Statistical flag only — not an accusation of fraud
⚠️ This provider averages 1.8K services per working day — physically unusual for an individual practitioner
Based on 4.6M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $51.1M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.8K services per working day raises questions about billing patterns.
Medicare payments to this provider grew 56% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 68/100. Statistical flags are not accusations of fraud.
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 | $28.36 | $8.30 | 3.42x | $20.06 | $3.6M | 434.2K | 78 |
| 2015 | $30.16 | $9.19 | 3.28x | $20.97 | $3.7M | 407.5K | 82 |
| 2016 | $38.81 | $12.22 | 3.18x | $26.59 | $4.4M | 358.4K | 77 |
| 2017 | $40.48 | $12.39 | 3.27x | $28.09 | $4.1M | 327.4K | 74 |
| 2018 | $38.78 | $11.69 | 3.32x | $27.09 | $5.3M | 457.5K | 80 |
| 2019 | $29.18 | $8.99 | 3.25x | $20.19 | $5.2M | 575.5K | 83 |
| 2020 | $41.77 | $12.59 | 3.32x | $29.18 | $6.2M | 495.4K | 81 |
| 2021 | $43.20 | $13.07 | 3.31x | $30.13 | $7.1M | 540.4K | 80 |
| 2022 | $38.20 | $11.22 | 3.40x | $26.98 | $5.9M | 525.0K | 68 |
| 2023 | $45.07 | $12.87 | 3.50x | $32.20 | $5.6M | 436.2K | 52 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 250.4K | $10.2M | $40.55 | 3.10x |
| J9299 | Injection, nivolumab, 1 mg | 373.3K | $8.3M | $22.23 | 3.10x |
| J2505 | Injection, pegfilgrastim, 6 mg | 825 | $2.5M | $3.0K | 2.66x |
| J0897 | Injection, denosumab, 1 mg | 169.5K | $2.5M | $14.63 | 2.87x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 62.1K | $2.3M | $36.98 | 2.97x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25.2K | $2.2M | $87.96 | 3.16x |
| J9310 | Injection, rituximab, 100 mg | 3.4K | $2.1M | $612.21 | 2.50x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 43.2K | $1.5M | $33.93 | 3.01x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 12.0K | $1.3M | $111.62 | 3.59x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 150.2K | $1.3M | $8.80 | 2.71x |
| J9041 | Injection, bortezomib, 0.1 mg | 33.4K | $1.1M | $31.94 | 3.16x |
| J9035 | Injection, bevacizumab, 10 mg | 17.0K | $928.3K | $54.60 | 2.77x |
| J9999 | Not otherwise classified, antineoplastic drugs | 32.8K | $865.7K | $26.40 | 4.74x |
| Q0138 | Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) | 1.1M | $780.9K | $0.68 | 3.95x |
| J9305 | Injection, pemetrexed, not otherwise specified, 10 mg | 15.1K | $708.4K | $47.05 | 2.95x |
| J9355 | Injection, trastuzumab, 10 mg | 8.8K | $629.0K | $71.73 | 2.59x |
| J9312 | Injection, rituximab, 10 mg | 7.4K | $551.6K | $74.39 | 3.21x |
| J9145 | Injection, daratumumab, 10 mg | 16.6K | $501.0K | $30.16 | 3.91x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 53.7K | $483.7K | $9.01 | 3.22x |
| Q5119 | Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg | 12.6K | $470.9K | $37.34 | 4.93x |
This provider submits charges 3.33 times higher than what Medicare actually pays.
A markup ratio of 3.33x means for every $100 Medicare pays, this provider initially charges $333. 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 |
| Syed Zafar, M.D. | Fort Myers, FL | $48.1M | ⚠️ Flagged |
| Rebecca Kosloff, MD | Bonita Springs, FL | $47.1M | ✓ Clear |
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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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