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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Vijay Paudel
๐ŸŽ—๏ธ
MDIndividual

Vijay Paudel, MD

NPI: 1972596484
Myrtle Beach, SC
10 years of data
Hematology-Oncology
$9.9M
Total Payments
182.3K
Beneficiaries
419.5K
Services
6.38x
Markup Ratio

Peer Comparison

98th
percentile in specialty
This provider$9.9M
Specialty median$339.6K

๐Ÿ“‹ Key Findings

1Billed $9.9M over 10 years
26.38x markup ratio (above median)
398th percentile in Hematology-Oncology by payments
4168 services/day โ€” unusually high
516 procedures with >3x markup

This provider averages 168 services per working day

Based on 419.5K total services over 10 years (250 working days/year). Learn about impossible service volumes โ†’

๐Ÿ”Ž Data Analysis

This provider's $9.9M in total Medicare payments ranks in the 98th percentile of Hematology-Oncology providers nationally.

Their average markup ratio of 6.38x is significantly above the specialty median of 3.5x.

Averaging 168 services per working day raises questions about billing patterns.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$142.99$72.751.97x$70.24$1.4M47.8K20.9K
2015$521.65$74.447.01x$447.21$1.5M56.0K23.4K
2016$551.85$79.076.98x$472.78$1.4M50.2K21.6K
2017$511.12$85.006.01x$426.12$1.2M52.8K21.2K
2018$518.57$90.025.76x$428.55$1.1M44.6K18.4K
2019$389.84$46.338.41x$343.51$954.4K44.9K19.5K
2020$444.49$47.719.32x$396.78$881.9K41.9K19.2K
2021$301.86$38.787.78x$263.08$532.8K28.8K13.1K
2022$332.35$37.788.80x$294.57$489.5K27.4K13.0K
2023$348.20$40.468.61x$307.74$465.8K25.1K11.9K

Top Procedures (20)

J2505Injection, pegfilgrastim, 6 mg
$1.8M
603 services$2.9K/svc2.50x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$1.3M
16.6K services$80.71/svc2.59x markup
78815Nuclear medicine study with CT imaging skull base to mid-thighโš  7.9x markup
$1.1M
1.5K services$681.63/svc7.89x markup
99213Established patient office or other outpatient visit, typically 15 minutesโš  3.2x markup
$669.7K
12.6K services$52.99/svc3.16x markup
96413Infusion of chemotherapy into a vein up to 1 hourโš  4.2x markup
$621.3K
6.3K services$98.90/svc4.22x markup
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuriesโš  5.2x markup
$331.9K
1.7K services$196.06/svc5.18x markup
99215Established patient office or other outpatient, visit typically 40 minutes
$309.6K
2.8K services$111.79/svc2.87x markup
85025Complete blood cell count (red cells, white blood cell, platelets), automated testโš  9.2x markup
$287.1K
31.8K services$9.03/svc9.16x markup
74177CT scan of abdomen and pelvis with contrastโš  21.9x markup
$256.5K
1.6K services$160.12/svc21.88x markup
J9310Injection, rituximab, 100 mg
$205.5K
345 services$595.68/svc2.56x markup
99205New patient office or other outpatient visit, typically 60 minutesโš  3.0x markup
$198.7K
1.3K services$152.06/svc3.03x markup
96365Infusion into a vein for therapy, prevention, or diagnosis up to 1 hourโš  6.4x markup
$177.0K
3.5K services$50.89/svc6.38x markup
82728Ferritin (blood protein) levelโš  8.2x markup
$176.9K
11.2K services$15.79/svc8.22x markup
96372Injection beneath the skin or into muscle for therapy, diagnosis, or preventionโš  7.6x markup
$169.8K
11.0K services$15.47/svc7.58x markup
78816Nuclear medicine study with CT imaging whole bodyโš  8.0x markup
$119.5K
177 services$675.01/svc8.01x markup
80076Liver function blood test panelโš  22.1x markup
$115.7K
19.3K services$5.99/svc22.10x markup
83550Iron binding capacityโš  9.3x markup
$113.5K
11.2K services$10.13/svc9.30x markup
71260CT scan chest with contrastโš  29.4x markup
$107.3K
1.8K services$60.48/svc29.36x markup
96417Infusion of different chemotherapy drug or substance into a vein up to 1 hourโš  4.9x markup
$105.0K
2.2K services$47.21/svc4.93x markup
36415Insertion of needle into vein for collection of blood sampleโš  12.8x markup
$103.2K
31.8K services$3.24/svc12.75x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
J2505Injection, pegfilgrastim, 6 mg603$1.8M$2.9K2.50x
99214Established patient office or other outpatient, visit typically 25 minutes16.6K$1.3M$80.712.59x
78815Nuclear medicine study with CT imaging skull base to mid-thigh1.5K$1.1M$681.637.89x
99213Established patient office or other outpatient visit, typically 15 minutes12.6K$669.7K$52.993.16x
96413Infusion of chemotherapy into a vein up to 1 hour6.3K$621.3K$98.904.22x
A9552Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries1.7K$331.9K$196.065.18x
99215Established patient office or other outpatient, visit typically 40 minutes2.8K$309.6K$111.792.87x
85025Complete blood cell count (red cells, white blood cell, platelets), automated test31.8K$287.1K$9.039.16x
74177CT scan of abdomen and pelvis with contrast1.6K$256.5K$160.1221.88x
J9310Injection, rituximab, 100 mg345$205.5K$595.682.56x
99205New patient office or other outpatient visit, typically 60 minutes1.3K$198.7K$152.063.03x
96365Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour3.5K$177.0K$50.896.38x
82728Ferritin (blood protein) level11.2K$176.9K$15.798.22x
96372Injection beneath the skin or into muscle for therapy, diagnosis, or prevention11.0K$169.8K$15.477.58x
78816Nuclear medicine study with CT imaging whole body177$119.5K$675.018.01x
80076Liver function blood test panel19.3K$115.7K$5.9922.10x
83550Iron binding capacity11.2K$113.5K$10.139.30x
71260CT scan chest with contrast1.8K$107.3K$60.4829.36x
96417Infusion of different chemotherapy drug or substance into a vein up to 1 hour2.2K$105.0K$47.214.93x
36415Insertion of needle into vein for collection of blood sample31.8K$103.2K$3.2412.75x

Markup Analysis

Charge-to-Payment Ratio

6.38x

This provider submits charges 6.38 times higher than what Medicare actually pays.

What This Means

A markup ratio of 6.38x means for every $100 Medicare pays, this provider initially charges $638. This is higher than the national average.

Location

Myrtle Beach, SC

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Hematology-Oncology providers in SC for peer comparison.

Vijay Paudel (you)
$9.9M
Renwick Goldberg, MDโš ๏ธ
$38.6M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Renwick Goldberg, MDMyrtle Beach, SC$38.6Mโš ๏ธ Flagged

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data