This provider averages 63 services per working day
Based on 158.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.8M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Averaging 63 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 | $331.55 | $114.15 | 2.90x | $217.40 | $899.1K | 20.0K | 5.4K |
| 2015 | $354.80 | $125.82 | 2.82x | $228.98 | $945.6K | 19.0K | 5.4K |
| 2016 | $352.14 | $124.44 | 2.83x | $227.70 | $812.0K | 13.8K | 5.0K |
| 2017 | $366.60 | $126.49 | 2.90x | $240.11 | $886.0K | 13.2K | 4.7K |
| 2018 | $275.49 | $99.00 | 2.78x | $176.49 | $1.0M | 13.3K | 5.6K |
| 2019 | $347.49 | $114.26 | 3.04x | $233.23 | $836.7K | 11.2K | 4.6K |
| 2020 | $512.36 | $111.82 | 4.58x | $400.54 | $982.5K | 13.2K | 5.0K |
| 2021 | $403.31 | $86.91 | 4.64x | $316.40 | $919.1K | 19.5K | 7.6K |
| 2022 | $301.45 | $78.24 | 3.85x | $223.21 | $859.8K | 19.7K | 6.8K |
| 2023 | $297.27 | $71.57 | 4.15x | $225.70 | $679.1K | 15.7K | 5.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 1.8K | $1.9M | $1.1K | 3.76x |
| J2505 | Injection, pegfilgrastim, 6 mg | 517 | $1.6M | $3.1K | 2.52x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 17.0K | $986.2K | $57.92 | 3.77x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 6.6K | $713.2K | $108.00 | 3.68x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.7K | $562.9K | $84.17 | 3.43x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.8K | $375.7K | $206.90 | 3.45x |
| G9678 | Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation a | 1.9K | $308.4K | $160.21 | 2.01x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.6K | $242.3K | $154.72 | 3.76x |
| 74177 | CT scan of abdomen and pelvis with contrast | 1.3K | $232.5K | $182.78 | 4.24x |
| 80053 | Blood test, comprehensive group of blood chemicals | 16.1K | $174.9K | $10.87 | 2.72x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 19.6K | $173.1K | $8.83 | 2.60x |
| 78816 | Nuclear medicine study with CT imaging whole body | 159 | $169.4K | $1.1K | 3.86x |
| 71260 | CT scan chest with contrast | 1.4K | $136.6K | $99.42 | 5.30x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.9K | $109.5K | $56.50 | 3.41x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.6K | $85.1K | $52.08 | 3.89x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 5.0K | $75.0K | $15.10 | 4.07x |
| 36415 | Insertion of needle into vein for collection of blood sample | 17.9K | $64.9K | $3.63 | 2.55x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 1.1K | $58.5K | $53.74 | 3.63x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 3.6K | $55.1K | $15.38 | 4.40x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 384 | $44.9K | $116.83 | 4.17x |
This provider submits charges 3.43 times higher than what Medicare actually pays.
A markup ratio of 3.43x means for every $100 Medicare pays, this provider initially charges $343. 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.
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