Statistical flag only — not an accusation of fraud
⚠️ This provider averages 1.5K services per working day — physically unusual for an individual practitioner
Based on 3.6M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $52.9M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.5K services per working day raises questions about billing patterns.
This provider has been statistically flagged with a risk score of 70/100. Statistical flags are not accusations of fraud.
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 | $40.70 | $14.73 | 2.76x | $25.97 | $5.9M | 401.7K | 68 |
| 2015 | $42.79 | $14.74 | 2.90x | $28.05 | $4.3M | 291.1K | 64 |
| 2016 | $30.08 | $10.96 | 2.74x | $19.12 | $4.2M | 381.7K | 61 |
| 2017 | $34.44 | $13.31 | 2.59x | $21.13 | $4.7M | 353.5K | 62 |
| 2018 | $37.59 | $15.70 | 2.39x | $21.89 | $6.1M | 389.2K | 66 |
| 2019 | $39.06 | $16.16 | 2.42x | $22.90 | $6.5M | 400.6K | 67 |
| 2020 | $35.69 | $13.33 | 2.68x | $22.36 | $5.3M | 398.8K | 60 |
| 2021 | $39.54 | $14.74 | 2.68x | $24.80 | $4.3M | 291.8K | 63 |
| 2022 | $36.92 | $14.51 | 2.54x | $22.41 | $4.9M | 337.2K | 60 |
| 2023 | $61.43 | $16.98 | 3.62x | $44.45 | $6.7M | 394.9K | 62 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 155.9K | $6.3M | $40.71 | 2.16x |
| J9299 | Injection, nivolumab, 1 mg | 245.0K | $5.3M | $21.80 | 2.26x |
| J9145 | Injection, daratumumab, 10 mg | 107.4K | $4.5M | $41.70 | 2.23x |
| J2505 | Injection, pegfilgrastim, 6 mg | 1.2K | $3.7M | $3.1K | 1.98x |
| J0897 | Injection, denosumab, 1 mg | 238.7K | $3.4M | $14.28 | 2.07x |
| J9035 | Injection, bevacizumab, 10 mg | 42.2K | $2.4M | $56.81 | 2.18x |
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 2.2K | $2.2M | $1.0K | 2.81x |
| J9310 | Injection, rituximab, 100 mg | 3.4K | $2.1M | $614.13 | 2.13x |
| J9355 | Injection, trastuzumab, excludes biosimilar, 10 mg | 25.6K | $1.9M | $73.15 | 2.18x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 179.6K | $1.6M | $8.66 | 2.22x |
| J9041 | Injection, bortezomib, 0.1 mg | 41.3K | $1.3M | $32.50 | 2.72x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 13.7K | $1.3M | $97.12 | 2.89x |
| J1930 | Injection, lanreotide, 1 mg | 25.2K | $1.1M | $44.04 | 3.02x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19.0K | $1.0M | $53.37 | 1.84x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 102.2K | $887.5K | $8.68 | 3.71x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 56.4K | $726.2K | $12.87 | 5.93x |
| J0894 | Injection, decitabine, 1 mg | 46.2K | $704.6K | $15.26 | 4.26x |
| Q5115 | Injection, rituximab-abbs, biosimilar, (truxima), 10 mg | 14.2K | $660.0K | $46.38 | 3.58x |
| J9999 | Not otherwise classified, antineoplastic drugs | 130 | $607.7K | $4.7K | 2.35x |
| Q2043 | Sipuleucel-t, minimum of 50 million autologous cd54+ cells activated with pap-gm-csf, including leukapheresis and all other preparatory procedures, per infusion | 22 | $597.6K | $27.2K | 1.80x |
This provider submits charges 2.74 times higher than what Medicare actually pays.
A markup ratio of 2.74x means for every $100 Medicare pays, this provider initially charges $274. 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 KS for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Bassam Mattar, MD | Wichita, KS | $50.2M | ⚠️ Flagged |
| Dennis Moore, MD | Wichita, KS | $44.1M | ⚠️ Flagged |
| Shaker Dakhil, MD | Wichita, KS | $41.0M | ⚠️ Flagged |
| Jeremy Deutsch, MD | Wichita, KS | $39.7M | ⚠️ Flagged |
| Travis Koeneke, MD | Manhattan, KS | $33.6M | ⚠️ 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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