⚠️ This provider averages 2.3K services per working day — physically unusual for an individual practitioner
Based on 5.7M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $77.2M 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.
Medicare payments to this provider grew 129% from 2014 to 2023.
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 | $28.03 | $13.32 | 2.10x | $14.71 | $4.3M | 322.9K | 52 |
| 2015 | $21.61 | $12.02 | 1.80x | $9.59 | $4.8M | 397.2K | 52 |
| 2016 | $21.57 | $11.10 | 1.94x | $10.47 | $6.0M | 543.9K | 52 |
| 2017 | $27.24 | $13.23 | 2.06x | $14.01 | $7.1M | 534.2K | 50 |
| 2018 | $35.15 | $15.96 | 2.20x | $19.19 | $8.3M | 519.2K | 49 |
| 2019 | $38.87 | $16.72 | 2.32x | $22.15 | $9.4M | 560.2K | 51 |
| 2020 | $36.99 | $15.42 | 2.40x | $21.57 | $10.8M | 697.7K | 55 |
| 2021 | $42.71 | $13.48 | 3.17x | $29.23 | $7.6M | 566.0K | 58 |
| 2022 | $43.46 | $13.20 | 3.29x | $30.26 | $9.1M | 691.9K | 57 |
| 2023 | $42.89 | $11.94 | 3.59x | $30.95 | $9.8M | 824.6K | 61 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 450.2K | $17.9M | $39.84 | 2.99x |
| J9299 | Injection, nivolumab, 1 mg | 336.7K | $7.4M | $21.93 | 2.68x |
| J0897 | Injection, denosumab, 1 mg | 394.1K | $5.8M | $14.63 | 2.23x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 420.8K | $3.6M | $8.61 | 2.42x |
| J2505 | Injection, pegfilgrastim, 6 mg | 1.2K | $3.6M | $3.0K | 1.62x |
| J9310 | Injection, rituximab, 100 mg | 5.6K | $3.4M | $609.40 | 1.34x |
| J9041 | Injection, bortezomib (velcade), 0.1 mg | 71.0K | $2.6M | $36.07 | 1.67x |
| J9312 | Injection, rituximab, 10 mg | 34.4K | $2.5M | $72.49 | 2.11x |
| J9022 | Injection, atezolizumab, 10 mg | 35.2K | $2.2M | $63.46 | 2.85x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21.5K | $1.9M | $89.80 | 2.22x |
| J9305 | Injection, pemetrexed, not otherwise specified, 10 mg | 36.1K | $1.8M | $50.42 | 1.48x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 46.4K | $1.7M | $37.05 | 3.10x |
| Q5111 | Injection, pegfilgrastim-cbqv, biosimilar, (udenyca), 0.5 mg | 6.6K | $1.7M | $256.91 | 2.90x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 12.9K | $1.5M | $116.41 | 2.35x |
| J9035 | Injection, bevacizumab, 10 mg | 26.6K | $1.4M | $54.09 | 1.44x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 40.6K | $1.3M | $32.54 | 2.31x |
| Q5122 | Injection, pegfilgrastim-apgf (nyvepria), biosimilar, 0.5 mg | 8.3K | $1.3M | $156.12 | 5.39x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 1.3M | $1.1M | $0.85 | 2.24x |
| J9395 | Injection, fulvestrant, 25 mg | 20.8K | $1.1M | $50.49 | 2.50x |
| J9999 | Not otherwise classified, antineoplastic drugs | 107.7K | $993.9K | $9.23 | 3.08x |
This provider submits charges 2.58 times higher than what Medicare actually pays.
A markup ratio of 2.58x means for every $100 Medicare pays, this provider initially charges $258. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| 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 |
| Nerses Tchekmedyian, M.D. | Irvine, CA | $38.0M | ✓ 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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