This provider's $3.9M 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 | $445.24 | $98.85 | 4.50x | $346.39 | $510.1K | 7.5K | 2.0K |
| 2015 | $470.16 | $100.31 | 4.69x | $369.85 | $510.0K | 8.6K | 2.3K |
| 2016 | $579.80 | $125.32 | 4.63x | $454.48 | $432.5K | 7.1K | 2.1K |
| 2017 | $588.07 | $121.33 | 4.85x | $466.74 | $428.9K | 7.2K | 2.1K |
| 2018 | $701.44 | $148.34 | 4.73x | $553.10 | $474.8K | 6.0K | 1.7K |
| 2019 | $572.52 | $121.05 | 4.73x | $451.47 | $455.9K | 7.7K | 2.1K |
| 2020 | $594.78 | $114.38 | 5.20x | $480.40 | $418.8K | 7.4K | 2.0K |
| 2021 | $609.11 | $101.38 | 6.01x | $507.73 | $300.2K | 6.9K | 1.7K |
| 2022 | $271.24 | $48.80 | 5.56x | $222.44 | $184.0K | 6.7K | 1.8K |
| 2023 | $246.73 | $45.95 | 5.37x | $200.78 | $177.3K | 6.8K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 537 | $1.6M | $3.0K | 4.79x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 3.7K | $393.5K | $106.61 | 6.63x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.3K | $329.4K | $77.05 | 3.13x |
| G9678 | Oncology Care Model service | 1.6K | $257.8K | $157.88 | 1.01x |
| 58571 | Abdominal removal of uterus (250 grams or less) with removal of tubes and/or ovaries using an endoscope | 309 | $205.9K | $666.21 | 4.52x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.4K | $165.9K | $117.35 | 2.89x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 611 | $95.6K | $156.42 | 2.97x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.6K | $83.0K | $51.47 | 6.66x |
| 86304 | Immunologic analysis for detection of tumor antigen | 3.2K | $75.4K | $23.83 | 5.20x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 8.4K | $74.7K | $8.85 | 3.96x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.3K | $72.4K | $56.28 | 3.04x |
| 80048 | Blood test, basic group of blood chemicals | 5.9K | $58.9K | $9.93 | 4.83x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 2.3K | $55.9K | $23.82 | 6.38x |
| Q2050 | Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg | 183 | $50.9K | $278.31 | 7.75x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 3.1K | $46.4K | $15.00 | 7.00x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 263 | $31.6K | $120.26 | 3.26x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 1.8K | $31.6K | $17.09 | 5.44x |
| 80053 | Blood test, comprehensive group of blood chemicals | 2.6K | $29.8K | $11.37 | 5.45x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 2.5K | $29.3K | $11.74 | 10.04x |
| 36415 | Insertion of needle into vein for collection of blood sample | 7.2K | $25.8K | $3.60 | 5.28x |
This provider submits charges 4.76 times higher than what Medicare actually pays.
A markup ratio of 4.76x means for every $100 Medicare pays, this provider initially charges $476. 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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