⚠️ This provider averages 2.3K services per working day — physically unusual for an individual practitioner
Based on 5.9M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $52.8M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 2.3K 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 | $30.04 | $8.58 | 3.50x | $21.46 | $7.6M | 888.4K | 81 |
| 2015 | $33.22 | $10.00 | 3.32x | $23.22 | $8.3M | 830.6K | 84 |
| 2016 | $30.29 | $8.78 | 3.45x | $21.51 | $5.8M | 663.8K | 80 |
| 2017 | $33.20 | $10.14 | 3.27x | $23.06 | $5.4M | 537.0K | 73 |
| 2018 | $29.09 | $8.33 | 3.49x | $20.76 | $4.7M | 562.3K | 72 |
| 2019 | $27.02 | $8.47 | 3.19x | $18.55 | $6.0M | 710.6K | 72 |
| 2020 | $35.89 | $10.80 | 3.32x | $25.09 | $4.5M | 412.7K | 64 |
| 2021 | $35.13 | $10.35 | 3.39x | $24.78 | $3.8M | 366.9K | 64 |
| 2022 | $24.56 | $6.85 | 3.59x | $17.71 | $3.4M | 498.9K | 59 |
| 2023 | $28.89 | $8.19 | 3.53x | $20.70 | $3.3M | 397.0K | 42 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 192.8K | $8.0M | $41.28 | 3.10x |
| J9035 | Injection, bevacizumab, 10 mg | 84.8K | $4.8M | $56.17 | 2.72x |
| J9299 | Injection, nivolumab, 1 mg | 198.4K | $4.2M | $21.27 | 3.12x |
| J9310 | Injection, rituximab, 100 mg | 5.2K | $3.2M | $603.56 | 2.53x |
| J0897 | Injection, denosumab, 1 mg | 149.3K | $2.2M | $15.03 | 2.79x |
| 78815 | Nuclear medicine study with ct imaging skull base to mid-thigh | 2.6K | $2.1M | $803.78 | 4.30x |
| J2505 | Injection, pegfilgrastim, 6 mg | 640 | $2.0M | $3.1K | 2.55x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21.8K | $1.9M | $85.88 | 3.22x |
| J9041 | Injection, bortezomib (velcade), 0.1 mg | 49.9K | $1.8M | $35.95 | 2.66x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 195.4K | $1.8M | $8.98 | 2.66x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 14.7K | $1.5M | $104.37 | 3.89x |
| J9395 | Injection, fulvestrant, 25 mg | 19.3K | $1.4M | $72.22 | 2.85x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 38.2K | $1.3M | $34.33 | 3.01x |
| J9305 | Injection, pemetrexed, 10 mg | 24.5K | $1.2M | $47.52 | 2.61x |
| J9355 | Injection, trastuzumab, 10 mg | 13.0K | $885.0K | $68.05 | 2.38x |
| J9999 | Not otherwise classified, antineoplastic drugs | 24.0K | $852.1K | $35.53 | 3.57x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 2.1K | $770.8K | $366.33 | 1.70x |
| J1442 | Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram | 973.1K | $759.5K | $0.78 | 2.56x |
| J9025 | Injection, azacitidine, 1 mg | 315.0K | $753.1K | $2.39 | 5.14x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 94.0K | $749.9K | $7.98 | 3.01x |
This provider submits charges 3.39 times higher than what Medicare actually pays.
A markup ratio of 3.39x means for every $100 Medicare pays, this provider initially charges $339. 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 |
| Andrew Lipman, M.D. | Naples, FL | $51.1M | ⚠️ Flagged |
| 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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