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96413 | Chemotherapy administration, IV infusion, first hour | 551.4K | $7.5M | $13.62 | 1.47x |
| 96415 | Chemotherapy IV infusion, each additional hour | 430.9K | $6.4M | $14.95 | 1.79x |
| 96365 | IV infusion for therapy, first hour | 161.1K | $3.5M | $21.96 | 2.67x |
| 99214 | Office/outpatient visit, moderate complexity | 163.9K | $2.2M | $13.60 | 2.37x |
| 85025 | Complete blood cell count | 110.9K | $1.8M | $16.64 | 3.55x |
| 99215 | Office/outpatient visit, high complexity | 44.8K | $1.4M | $31.08 | 2.68x |
| 80053 | Comprehensive metabolic panel | 66.4K | $1.3M | $19.51 | 3.91x |
| 36415 | Insertion of needle into vein | 70.3K | $1.0M | $14.22 | 2.50x |
| 96375 | Therapeutic IV push, each additional substance | 49.4K | $936.5K | $18.97 | 2.81x |
| J9271 | Injection, pembrolizumab | 49.9K | $808.0K | $16.19 | 1.13x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. This is lower 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 MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| David Smith, MD | Easton, MD | $48.3M | ✓ Clear |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data