This provider averages 51 services per working day
Based on 126.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $4.4M in total Medicare payments ranks in the 99th percentile of Hematology providers nationally.
Averaging 51 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 | $130.45 | $48.54 | 2.69x | $81.91 | $340.5K | 12.0K | 2.4K |
| 2015 | $332.84 | $119.15 | 2.79x | $213.69 | $420.5K | 11.9K | 2.7K |
| 2016 | $204.92 | $57.62 | 3.56x | $147.30 | $391.9K | 11.9K | 2.4K |
| 2017 | $179.70 | $43.86 | 4.10x | $135.84 | $423.0K | 11.7K | 2.9K |
| 2018 | $166.19 | $41.58 | 4.00x | $124.61 | $443.0K | 12.8K | 2.9K |
| 2019 | $386.77 | $130.77 | 2.96x | $256.00 | $605.3K | 13.1K | 2.7K |
| 2020 | $178.63 | $45.21 | 3.95x | $133.42 | $417.0K | 11.8K | 3.4K |
| 2021 | $199.58 | $50.81 | 3.93x | $148.77 | $493.8K | 14.8K | 3.6K |
| 2022 | $144.32 | $36.48 | 3.96x | $107.84 | $390.9K | 12.9K | 3.3K |
| 2023 | $130.83 | $35.12 | 3.73x | $95.71 | $443.4K | 13.4K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 15.7K | $1.4M | $89.43 | 3.32x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 4.7K | $529.4K | $112.65 | 3.80x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.4K | $476.2K | $64.23 | 3.22x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 33.8K | $298.3K | $8.82 | 3.82x |
| J2505 | Injection, pegfilgrastim, 6 mg | 88 | $272.3K | $3.1K | 2.70x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.5K | $244.9K | $168.29 | 3.36x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 2.0K | $128.0K | $62.68 | 3.58x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 2.1K | $116.5K | $56.50 | 3.66x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 5.2K | $83.5K | $16.01 | 4.02x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 2.8K | $69.8K | $25.12 | 3.65x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 4.2K | $69.5K | $16.66 | 4.13x |
| 36415 | Insertion of needle into vein for collection of blood sample | 15.9K | $65.6K | $4.11 | 3.42x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 4.0K | $62.9K | $15.81 | 4.11x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 1.2K | $62.5K | $54.26 | 4.11x |
| J9310 | Injection, rituximab, 100 mg | 87 | $50.2K | $577.39 | 3.30x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 757 | $45.4K | $59.96 | 3.78x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 337 | $45.0K | $133.60 | 3.81x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 363 | $41.6K | $114.59 | 3.84x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 179 | $30.1K | $168.35 | 3.81x |
| 96415 | Infusion of chemotherapy into a vein | 1.0K | $24.9K | $24.02 | 4.34x |
This provider submits charges 3.5 times higher than what Medicare actually pays.
A markup ratio of 3.5x means for every $100 Medicare pays, this provider initially charges $350. This is higher than the national average.
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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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