This provider averages 131 services per working day
Based on 328.2K 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 131 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 125% in 2020
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 | $96.59 | $46.03 | 2.10x | $50.56 | $776.9K | 23.4K | 2.7K |
| 2015 | $93.35 | $43.62 | 2.14x | $49.73 | $1.1M | 27.7K | 3.5K |
| 2016 | $89.40 | $40.72 | 2.20x | $48.68 | $1.1M | 32.9K | 3.8K |
| 2017 | $86.38 | $37.89 | 2.28x | $48.49 | $935.1K | 33.5K | 3.5K |
| 2018 | $94.37 | $44.05 | 2.14x | $50.32 | $1.1M | 43.7K | 3.8K |
| 2019 | $73.11 | $31.98 | 2.29x | $41.13 | $278.3K | 14.1K | 2.5K |
| 2020 | $76.87 | $34.88 | 2.20x | $41.99 | $626.6K | 32.6K | 2.6K |
| 2021 | $329.19 | $103.70 | 3.17x | $225.49 | $951.9K | 39.5K | 2.8K |
| 2022 | $71.61 | $31.77 | 2.25x | $39.84 | $865.3K | 38.1K | 2.9K |
| 2023 | $75.87 | $33.86 | 2.24x | $42.01 | $892.2K | 42.7K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 25.2K | $1.8M | $69.67 | 1.67x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 27.6K | $1.7M | $62.48 | 2.06x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 22.7K | $1.4M | $59.69 | 1.89x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 8.8K | $755.7K | $86.13 | 1.87x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.3K | $392.9K | $90.82 | 1.89x |
| 96361 | Hydration infusion into a vein | 29.9K | $367.7K | $12.30 | 2.23x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.2K | $366.7K | $167.98 | 1.86x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 2.1K | $259.9K | $125.15 | 2.14x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 24.2K | $222.9K | $9.21 | 1.85x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 5.6K | $221.8K | $39.27 | 1.82x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 7.7K | $210.8K | $27.22 | 2.16x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 9.9K | $160.3K | $16.21 | 2.52x |
| 36415 | Insertion of needle into vein for collection of blood sample | 33.6K | $109.1K | $3.24 | 1.54x |
| J2505 | Injection, pegfilgrastim, 6 mg | 45 | $94.3K | $2.1K | 3.82x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis | 4.7K | $85.5K | $18.27 | 2.10x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 363 | $60.7K | $167.17 | 1.97x |
| 96415 | Infusion of chemotherapy into a vein | 1.9K | $50.6K | $26.14 | 2.14x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 2.7K | $46.4K | $17.07 | 2.45x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 758 | $44.3K | $58.44 | 2.26x |
| 99195 | Therapeutic removal of whole blood to correct blood level imbalance | 472 | $43.5K | $92.26 | 1.71x |
This provider submits charges 2.02 times higher than what Medicare actually pays.
A markup ratio of 2.02x means for every $100 Medicare pays, this provider initially charges $202. 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 CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Luke Dreisbach, M.D. | Rancho Mirage, CA | $77.2M | ✓ Clear |
| Sachin Gupta, M.D. | Fresno, CA | $55.1M | ✓ Clear |
| Ravi Rao, MD | Fresno, CA | $49.1M | ⚠️ Flagged |
| Michael Sherman, M.D., PHD | Walnut Creek, CA | $38.9M | ✓ Clear |
| Nerses Tchekmedyian, M.D. | Irvine, CA | $38.0M | ✓ 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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