Statistical flag only — not an accusation of fraud
⚠️ This provider averages 624 services per working day — physically unusual for an individual practitioner
Based on 468.0K total services over 3 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 624 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1481% from 2021 to 2023.
This provider has been statistically flagged with a risk score of 66/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 424% 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 |
|---|---|---|---|---|---|---|---|
| 2021 | $26.66 | $11.32 | 2.36x | $15.34 | $225.0K | 19.9K | 24 |
| 2022 | $22.87 | $7.65 | 2.99x | $15.22 | $1.2M | 154.1K | 52 |
| 2023 | $46.16 | $12.10 | 3.81x | $34.06 | $3.6M | 294.0K | 57 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 35.2K | $1.5M | $42.82 | 2.39x |
| J9299 | Injection, nivolumab, 1 mg | 14.8K | $351.0K | $23.75 | 2.92x |
| J9173 | Injection, durvalumab, 10 mg | 4.6K | $285.6K | $62.11 | 2.69x |
| J9145 | Injection, daratumumab, 10 mg | 4.6K | $219.4K | $47.49 | 2.18x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 5.6K | $215.5K | $38.63 | 3.55x |
| J9047 | Injection, carfilzomib, 1 mg | 5.9K | $215.4K | $36.76 | 3.13x |
| Q5115 | Injection, rituximab-abbs, biosimilar, (truxima), 10 mg | 5.3K | $206.1K | $38.82 | 4.41x |
| J0897 | Injection, denosumab, 1 mg | 11.3K | $204.7K | $18.15 | 2.56x |
| Q5108 | Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg | 1.3K | $149.7K | $116.56 | 5.80x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 128 | $137.7K | $1.1K | 2.61x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 1.4K | $136.5K | $96.59 | 3.96x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 3.4K | $115.7K | $34.11 | 5.93x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1.2K | $114.2K | $92.87 | 1.80x |
| J1627 | Injection, granisetron, extended-release, 0.1 mg | 19.0K | $88.8K | $4.67 | 2.92x |
| J2796 | Injection, romiplostim, 10 micrograms | 1.2K | $88.4K | $73.69 | 2.59x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 83.3K | $73.9K | $0.89 | 2.92x |
| Q5107 | Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg | 3.2K | $72.1K | $22.52 | 6.70x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 367 | $57.3K | $156.25 | 2.26x |
| J0185 | Injection, aprepitant, 1 mg | 41.5K | $56.1K | $1.35 | 4.32x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 749 | $47.2K | $62.99 | 1.84x |
This provider submits charges 3.55 times higher than what Medicare actually pays.
A markup ratio of 3.55x means for every $100 Medicare pays, this provider initially charges $355. 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 KS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Pavan Reddy, M.D. | Wichita, KS | $52.9M | ⚠️ Flagged |
| Bassam Mattar, MD | Wichita, KS | $50.2M | ⚠️ Flagged |
| Dennis Moore, MD | Wichita, KS | $44.1M | ⚠️ Flagged |
| Shaker Dakhil, MD | Wichita, KS | $41.0M | ⚠️ Flagged |
| Jeremy Deutsch, MD | Wichita, KS | $39.7M | ⚠️ 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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