This provider averages 77 services per working day
Based on 192.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.5M in total Medicare payments ranks in the 98th percentile of Medical Oncology providers nationally.
Averaging 77 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 78% in 2016
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 | $232.52 | $54.66 | 4.25x | $177.86 | $519.0K | 19.1K | 3.2K |
| 2015 | $299.02 | $63.98 | 4.67x | $235.04 | $646.0K | 21.5K | 3.5K |
| 2016 | $347.23 | $92.81 | 3.74x | $254.42 | $1.2M | 24.6K | 4.1K |
| 2017 | $249.57 | $56.41 | 4.42x | $193.16 | $708.4K | 22.6K | 3.9K |
| 2018 | $293.22 | $67.63 | 4.34x | $225.59 | $597.1K | 18.3K | 3.3K |
| 2019 | $299.56 | $69.03 | 4.34x | $230.53 | $600.4K | 19.0K | 3.5K |
| 2020 | $317.60 | $76.65 | 4.14x | $240.95 | $561.2K | 17.0K | 3.0K |
| 2021 | $324.30 | $79.10 | 4.10x | $245.20 | $643.1K | 17.4K | 3.0K |
| 2022 | $308.80 | $76.73 | 4.02x | $232.07 | $545.4K | 15.9K | 3.1K |
| 2023 | $333.44 | $75.44 | 4.42x | $258.00 | $521.9K | 16.6K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.5K | $1.2M | $84.63 | 3.91x |
| 78816 | Nuclear medicine study with CT imaging whole body | 670 | $744.6K | $1.1K | 4.25x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 4.6K | $512.7K | $110.36 | 6.41x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 6.1K | $507.0K | $83.37 | 3.85x |
| G9678 | Oncology Care Model service | 2.5K | $397.0K | $158.05 | 1.01x |
| 78815 | Nuclear medicine study with CT imaging skull base to mid-thigh | 304 | $333.8K | $1.1K | 4.19x |
| J9999 | Not otherwise classified, antineoplastic drugs | 299 | $252.8K | $845.45 | 3.49x |
| 80053 | Blood test, comprehensive group of blood chemicals | 19.9K | $218.3K | $10.99 | 5.82x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 3.9K | $213.9K | $54.98 | 5.69x |
| 83735 | Magnesium level | 18.8K | $147.1K | $7.84 | 3.70x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 13.6K | $122.9K | $9.00 | 4.00x |
| P9033 | Platelets, leukocytes reduced, irradiated, each unit | 277 | $120.7K | $435.68 | 2.55x |
| J3490 | Unclassified drugs | 312 | $115.8K | $371.15 | 3.29x |
| 83520 | Measurement of substance using immunoassay technique | 6.3K | $107.1K | $17.13 | 10.57x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 5.9K | $89.0K | $15.22 | 7.10x |
| A9552 | Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | 927 | $87.0K | $93.89 | 7.00x |
| 83615 | Lactate dehydrogenase (enzyme) level | 15.6K | $87.0K | $5.58 | 5.55x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 3.5K | $85.5K | $24.58 | 6.38x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g. liquid), 500 mg | 2.6K | $79.8K | $31.13 | 6.53x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 4.4K | $69.8K | $16.04 | 5.99x |
This provider submits charges 4.46 times higher than what Medicare actually pays.
A markup ratio of 4.46x means for every $100 Medicare pays, this provider initially charges $446. 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 Medical Oncology providers in TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| James Uyeki, M.D. | Austin, TX | $35.1M | ⚠️ Flagged |
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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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