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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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Methodology•Download Data
  1. Home
  2. Specialties
  3. Hematology-Oncology
  4. Fraud Risk

Medicare Fraud Risk in Hematology-Oncology

103 flagged Hematology-Oncology providers identified through statistical anomaly detection.

Share:

Flagged Providers

103

of 66.9K total

Average Risk Score

68/100

Specialty Markup

3.5x

Total Payments

$22.7B

Most Common Fraud Flags

Types of billing anomalies most frequently detected among flagged Hematology-Oncology providers.

💰 Outlier Spending103 providers
📈 High Markup103 providers
👥 Beneficiary Stuffing103 providers
📊 Volume Anomaly103 providers

Top Flagged Hematology-Oncology Providers

ProviderLocationRisk ScoreTotal PaymentsMarkupFlags
Jamal MislehNewark, DE76$6.8M31.0xoutlier spending, high markup
Mohamad KassarDyer, IN76$4.7M21.6xoutlier spending, high markup
Clark JeanLas Vegas, NV75$4.2M24.2xoutlier spending, high markup
Guangzhi QuJackson, MS74$9.1M15.8xoutlier spending, high markup
Julia Schaefer-CutilloElizabeth City, NC74$4.0M24.0xoutlier spending, high markup
Imran AhmedLas Vegas, NV74$4.0M24.0xoutlier spending, high markup
Thomas AlbericoNorfolk, VA74$3.5M25.6xoutlier spending, high markup
Samuel SlomowitzLos Angeles, CA74$3.4M37.7xoutlier spending, high markup
Iyad HamarnehPrescott Valley, AZ73$3.5M29.5xoutlier spending, high markup
Kamal PatelLittle Rock, AR72$5.7M15.7xoutlier spending, high markup
Nauman MoazzamLakewood, CO72$3.6M22.1xoutlier spending, high markup
Jason TakseyAnnapolis, MD72$3.3M31.1xoutlier spending, high markup
Bassam MattarWichita, KS71$7.2M13.2xoutlier spending, high markup
Dennis MooreWichita, KS71$6.7M14.3xoutlier spending, high markup
Bhavesh BalarFreehold, NJ71$4.2M19.4xoutlier spending, high markup
Rupesh ParikhHenderson, NV71$3.1M19.7xoutlier spending, high markup
Anuradha ThummalaLas Vegas, NV71$2.7M20.2xoutlier spending, high markup
John WaplesHuntsville, AL70$9.6M8.4xoutlier spending, high markup
Pavan ReddyWichita, KS70$6.7M12.9xoutlier spending, high markup
Tammy YoungJackson, MS70$5.1M14.8xoutlier spending, high markup
Ryan HallLittle Rock, AR70$4.6M15.0xoutlier spending, high markup
Lawrence MendelsohnLittle Rock, AR70$3.4M15.3xoutlier spending, high markup
Roy ChenRiverhead, NY70$3.3M11.3xoutlier spending, high markup
Dejuania Brown-RawlsMyrtle Beach, SC70$2.8M15.2xoutlier spending, high markup
Deepnarayan TiwarriClinton, MD70$2.6M20.9xoutlier spending, high markup
Mark KochenderferRoanoke, VA70$2.5M27.1xoutlier spending, high markup
Wasif ShiraziTinley Park, IL70$2.3M31.6xoutlier spending, high markup
Praveen ReddyWichita Falls, TX70$1.8M23.5xoutlier spending, high markup
Ravi RaoFresno, CA69$6.6M10.8xoutlier spending, high markup
Christopher LoboPort Charlotte, FL69$6.1M12.5xoutlier spending, high markup

Markup by Specialty

How Hematology-Oncology markup compares to other specialties.

Anesthesiology Assistant
12.2x
Dental Anesthesiology
12.2x
Certified Registered Nurse Anesthetist (CRNA)
9.7x
Anesthesiologist Assistants
9.6x
Anesthesiology
8.8x
CRNA
7.4x
Emergency Medicine
7.1x
Radiation Therapy Center
7.1x
Radiation Therapy
6.1x
Ambulatory Surgical Center
6.1x
Independent Diagnostic Testing Facility (IDTF)
6.1x
Neurosurgery
5.9x
Independent Diagnostic Testing Facility
5.5x
Diagnostic Radiology
5.4x
Interventional Radiology
5.1x

⚠️ Disclaimer: Being flagged does not imply fraud. These providers were identified through statistical analysis of billing patterns that deviate significantly from peers. Unusual billing may have legitimate explanations. This data is provided for transparency and public accountability purposes only.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • OpenMedicare Statistical Anomaly Detection

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.