⚠️ This provider averages 823 services per working day — physically unusual for an individual practitioner
Based on 2.1M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $38.0M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 823 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 | $58.73 | $18.46 | 3.18x | $40.27 | $3.0M | 162.1K | 2.5K |
| 2015 | $35.33 | $18.46 | 1.91x | $16.87 | $4.2M | 226.8K | 3.6K |
| 2016 | $47.05 | $18.46 | 2.55x | $28.59 | $3.5M | 189.3K | 3.0K |
| 2017 | $54.21 | $18.46 | 2.94x | $35.75 | $4.4M | 238.7K | 3.7K |
| 2018 | $34.09 | $18.46 | 1.85x | $15.63 | $2.9M | 157.8K | 2.5K |
| 2019 | $35.84 | $18.46 | 1.94x | $17.38 | $3.2M | 172.4K | 2.7K |
| 2020 | $70.28 | $18.46 | 3.81x | $51.82 | $4.6M | 248.2K | 3.9K |
| 2021 | $47.34 | $18.46 | 2.56x | $28.88 | $4.8M | 260.0K | 4.1K |
| 2022 | $44.71 | $18.46 | 2.42x | $26.25 | $3.0M | 161.7K | 2.5K |
| 2023 | $60.45 | $18.46 | 3.27x | $41.99 | $4.5M | 241.6K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96413 | Chemotherapy administration, IV infusion, first hour | 613.0K | $12.5M | $20.43 | 1.92x |
| 96415 | Chemotherapy IV infusion, each additional hour | 306.5K | $4.7M | $15.46 | 1.99x |
| 99214 | Office/outpatient visit, moderate complexity | 263.0K | $3.3M | $12.43 | 2.61x |
| 85025 | Complete blood cell count | 80.4K | $1.9M | $23.96 | 3.80x |
| 96365 | IV infusion for therapy, first hour | 97.3K | $1.7M | $17.82 | 2.07x |
| 36415 | Insertion of needle into vein | 90.2K | $1.7M | $18.71 | 2.24x |
| 96375 | Therapeutic IV push, each additional substance | 42.0K | $1.5M | $36.09 | 2.31x |
| J9271 | Injection, pembrolizumab | 35.4K | $1.3M | $35.59 | 1.08x |
| 99215 | Office/outpatient visit, high complexity | 35.0K | $918.9K | $26.24 | 2.26x |
| 80053 | Comprehensive metabolic panel | 25.0K | $827.4K | $33.04 | 4.44x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. This is lower 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Luke Dreisbach, M.D. | Rancho Mirage, CA | $77.2M | ✓ Clear |
| Sachin Gupta, M.D. | Fresno, CA | $55.1M | ✓ Clear |
| Ravi Rao, MD | Fresno, CA | $49.1M | ⚠️ Flagged |
| Michael Sherman, M.D., PHD | Walnut Creek, CA | $38.9M | ✓ Clear |
| Kishore Sehgal, M.D. | Hemet, CA | $36.2M | ✓ 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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