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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. Medical Oncology
  4. Fraud Risk

Medicare Fraud Risk in Medical Oncology

55 flagged Medical Oncology providers identified through statistical anomaly detection.

Share:

Flagged Providers

55

of 32.6K total

Average Risk Score

69/100

Specialty Markup

3.6x

Total Payments

$8.6B

Most Common Fraud Flags

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

💰 Outlier Spending55 providers
📈 High Markup55 providers
👥 Beneficiary Stuffing55 providers
📊 Volume Anomaly55 providers

Top Flagged Medical Oncology Providers

ProviderLocationRisk ScoreTotal PaymentsMarkupFlags
Brian DicarloSan Luis Obispo, CA79$4.7M43.2xoutlier spending, high markup
James UyekiAustin, TX78$6.7M22.5xoutlier spending, high markup
Amy McmullenSanta Cruz, CA74$3.5M33.9xoutlier spending, high markup
Jayanthi RamaduraiBurbank, IL73$2.5M32.0xoutlier spending, high markup
Allan Espinosa MorazanPrescott, AZ73$2.2M28.8xoutlier spending, high markup
Jagathi ChallagallaWichita Falls, TX73$2.1M22.0xoutlier spending, high markup
Alexander ZuhoskiRiverhead, NY72$4.4M10.2xoutlier spending, high markup
Thomas GregoryTyler, TX72$2.4M24.9xoutlier spending, high markup
Mary MulcahyChicago, IL71$3.2M23.8xoutlier spending, high markup
David DspainGranbury, TX71$2.6M21.4xoutlier spending, high markup
Dina TebcheranyAustin, TX71$2.5M23.4xoutlier spending, high markup
John SchaubPensacola, FL71$1.6M35.2xoutlier spending, high markup
Daniel GreenwaldSanta Barbara, CA70$3.5M23.1xoutlier spending, high markup
Benjamin JonesBirmingham, AL70$2.4M22.5xoutlier spending, high markup
Rami OweraPensacola, FL70$2.3M22.7xoutlier spending, high markup
Rene CastilloAustin, TX70$2.0M21.2xoutlier spending, high markup
Haskell KirkpatrickDallas, TX70$1.8M23.9xoutlier spending, high markup
Donald RichardsTyler, TX70$1.8M23.0xoutlier spending, high markup
Erin FleenerBryan, TX70$1.8M27.8xoutlier spending, high markup
Celeste WilcoxParis, TX70$1.7M24.1xoutlier spending, high markup
Bilal AnsariMishawaka, IN70$1.7M26.6xoutlier spending, high markup
Jay WangNaples, FL69$4.5M12.8xoutlier spending, high markup
Bruce SaidmanKingston, PA69$3.4M14.5xoutlier spending, high markup
Patrick TravisFayetteville, AR69$3.3M10.9xoutlier spending, high markup
David GreenwaldKingston, PA69$2.7M14.9xoutlier spending, high markup
Suzan MertenRoanoke, VA69$1.8M20.6xoutlier spending, high markup
Stephen DiversHot Springs, AR68$3.9M11.7xoutlier spending, high markup
Charles ButlerColumbia, SC68$3.8M11.2xoutlier spending, high markup
Scott LuninSarasota, FL68$3.5M14.7xoutlier spending, high markup
Umasankar RamadossColumbia, MO68$3.3M15.6xoutlier spending, high markup

Markup by Specialty

How Medical 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.