⚠️ This provider averages 425 services per working day — physically unusual for an individual practitioner
Based on 1.1M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $32.0M in total Medicare payments ranks in the 99th percentile of Medical Oncology providers nationally.
Averaging 425 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 600% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 150% in 2023
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 | $265.63 | $84.16 | 3.16x | $181.47 | $1.3M | 15.5K | 11 |
| 2015 | $740.77 | $157.78 | 4.69x | $582.99 | $1.2M | 7.4K | 15 |
| 2016 | $90.42 | $27.95 | 3.24x | $62.47 | $2.3M | 82.6K | 16 |
| 2017 | $55.55 | $18.36 | 3.03x | $37.19 | $1.8M | 99.4K | 17 |
| 2018 | $86.54 | $26.76 | 3.23x | $59.78 | $2.3M | 85.6K | 29 |
| 2019 | $83.87 | $24.86 | 3.37x | $59.01 | $2.6M | 105.9K | 23 |
| 2020 | $78.98 | $25.34 | 3.12x | $53.64 | $3.4M | 133.1K | 26 |
| 2021 | $82.74 | $26.41 | 3.13x | $56.33 | $4.3M | 161.1K | 30 |
| 2022 | $79.81 | $24.57 | 3.25x | $55.24 | $3.7M | 149.0K | 28 |
| 2023 | $134.12 | $40.83 | 3.28x | $93.29 | $9.1M | 223.8K | 22 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9299 | Injection, nivolumab, 1 mg | 472.0K | $9.4M | $19.97 | 3.53x |
| J9271 | Injection, pembrolizumab, 1 mg | 213.2K | $7.2M | $33.69 | 2.95x |
| J9228 | Injection, ipilimumab, 1 mg | 43.3K | $4.7M | $109.28 | 2.75x |
| J9298 | Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg | 23.7K | $3.4M | $142.92 | 2.95x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 26.8K | $1.0M | $37.92 | 3.31x |
| J9119 | Injection, cemiplimab-rwlc, 1 mg | 45.5K | $913.1K | $20.07 | 5.15x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 6.0K | $708.4K | $118.62 | 3.48x |
| J3490 | Unclassified drugs | 126 | $698.6K | $5.5K | 4.87x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 6.4K | $583.0K | $91.08 | 2.69x |
| J2505 | Injection, pegfilgrastim, 6 mg | 147 | $453.0K | $3.1K | 3.23x |
| J9145 | Injection, daratumumab, 10 mg | 8.0K | $352.5K | $44.05 | 2.69x |
| J9999 | Not otherwise classified, antineoplastic drugs | 63 | $298.9K | $4.7K | 5.22x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 24.5K | $266.0K | $10.87 | 2.54x |
| J9355 | Injection, trastuzumab, 10 mg | 3.0K | $229.7K | $77.83 | 4.02x |
| J9310 | Injection, rituximab, 100 mg | 267 | $186.1K | $697.07 | 2.97x |
| J0897 | Injection, denosumab, 1 mg | 11.1K | $169.9K | $15.30 | 4.03x |
| J9305 | Injection, pemetrexed, 10 mg | 2.8K | $152.1K | $53.92 | 2.98x |
| J1930 | Injection, lanreotide, 1 mg | 2.6K | $143.8K | $54.46 | 2.85x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1.3K | $82.5K | $63.33 | 2.58x |
| 96417 | Administration of additional new drug or substance into vein, 1 hour or less | 1.4K | $81.5K | $58.45 | 3.39x |
This provider submits charges 3.27 times higher than what Medicare actually pays.
A markup ratio of 3.27x means for every $100 Medicare pays, this provider initially charges $327. 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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