This provider averages 52 services per working day
Based on 129.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $4.9M in total Medicare payments ranks in the 97th percentile of Medical Oncology providers nationally.
Averaging 52 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 | $204.94 | $99.88 | 2.05x | $105.06 | $576.4K | 13.6K | 3.2K |
| 2015 | $206.42 | $101.42 | 2.04x | $105.00 | $634.1K | 15.6K | 4.0K |
| 2016 | $186.09 | $100.61 | 1.85x | $85.48 | $658.3K | 15.9K | 4.0K |
| 2017 | $188.88 | $107.96 | 1.75x | $80.92 | $582.3K | 13.7K | 4.0K |
| 2018 | $118.80 | $48.58 | 2.45x | $70.22 | $442.3K | 10.9K | 3.2K |
| 2019 | $101.72 | $32.71 | 3.11x | $69.01 | $473.0K | 14.8K | 3.6K |
| 2020 | $91.09 | $31.91 | 2.85x | $59.18 | $429.9K | 13.3K | 3.5K |
| 2021 | $99.73 | $32.79 | 3.04x | $66.94 | $473.9K | 13.5K | 3.6K |
| 2022 | $95.38 | $30.66 | 3.11x | $64.72 | $361.9K | 10.4K | 3.3K |
| 2023 | $112.04 | $36.12 | 3.10x | $75.92 | $290.8K | 7.8K | 2.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 14.8K | $1.2M | $82.46 | 1.88x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 7.3K | $794.7K | $109.06 | 3.48x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 6.3K | $724.7K | $115.95 | 1.81x |
| J9310 | Injection, rituximab, 100 mg | 731 | $441.8K | $604.43 | 1.33x |
| J2505 | Injection, pegfilgrastim, 6 mg | 123 | $361.0K | $2.9K | 1.39x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.3K | $203.5K | $152.44 | 2.01x |
| 80053 | Blood test, comprehensive group of blood chemicals | 10.4K | $123.0K | $11.81 | 3.73x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 13.3K | $119.9K | $9.00 | 3.89x |
| 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 4.9K | $118.3K | $23.94 | 4.01x |
| 96417 | Infusion of different chemotherapy drug or substance into a vein up to 1 hour | 2.0K | $106.4K | $52.10 | 3.69x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 5.2K | $77.8K | $15.06 | 4.52x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 1.1K | $56.5K | $53.37 | 3.37x |
| J2469 | Injection, palonosetron hcl, 25 mcg | 4.2K | $49.6K | $11.81 | 4.24x |
| 36415 | Insertion of needle into vein for collection of blood sample | 14.2K | $47.7K | $3.37 | 8.91x |
| 96411 | Infusion of different chemotherapy drug or substance into a vein | 930 | $43.8K | $47.08 | 3.62x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 678 | $42.8K | $63.05 | 1.82x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 763 | $42.2K | $55.26 | 1.89x |
| 96409 | Infusion of chemotherapy into a vein using push technique | 495 | $41.9K | $84.56 | 3.19x |
| 96415 | Infusion of chemotherapy into a vein | 1.8K | $41.4K | $22.88 | 8.39x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 2.6K | $40.1K | $15.51 | 3.10x |
This provider submits charges 2.6 times higher than what Medicare actually pays.
A markup ratio of 2.6x means for every $100 Medicare pays, this provider initially charges $260. 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.
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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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