This provider averages 106 services per working day
Based on 264.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.6M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.
Averaging 106 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 | $165.27 | $72.94 | 2.27x | $92.33 | $782.6K | 20.3K | 7.5K |
| 2015 | $186.73 | $63.84 | 2.92x | $122.89 | $1.1M | 29.7K | 10.9K |
| 2016 | $199.80 | $68.64 | 2.91x | $131.16 | $965.3K | 29.1K | 11.4K |
| 2017 | $198.77 | $69.91 | 2.84x | $128.86 | $1.3M | 28.9K | 11.6K |
| 2018 | $250.09 | $75.38 | 3.32x | $174.71 | $1.3M | 30.1K | 12.0K |
| 2019 | $233.36 | $71.21 | 3.28x | $162.15 | $1.2M | 29.3K | 11.7K |
| 2020 | $238.79 | $67.00 | 3.56x | $171.79 | $1.1M | 29.7K | 11.1K |
| 2021 | $218.48 | $56.45 | 3.87x | $162.03 | $996.8K | 28.5K | 10.5K |
| 2022 | $116.27 | $29.92 | 3.89x | $86.35 | $521.3K | 22.4K | 8.8K |
| 2023 | $103.00 | $25.90 | 3.98x | $77.10 | $378.4K | 16.4K | 5.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2505 | Injection, pegfilgrastim, 6 mg | 714 | $2.2M | $3.1K | 2.63x |
| G9678 | Oncology care model (ocm) monthly enhanced oncology services (meos) payment for ocm enhanced services. g9678 payments may only be made to ocm practitioners for ocm beneficiaries for the furnishment of enhanced services as defined in the ocm participation | 9.4K | $1.5M | $158.06 | 2.53x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.6K | $875.5K | $60.04 | 3.36x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.7K | $617.8K | $80.61 | 2.92x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 5.5K | $573.3K | $104.64 | 3.73x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 36.6K | $331.2K | $9.05 | 3.22x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 5.8K | $324.7K | $56.04 | 3.34x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 4.2K | $221.9K | $52.48 | 3.55x |
| J9310 | Injection, rituximab, 100 mg | 344 | $211.2K | $613.95 | 2.40x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.3K | $210.7K | $159.23 | 3.00x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.6K | $198.9K | $124.32 | 3.35x |
| 80053 | Blood test, comprehensive group of blood chemicals | 15.0K | $181.7K | $12.10 | 3.22x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 12.5K | $180.1K | $14.36 | 4.28x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.3K | $134.4K | $57.80 | 3.06x |
| 36415 | Insertion of needle into vein for collection of blood sample | 37.2K | $128.3K | $3.45 | 2.56x |
| 82728 | Ferritin (blood protein) level | 6.8K | $109.9K | $16.05 | 3.11x |
| 96374 | Injection of drug or substance into a vein for therapy, diagnosis, or prevention | 3.0K | $108.9K | $36.33 | 3.98x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.2K | $97.8K | $82.34 | 2.61x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 3.5K | $81.5K | $23.38 | 4.13x |
| 83550 | Iron binding capacity | 6.6K | $68.0K | $10.30 | 3.11x |
This provider submits charges 3.08 times higher than what Medicare actually pays.
A markup ratio of 3.08x means for every $100 Medicare pays, this provider initially charges $308. 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 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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