This provider's $3.7M in total Medicare payments ranks in the 99th percentile of Gynecological Oncology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $556.24 | $211.21 | 2.63x | $345.03 | $383.0K | 6.0K | 1.4K |
| 2015 | $589.47 | $219.83 | 2.68x | $369.64 | $504.8K | 5.7K | 1.4K |
| 2016 | $662.86 | $225.99 | 2.93x | $436.87 | $434.4K | 5.4K | 1.4K |
| 2017 | $681.49 | $232.85 | 2.93x | $448.64 | $439.7K | 4.8K | 1.3K |
| 2018 | $685.94 | $246.30 | 2.78x | $439.64 | $387.1K | 5.5K | 1.5K |
| 2019 | $661.05 | $225.67 | 2.93x | $435.38 | $455.2K | 6.3K | 1.4K |
| 2020 | $645.00 | $211.89 | 3.04x | $433.11 | $445.0K | 6.1K | 1.4K |
| 2021 | $492.50 | $132.67 | 3.71x | $359.83 | $246.7K | 4.8K | 1.0K |
| 2022 | $502.86 | $135.47 | 3.71x | $367.39 | $208.4K | 4.5K | 944 |
| 2023 | $528.09 | $138.24 | 3.82x | $389.85 | $184.7K | 3.5K | 851 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 385 | $1.2M | $3.1K | 1.73x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.9K | $652.9K | $82.47 | 2.32x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 4.1K | $471.2K | $114.04 | 3.38x |
| 58548 | Removal of uterus, cervix, and lymph nodes on both sides of pelvis and aortic lymph node biopsy using an endoscope | 252 | $403.9K | $1.6K | 3.41x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 949 | $158.3K | $166.79 | 2.37x |
| 58571 | Abdominal removal of uterus (250 grams or less) with removal of tubes and/or ovaries using an endoscope | 188 | $144.8K | $770.44 | 4.55x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.9K | $104.4K | $54.93 | 4.55x |
| J9035 | Injection, bevacizumab, 10 mg | 1.3K | $74.7K | $57.81 | 1.73x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 390 | $64.2K | $164.60 | 2.12x |
| 96368 | Infusion into a vein for therapy, prevention, or diagnosis, concurrent with another infusion | 3.1K | $52.7K | $17.06 | 7.04x |
| 96415 | Infusion of chemotherapy into a vein | 2.1K | $52.3K | $24.42 | 6.14x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 3.1K | $51.7K | $16.78 | 3.28x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 5.7K | $50.9K | $8.99 | 3.34x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 654 | $38.6K | $59.04 | 2.29x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 1.1K | $29.1K | $25.52 | 7.05x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 475 | $28.0K | $58.91 | 2.55x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 1.2K | $19.4K | $16.10 | 6.83x |
| 99354 | Prolonged office or other outpatient service first hour | 206 | $19.2K | $93.32 | 2.68x |
| 96360 | Hydration infusion into a vein 31 minutes to 1 hour | 511 | $18.4K | $36.07 | 9.70x |
| 36561 | Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older | 42 | $12.2K | $289.87 | 5.15x |
This provider submits charges 2.9 times higher than what Medicare actually pays.
A markup ratio of 2.9x means for every $100 Medicare pays, this provider initially charges $290. This is higher than the national average.
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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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