This provider's $6.2M in total Medicare payments ranks in the 99th percentile of Gynecological Oncology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 110% in 2015
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $155.55 | $58.87 | 2.64x | $96.68 | $337.2K | 11.8K | 2.7K |
| 2015 | $297.88 | $130.26 | 2.29x | $167.62 | $709.1K | 12.0K | 2.7K |
| 2016 | $283.42 | $125.32 | 2.26x | $158.10 | $955.6K | 12.2K | 2.9K |
| 2017 | $280.56 | $124.07 | 2.26x | $156.49 | $649.8K | 11.3K | 2.9K |
| 2018 | $240.83 | $114.29 | 2.11x | $126.54 | $747.2K | 11.1K | 3.0K |
| 2019 | $269.37 | $128.50 | 2.10x | $140.87 | $901.1K | 12.4K | 3.3K |
| 2020 | $269.59 | $122.78 | 2.20x | $146.81 | $614.4K | 10.0K | 3.0K |
| 2021 | $280.94 | $104.48 | 2.69x | $176.46 | $710.1K | 13.2K | 3.1K |
| 2022 | $165.17 | $52.73 | 3.13x | $112.44 | $301.1K | 10.9K | 2.9K |
| 2023 | $159.79 | $52.35 | 3.05x | $107.44 | $318.7K | 11.8K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 978 | $3.0M | $3.1K | 1.48x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 11.1K | $849.0K | $76.45 | 1.99x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 5.0K | $525.6K | $104.50 | 4.31x |
| 58571 | Abdominal removal of uterus (250 grams or less) with removal of tubes and/or ovaries using an endoscope | 318 | $208.6K | $655.91 | 3.20x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 2.5K | $125.3K | $49.93 | 4.00x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.1K | $110.3K | $51.73 | 2.43x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 1.9K | $99.7K | $51.34 | 3.41x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 768 | $89.5K | $116.53 | 2.00x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.6K | $86.6K | $55.03 | 1.82x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 947 | $75.3K | $79.49 | 1.57x |
| 77067 | Mammography of both breasts | 780 | $73.5K | $94.29 | 2.06x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 7.9K | $71.1K | $9.01 | 2.00x |
| 80048 | Blood test, basic group of blood chemicals | 8.0K | $70.1K | $8.75 | 3.43x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 2.9K | $69.1K | $23.61 | 4.23x |
| 96415 | Infusion of chemotherapy into a vein | 3.1K | $67.5K | $22.02 | 3.86x |
| 83735 | Magnesium level | 7.6K | $59.0K | $7.77 | 1.80x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 325 | $47.5K | $146.27 | 2.05x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 4.2K | $43.3K | $10.20 | 4.46x |
| J9035 | Injection, bevacizumab, 10 mg | 646 | $39.0K | $60.38 | 1.83x |
| 88142 | Pap test (Pap smear) | 1.5K | $37.5K | $24.41 | 1.84x |
This provider submits charges 2.29 times higher than what Medicare actually pays.
A markup ratio of 2.29x means for every $100 Medicare pays, this provider initially charges $229. 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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