This provider averages 96 services per working day
Based on 240.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.6M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Averaging 96 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 | $184.64 | $86.42 | 2.14x | $98.22 | $1.2M | 31.3K | 7.8K |
| 2015 | $174.28 | $87.67 | 1.99x | $86.61 | $1.1M | 27.7K | 7.7K |
| 2016 | $209.87 | $93.30 | 2.25x | $116.57 | $951.2K | 24.7K | 7.6K |
| 2017 | $266.29 | $87.23 | 3.05x | $179.06 | $810.7K | 24.2K | 7.8K |
| 2018 | $260.77 | $94.29 | 2.77x | $166.48 | $898.9K | 25.1K | 7.5K |
| 2019 | $256.63 | $97.87 | 2.62x | $158.76 | $880.1K | 25.0K | 7.2K |
| 2020 | $286.82 | $87.73 | 3.27x | $199.09 | $840.5K | 21.0K | 6.8K |
| 2021 | $321.64 | $77.65 | 4.14x | $243.99 | $744.4K | 22.5K | 6.7K |
| 2022 | $110.67 | $31.20 | 3.55x | $79.47 | $602.9K | 20.1K | 6.1K |
| 2023 | $133.21 | $36.29 | 3.67x | $96.92 | $554.9K | 19.2K | 6.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 20.2K | $1.9M | $95.31 | 2.55x |
| J2505 | Injection, pegfilgrastim, 6 mg | 626 | $1.9M | $3.0K | 2.47x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.2K | $828.7K | $68.15 | 2.57x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 4.6K | $603.1K | $129.86 | 2.88x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 6.1K | $393.4K | $64.88 | 3.18x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 32.8K | $294.1K | $8.98 | 3.11x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.0K | $270.1K | $134.17 | 2.71x |
| 80053 | Blood test, comprehensive group of blood chemicals | 21.3K | $252.7K | $11.88 | 2.84x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 12.1K | $213.1K | $17.65 | 3.65x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 890 | $163.5K | $183.72 | 2.72x |
| 82728 | Ferritin (blood protein) level | 9.2K | $147.8K | $16.11 | 2.58x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 1.6K | $114.3K | $70.40 | 2.54x |
| 36415 | Insertion of needle into vein for collection of blood sample | 30.8K | $107.7K | $3.49 | 3.37x |
| J9310 | Injection, rituximab, 100 mg | 181 | $104.5K | $577.45 | 1.53x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 3.5K | $101.4K | $28.69 | 3.64x |
| 83550 | Iron binding capacity | 9.1K | $94.4K | $10.34 | 2.72x |
| 82378 | Carcinoembryonic antigen (CEA) protein level | 4.0K | $90.6K | $22.64 | 3.47x |
| 83540 | Iron level | 9.1K | $70.0K | $7.65 | 3.40x |
| 82232 | Beta-2 microglobulin (protein) level | 3.3K | $62.3K | $19.09 | 3.29x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 6.8K | $59.5K | $8.75 | 3.31x |
This provider submits charges 2.77 times higher than what Medicare actually pays.
A markup ratio of 2.77x means for every $100 Medicare pays, this provider initially charges $277. 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 MD for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| David Smith, MD | Easton, MD | $48.3M | ✓ Clear |
| Frederick Smith, M.D. | Chevy Chase, MD | $33.7M | ✓ 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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