⚠️ This provider averages 1.9K services per working day — physically unusual for an individual practitioner
Based on 4.8M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $38.0M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.9K services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 57% in 2022
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $26.81 | $7.88 | 3.40x | $18.93 | $5.2M | 663.8K | 83 |
| 2015 | $25.85 | $7.99 | 3.24x | $17.86 | $4.2M | 526.2K | 78 |
| 2016 | $29.76 | $9.03 | 3.30x | $20.73 | $4.4M | 483.2K | 76 |
| 2017 | $31.80 | $9.74 | 3.26x | $22.06 | $4.5M | 463.4K | 79 |
| 2018 | $28.04 | $8.42 | 3.33x | $19.62 | $4.0M | 478.5K | 75 |
| 2019 | $23.48 | $7.13 | 3.29x | $16.35 | $3.9M | 546.7K | 78 |
| 2020 | $19.92 | $5.78 | 3.45x | $14.14 | $2.2M | 387.3K | 74 |
| 2021 | $22.08 | $6.20 | 3.56x | $15.88 | $2.2M | 360.3K | 67 |
| 2022 | $31.01 | $8.80 | 3.52x | $22.21 | $3.5M | 399.5K | 67 |
| 2023 | $29.69 | $8.19 | 3.63x | $21.50 | $3.7M | 457.8K | 48 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9299 | Injection, nivolumab, 1 mg | 269.7K | $5.9M | $21.91 | 3.11x |
| J9035 | Injection, bevacizumab, 10 mg | 67.9K | $3.7M | $54.77 | 2.78x |
| J9271 | Injection, pembrolizumab, 1 mg | 66.4K | $2.8M | $42.61 | 3.12x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 242.8K | $2.1M | $8.57 | 2.77x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19.7K | $1.7M | $87.35 | 3.18x |
| J9310 | Injection, rituximab, 100 mg | 2.5K | $1.5M | $601.33 | 2.53x |
| J9041 | Injection, bortezomib, 0.1 mg | 41.5K | $1.4M | $34.13 | 2.84x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 39.5K | $1.3M | $34.17 | 3.01x |
| 78815 | Nuclear medicine study with ct imaging skull base to mid-thigh | 1.5K | $1.3M | $881.90 | 4.16x |
| J2505 | Injection, pegfilgrastim, 6 mg | 436 | $1.3M | $3.0K | 2.55x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 11.9K | $1.2M | $104.69 | 3.87x |
| J0897 | Injection, denosumab, 1 mg | 82.3K | $1.2M | $14.86 | 2.81x |
| Q0138 | Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) | 1.1M | $728.4K | $0.68 | 3.87x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 11.6K | $658.7K | $56.99 | 3.34x |
| J1442 | Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram | 795.1K | $618.3K | $0.78 | 2.57x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 10.6K | $555.9K | $52.68 | 3.55x |
| J9025 | Injection, azacitidine, 1 mg | 257.0K | $553.7K | $2.15 | 5.08x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.3K | $501.5K | $372.30 | 1.74x |
| J9305 | Injection, pemetrexed, not otherwise specified, 10 mg | 10.1K | $488.7K | $48.39 | 2.85x |
| J9355 | Injection, trastuzumab, 10 mg | 7.1K | $471.5K | $66.84 | 2.42x |
This provider submits charges 3.38 times higher than what Medicare actually pays.
A markup ratio of 3.38x means for every $100 Medicare pays, this provider initially charges $338. 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.
Other Hematology-Oncology providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Christopher Lobo, MD | Port Charlotte, FL | $60.5M | ⚠️ Flagged |
| Maen Hussein, M.D. | Tavares, FL | $57.6M | ✓ Clear |
| Vikas Malhotra, M.D. | Spring Hill, FL | $52.8M | ✓ Clear |
| Andrew Lipman, M.D. | Naples, FL | $51.1M | ⚠️ Flagged |
| Syed Zafar, M.D. | Fort Myers, FL | $48.1M | ⚠️ Flagged |
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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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