⚠️ This provider averages 1.6K services per working day — physically unusual for an individual practitioner
Based on 4.1M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $32.2M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.6K services per working day raises questions about billing patterns.
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 | $23.26 | $7.29 | 3.19x | $15.97 | $3.1M | 420.2K | 70 |
| 2015 | $20.81 | $6.77 | 3.07x | $14.04 | $2.9M | 425.7K | 64 |
| 2016 | $22.64 | $7.47 | 3.03x | $15.17 | $3.1M | 420.6K | 70 |
| 2017 | $24.87 | $7.97 | 3.12x | $16.90 | $3.3M | 413.3K | 72 |
| 2018 | $27.55 | $8.16 | 3.38x | $19.39 | $4.0M | 494.0K | 65 |
| 2019 | $27.46 | $8.43 | 3.26x | $19.03 | $2.9M | 344.5K | 65 |
| 2020 | $23.38 | $7.14 | 3.27x | $16.24 | $2.9M | 408.1K | 64 |
| 2021 | $28.58 | $8.34 | 3.43x | $20.24 | $2.9M | 342.6K | 62 |
| 2022 | $31.33 | $9.13 | 3.43x | $22.20 | $4.0M | 439.1K | 59 |
| 2023 | $27.29 | $7.92 | 3.45x | $19.37 | $3.1M | 389.2K | 41 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9299 | Injection, nivolumab, 1 mg | 222.3K | $5.0M | $22.44 | 3.10x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 303.8K | $2.6M | $8.69 | 2.74x |
| J9310 | Injection, rituximab, 100 mg | 3.9K | $2.4M | $622.68 | 2.54x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24.8K | $2.1M | $86.23 | 3.24x |
| J2505 | Injection, pegfilgrastim, 6 mg | 539 | $1.7M | $3.1K | 2.44x |
| J0897 | Injection, denosumab, 1 mg | 106.5K | $1.7M | $15.54 | 2.77x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 46.0K | $1.6M | $34.48 | 3.00x |
| J9271 | Injection, pembrolizumab, 1 mg | 36.2K | $1.5M | $42.30 | 3.09x |
| 78815 | Nuclear medicine study with ct imaging skull base to mid-thigh | 1.3K | $1.3M | $1.0K | 4.07x |
| Q0138 | Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) | 1.3M | $906.3K | $0.69 | 3.68x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 8.0K | $845.9K | $105.12 | 3.83x |
| J9228 | Injection, ipilimumab, 1 mg | 6.0K | $781.0K | $129.09 | 3.05x |
| J9035 | Injection, bevacizumab, 10 mg | 11.5K | $647.0K | $56.26 | 2.75x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 10.4K | $625.2K | $60.19 | 3.29x |
| J9312 | Injection, rituximab, 10 mg | 7.2K | $533.2K | $74.38 | 3.21x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 59.5K | $497.8K | $8.37 | 2.87x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 1.3K | $486.0K | $370.71 | 1.74x |
| J0641 | Injection, levoleucovorin calcium, 0.5 mg | 539.6K | $470.5K | $0.87 | 4.43x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 42.1K | $380.3K | $9.03 | 3.21x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 10.9K | $343.5K | $31.37 | 3.03x |
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.
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 |
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data