⚠️ This provider averages 1.8K services per working day — physically unusual for an individual practitioner
Based on 4.5M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $36.3M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.8K services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 79% in 2022
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 | $17.90 | $8.10 | 2.21x | $9.80 | $3.7M | 461.7K | 14.3K |
| 2015 | $15.76 | $8.10 | 1.95x | $7.66 | $2.7M | 332.9K | 10.3K |
| 2016 | $29.17 | $8.10 | 3.60x | $21.07 | $3.9M | 486.5K | 15.1K |
| 2017 | $29.38 | $8.10 | 3.63x | $21.28 | $4.3M | 527.0K | 16.4K |
| 2018 | $20.46 | $8.10 | 2.53x | $12.36 | $4.3M | 535.3K | 16.6K |
| 2019 | $19.26 | $8.10 | 2.38x | $11.16 | $3.7M | 455.6K | 14.1K |
| 2020 | $28.28 | $8.10 | 3.49x | $20.18 | $3.1M | 376.8K | 11.7K |
| 2021 | $14.67 | $8.10 | 1.81x | $6.57 | $2.7M | 329.1K | 10.2K |
| 2022 | $25.62 | $8.10 | 3.16x | $17.52 | $4.8M | 590.1K | 18.3K |
| 2023 | $20.98 | $8.10 | 2.59x | $12.88 | $3.1M | 381.8K | 11.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 96413 | Chemotherapy administration, IV infusion, first hour | 994.6K | $13.3M | $13.34 | 1.86x |
| 96415 | Chemotherapy IV infusion, each additional hour | 312.0K | $3.5M | $11.13 | 2.26x |
| 85025 | Complete blood cell count | 276.6K | $2.6M | $9.55 | 4.99x |
| 96365 | IV infusion for therapy, first hour | 277.0K | $2.4M | $8.73 | 2.30x |
| 99214 | Office/outpatient visit, moderate complexity | 150.9K | $2.3M | $15.44 | 1.85x |
| 96375 | Therapeutic IV push, each additional substance | 153.3K | $1.3M | $8.79 | 2.16x |
| 99215 | Office/outpatient visit, high complexity | 178.2K | $1.1M | $6.45 | 2.97x |
| 36415 | Insertion of needle into vein | 183.9K | $1.1M | $5.94 | 2.93x |
| J9271 | Injection, pembrolizumab | 139.5K | $763.1K | $5.47 | 1.07x |
| 80053 | Comprehensive metabolic panel | 87.7K | $545.5K | $6.22 | 3.54x |
This provider submits charges 2 times higher than what Medicare actually pays.
A markup ratio of 2x means for every $100 Medicare pays, this provider initially charges $200. This is lower 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 |
| Vikas Malhotra, M.D. | Spring Hill, FL | $52.8M | ✓ Clear |
| Andrew Lipman, M.D. | Naples, FL | $51.1M | ⚠️ Flagged |
| Syed Zafar, M.D. | Fort Myers, FL | $48.1M | ⚠️ 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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