⚠️ This provider averages 647 services per working day — physically unusual for an individual practitioner
Based on 1.6M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $14.9M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 647 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 579% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 96% 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 | $25.16 | $4.77 | 5.27x | $20.39 | $441.6K | 92.6K | 31 |
| 2015 | $27.74 | $5.77 | 4.81x | $21.97 | $720.5K | 124.8K | 29 |
| 2016 | $34.80 | $7.88 | 4.42x | $26.92 | $1.4M | 178.8K | 39 |
| 2017 | $39.52 | $7.10 | 5.57x | $32.42 | $1.0M | 142.3K | 33 |
| 2018 | $35.96 | $6.85 | 5.25x | $29.11 | $1.4M | 210.0K | 46 |
| 2019 | $42.96 | $9.49 | 4.53x | $33.47 | $1.5M | 161.2K | 43 |
| 2020 | $37.91 | $7.47 | 5.07x | $30.44 | $1.6M | 213.8K | 44 |
| 2021 | $46.54 | $9.86 | 4.72x | $36.68 | $1.8M | 184.0K | 42 |
| 2022 | $56.33 | $12.99 | 4.34x | $43.34 | $1.9M | 148.9K | 43 |
| 2023 | $76.39 | $18.74 | 4.08x | $57.65 | $3.0M | 160.0K | 45 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 75.8K | $3.2M | $41.70 | 3.00x |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | 436.1K | $1.3M | $2.87 | 7.04x |
| J0897 | Injection, denosumab, 1 mg | 72.8K | $1.2M | $15.86 | 3.16x |
| J2505 | Injection, pegfilgrastim, 6 mg | 357 | $1.1M | $3.0K | 5.09x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 10.3K | $942.4K | $91.87 | 2.51x |
| J9299 | Injection, nivolumab, 1 mg | 37.3K | $824.1K | $22.12 | 3.19x |
| J9144 | Injection, daratumumab, 10 mg and hyaluronidase-fihj | 21.1K | $783.3K | $37.20 | 3.52x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 4.8K | $582.3K | $120.35 | 5.70x |
| J9310 | Injection, rituximab, 100 mg | 861 | $548.7K | $637.34 | 3.38x |
| J9047 | Injection, carfilzomib, 1 mg | 13.6K | $384.2K | $28.27 | 3.11x |
| J1437 | Injection, ferric derisomaltose, 10 mg | 18.7K | $328.9K | $17.59 | 4.10x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 4.3K | $275.7K | $63.71 | 2.40x |
| J9355 | Injection, trastuzumab, 10 mg | 3.4K | $259.9K | $76.57 | 3.28x |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 297.8K | $253.7K | $0.85 | 4.56x |
| J9217 | Leuprolide acetate (for depot suspension), 7.5 mg | 1.5K | $226.5K | $152.21 | 24.36x |
| 88185 | Flow cytometry technique for dna or cell analysis, each additional marker | 6.0K | $192.6K | $32.27 | 5.42x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 20.8K | $191.5K | $9.21 | 3.60x |
| Q5119 | Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg | 2.8K | $140.7K | $50.98 | 3.81x |
| 80053 | Blood test, comprehensive group of blood chemicals | 12.3K | $140.4K | $11.37 | 5.45x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 15.6K | $136.5K | $8.76 | 4.00x |
This provider submits charges 4.66 times higher than what Medicare actually pays.
A markup ratio of 4.66x means for every $100 Medicare pays, this provider initially charges $466. 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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