Statistical flag only — not an accusation of fraud
⚠️ This provider averages 1.4K 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 $33.6M in total Medicare payments ranks in the 99th percentile of Hematology-Oncology providers nationally.
Averaging 1.4K services per working day raises questions about billing patterns.
Medicare payments to this provider grew 95% from 2014 to 2023.
This provider has been statistically flagged with a risk score of 68/100. 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 | $26.94 | $9.05 | 2.98x | $17.89 | $2.3M | 251.2K | 38 |
| 2015 | $24.51 | $7.96 | 3.08x | $16.55 | $2.6M | 321.0K | 37 |
| 2016 | $21.92 | $7.70 | 2.85x | $14.22 | $3.2M | 414.0K | 37 |
| 2017 | $19.42 | $6.52 | 2.98x | $12.90 | $3.2M | 488.0K | 37 |
| 2018 | $23.38 | $9.10 | 2.57x | $14.28 | $4.6M | 503.9K | 42 |
| 2019 | $32.95 | $13.32 | 2.47x | $19.63 | $4.6M | 342.5K | 38 |
| 2020 | $30.05 | $9.79 | 3.07x | $20.26 | $2.9M | 299.8K | 38 |
| 2021 | $23.08 | $7.71 | 2.99x | $15.37 | $2.6M | 340.2K | 39 |
| 2022 | $33.78 | $12.97 | 2.60x | $20.81 | $3.3M | 253.5K | 37 |
| 2023 | $41.96 | $11.66 | 3.60x | $30.30 | $4.4M | 380.6K | 41 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | 136.6K | $5.7M | $41.76 | 2.17x |
| J9299 | Injection, nivolumab, 1 mg | 184.5K | $4.0M | $21.48 | 2.27x |
| J9310 | Injection, rituximab, 100 mg | 4.3K | $2.7M | $624.70 | 2.11x |
| J2505 | Injection, pegfilgrastim, 6 mg | 772 | $2.4M | $3.1K | 2.05x |
| J9035 | Injection, bevacizumab, 10 mg | 37.7K | $2.2M | $57.02 | 2.18x |
| J0897 | Injection, denosumab, 1 mg | 123.8K | $1.9M | $15.11 | 2.04x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 13.4K | $1.3M | $98.59 | 2.92x |
| J9264 | Injection, paclitaxel protein-bound particles, 1 mg | 118.5K | $1.2M | $9.91 | 2.17x |
| J9041 | Injection, bortezomib (velcade), 0.1 mg | 26.7K | $964.4K | $36.13 | 2.39x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 10.8K | $888.8K | $82.28 | 1.77x |
| Q5115 | Injection, rituximab-abbs, biosimilar, (truxima), 10 mg | 18.0K | $817.5K | $45.34 | 3.64x |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 84.9K | $781.5K | $9.21 | 3.48x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 52.0K | $615.0K | $11.82 | 6.48x |
| Q5108 | Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg | 3.5K | $542.4K | $155.32 | 4.35x |
| J0641 | Injection, levoleucovorin calcium, 0.5 mg | 577.6K | $534.8K | $0.93 | 4.32x |
| J9312 | Injection, rituximab, 10 mg | 7.3K | $524.6K | $72.06 | 2.12x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 10.1K | $522.9K | $52.01 | 1.87x |
| J9311 | Injection, rituximab 10 mg and hyaluronidase | 14.1K | $484.9K | $34.29 | 3.88x |
| J1627 | Injection, granisetron, extended-release, 0.1 mg | 131.6K | $450.6K | $3.42 | 3.46x |
| J9034 | Injection, bendamustine hcl (bendeka), 1 mg | 19.4K | $358.9K | $18.49 | 2.38x |
This provider submits charges 2.9 times higher than what Medicare actually pays.
A markup ratio of 2.9x means for every $100 Medicare pays, this provider initially charges $290. 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 |
|---|---|---|---|
| Pavan Reddy, M.D. | Wichita, KS | $52.9M | ⚠️ Flagged |
| 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 |
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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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