This provider averages 61 services per working day
Based on 151.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.0M in total Medicare payments ranks in the 97th percentile of Hematology-Oncology providers nationally.
Averaging 61 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 | $188.40 | $87.66 | 2.15x | $100.74 | $401.4K | 10.4K | 2.9K |
| 2015 | $225.76 | $108.01 | 2.09x | $117.75 | $492.3K | 10.6K | 3.4K |
| 2016 | $183.46 | $85.31 | 2.15x | $98.15 | $503.3K | 12.6K | 4.0K |
| 2017 | $187.69 | $81.63 | 2.30x | $106.06 | $554.6K | 16.4K | 5.2K |
| 2018 | $232.06 | $103.25 | 2.25x | $128.81 | $503.4K | 14.4K | 4.3K |
| 2019 | $211.88 | $87.74 | 2.41x | $124.14 | $531.2K | 16.4K | 5.7K |
| 2020 | $102.76 | $31.79 | 3.23x | $70.97 | $447.5K | 17.5K | 5.8K |
| 2021 | $120.49 | $36.74 | 3.28x | $83.75 | $561.4K | 18.1K | 5.3K |
| 2022 | $124.95 | $37.00 | 3.38x | $87.95 | $555.3K | 18.4K | 5.6K |
| 2023 | $122.61 | $34.95 | 3.51x | $87.66 | $471.0K | 16.8K | 5.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 244 | $722.3K | $3.0K | 1.71x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.9K | $722.2K | $80.78 | 3.05x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 6.0K | $712.8K | $119.65 | 2.87x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 6.0K | $604.0K | $101.48 | 1.85x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 28.2K | $247.3K | $8.77 | 1.65x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.3K | $222.5K | $51.78 | 3.33x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 3.9K | $201.5K | $51.56 | 3.22x |
| 80053 | Blood test, comprehensive group of blood chemicals | 12.7K | $139.6K | $11.02 | 1.82x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 819 | $125.6K | $153.37 | 3.15x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 815 | $122.5K | $150.31 | 3.48x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 4.6K | $105.7K | $22.95 | 4.04x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 1.8K | $102.1K | $57.20 | 2.47x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 6.6K | $88.6K | $13.43 | 3.87x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.5K | $76.2K | $49.23 | 6.73x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 654 | $75.5K | $115.52 | 3.67x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 455 | $69.2K | $152.17 | 2.97x |
| 36415 | Insertion of needle into vein for collection of blood sample | 18.2K | $63.1K | $3.47 | 1.75x |
| 96360 | Hydration infusion into a vein 31 minutes to 1 hour | 2.0K | $58.2K | $29.64 | 4.45x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 685 | $55.2K | $80.52 | 1.33x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 847 | $47.3K | $55.88 | 2.79x |
This provider submits charges 2.74 times higher than what Medicare actually pays.
A markup ratio of 2.74x means for every $100 Medicare pays, this provider initially charges $274. 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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