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 $55.7M 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 309% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 74/100. Statistical flags are not accusations of fraud.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 66% in 2015
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 | $27.57 | $9.09 | 3.03x | $18.48 | $2.2M | 244.1K | 48 |
| 2015 | $23.46 | $7.74 | 3.03x | $15.72 | $3.7M | 474.8K | 54 |
| 2016 | $36.61 | $11.79 | 3.11x | $24.82 | $4.4M | 374.7K | 49 |
| 2017 | $37.14 | $11.30 | 3.29x | $25.84 | $5.2M | 456.8K | 51 |
| 2018 | $41.37 | $11.24 | 3.68x | $30.13 | $4.9M | 438.8K | 48 |
| 2019 | $50.91 | $12.99 | 3.92x | $37.92 | $6.4M | 494.0K | 55 |
| 2020 | $47.29 | $12.55 | 3.77x | $34.74 | $6.1M | 487.8K | 53 |
| 2021 | $48.12 | $12.07 | 3.99x | $36.05 | $6.9M | 573.1K | 59 |
| 2022 | $52.80 | $12.96 | 4.07x | $39.84 | $6.7M | 519.5K | 58 |
| 2023 | $67.27 | $16.45 | 4.09x | $50.82 | $9.1M | 551.7K | 62 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 222.4K | $9.0M | $40.61 | 2.96x |
| J2505 | Injection, pegfilgrastim, 6 mg | 2.0K | $5.6M | $2.8K | 2.96x |
| J9299 | Injection, nivolumab, 1 mg | 243.6K | $4.9M | $20.15 | 3.10x |
| J9047 | Injection, carfilzomib, 1 mg | 153.8K | $4.3M | $27.84 | 2.84x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 99.7K | $3.3M | $32.92 | 4.56x |
| J0897 | Injection, denosumab, 1 mg | 146.9K | $2.2M | $15.15 | 2.86x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 54.0K | $2.0M | $36.35 | 4.02x |
| J9310 | Injection, rituximab, 100 mg | 3.3K | $1.8M | $550.33 | 2.42x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 56.8K | $1.8M | $31.51 | 3.17x |
| J9041 | Injection, bortezomib, 0.1 mg | 56.9K | $1.6M | $27.41 | 4.02x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 19.4K | $1.5M | $76.32 | 2.85x |
| J1930 | Injection, lanreotide, 1 mg | 26.2K | $1.2M | $46.88 | 2.99x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 135.2K | $1.1M | $8.47 | 3.94x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 1.3M | $1.1M | $0.84 | 3.09x |
| J9311 | Injection, rituximab 10 mg and hyaluronidase | 31.8K | $974.7K | $30.63 | 3.92x |
| J9035 | Injection, bevacizumab, 10 mg | 18.2K | $968.0K | $53.26 | 2.53x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 10.4K | $938.3K | $89.96 | 4.60x |
| J9312 | Injection, rituximab, 10 mg | 11.7K | $805.4K | $68.72 | 3.09x |
| J9145 | Injection, daratumumab, 10 mg | 14.7K | $588.8K | $40.03 | 3.50x |
| J0641 | Injection, levoleucovorin, not otherwise specified, 0.5 mg | 837.2K | $563.1K | $0.67 | 6.75x |
This provider submits charges 3.72 times higher than what Medicare actually pays.
A markup ratio of 3.72x means for every $100 Medicare pays, this provider initially charges $372. 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 MS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Tammy Young, M.D. | Jackson, MS | $45.2M | ⚠️ 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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