Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C.

Specialist·GRAND RAPIDS, MI·NPI: 1528018389Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$59.6M

$59,564,299

Total Claims

450K

Beneficiaries

302K

1.5 claims/patient

Avg Cost/Claim

$133

Monthly Spending Trend

Yearly Spending

2018
$9.3M
-10%
2019
$8.3M
+4%
2020
$8.7M
+8%
2021
$9.4M
-8%
2022
$8.7M
-19%
2023
$7.1M
+15%
2024
$8.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (J9271 (Injection, pembrolizumab, 1 mg)) accounts for 28% of total spending.

J9271Normal range

Injection, pembrolizumab, 1 mg

$16.9M

2,325 claims · 28.3%

Your Cost: $7,254.58/claim|Median: $5,391.55
1.3× median
J9299Normal range

Nivolumab (Opdivo) injection, 1 mg

$12.4M

2,633 claims · 20.8%

Your Cost: $4,694.83/claim|Median: $3,562.28
1.3× median
J2505Normal range

$4.5M

1,515 claims · 7.6%

Your Cost: $2,971.16/claim|Median: $1,842.27
1.6× median
J9173Normal range

Injection, durvalumab, ten milligrams

$2.1M

468 claims · 3.5%

Your Cost: $4,463.07/claim|Median: $3,405.75
1.3× median
Q5122Top 25%

$1.9M

886 claims · 3.1%

Your Cost: $2,114.26/claim|Median: $1,726.55
1.2× median
Q5117Normal range

$1.9M

839 claims · 3.1%

Your Cost: $2,232.25/claim|Median: $1,034.41
2.2× median
J9355Normal range

Injection, trastuzumab, ten milligrams

$1.7M

606 claims · 2.8%

Your Cost: $2,751.92/claim|Median: $1,942.13
1.4× median
J9306Normal range

Injection, pertuzumab, one milligram

$1.4M

292 claims · 2.4%

Your Cost: $4,924.11/claim|Median: $3,571.19
1.4× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$1.4M

27K claims · 2.4%

Your Cost: $52.89/claim|Median: $75.28
0.7× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$1.3M

26K claims · 2.3%

Your Cost: $52.47/claim|Median: $53.41
1.0× median
J9035Top 5%

Injection, bevacizumab, 10 mg

$1.3M

510 claims · 2.2%

Your Cost: $2,618.18/claim|Median: $43.71
59.9× median
Q5107Top 25%

$872K

565 claims · 1.5%

Your Cost: $1,543.50/claim|Median: $824.41
1.9× median
J1930Top 25%

$784K

225 claims · 1.3%

Your Cost: $3,483.80/claim|Median: $1,808.53
1.9× median
G9678Top 25%

$776K

5,237 claims · 1.3%

Your Cost: $148.18/claim|Median: $3.47
42.7× median
J1439Normal range

$760K

1,336 claims · 1.3%

Your Cost: $568.80/claim|Median: $477.34
1.2× median
99233Top 25%

Subsequent hospital care, per day, high complexity

$759K

14K claims · 1.3%

Your Cost: $55.63/claim|Median: $35.30
1.6× median
99215Normal range

Office/outpatient visit, high complexity

$731K

10K claims · 1.2%

Your Cost: $73.05/claim|Median: $74.09
1.0× median
99223Normal range

Initial hospital care, per day, high complexity

$434K

4,512 claims · 0.7%

Your Cost: $96.24/claim|Median: $67.32
1.4× median
J2469Normal range

Injection, palonosetron HCl, twenty-five micrograms

$424K

10K claims · 0.7%

Your Cost: $41.77/claim|Median: $25.23
1.7× median
J9202Normal range

$407K

1,014 claims · 0.7%

Your Cost: $401.74/claim|Median: $483.75
0.8× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$399K

10K claims · 0.7%

Your Cost: $38.04/claim|Median: $37.81
1.0× median
J1454Normal range

$359K

723 claims · 0.6%

Your Cost: $497.05/claim|Median: $286.68
1.7× median
Q5108Normal range

$312K

244 claims · 0.5%

Your Cost: $1,278.92/claim|Median: $1,251.70
1.0× median
J9305Top 5%

Injection, pemetrexed, ten milligrams

$302K

75 claims · 0.5%

Your Cost: $4,032.82/claim|Median: $1,245.54
3.2× median
J1453Normal range

$284K

3,525 claims · 0.5%

Your Cost: $80.58/claim|Median: $65.90
1.2× median
96375Normal range

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$282K

18K claims · 0.5%

Your Cost: $15.82/claim|Median: $14.92
1.1× median
85025Normal range

Complete blood count (CBC) with differential, automated

$275K

51K claims · 0.5%

Your Cost: $5.43/claim|Median: $4.71
1.2× median
96417Normal range

$255K

7,953 claims · 0.4%

Your Cost: $32.13/claim|Median: $37.60
0.9× median
80053Normal range

Comprehensive metabolic panel

$250K

34K claims · 0.4%

Your Cost: $7.41/claim|Median: $7.24
1.0× median
Q5112Normal range

$250K

116 claims · 0.4%

Your Cost: $2,156.21/claim|Median: $1,745.71
1.2× median
96416Normal range

$248K

4,356 claims · 0.4%

Your Cost: $56.84/claim|Median: $118.51
0.5× median
J9395Top 25%

Injection, fulvestrant, twenty-five milligrams

$190K

239 claims · 0.3%

Your Cost: $794.55/claim|Median: $367.29
2.2× median
99205Normal range

Office/outpatient visit, new patient, high complexity

$168K

1,628 claims · 0.3%

Your Cost: $103.42/claim|Median: $111.09
0.9× median
J1437Normal range

$168K

120 claims · 0.3%

Your Cost: $1,398.55/claim|Median: $979.19
1.4× median
J0640Normal range

$147K

3,695 claims · 0.2%

Your Cost: $39.83/claim|Median: $24.08
1.7× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$140K

1,688 claims · 0.2%

Your Cost: $83.03/claim|Median: $84.03
1.0× median
99232Normal range

Subsequent hospital care, per day, moderate complexity

$137K

3,703 claims · 0.2%

Your Cost: $36.92/claim|Median: $23.99
1.5× median
Q5119Top 5%

$135K

44 claims · 0.2%

Your Cost: $3,066.27/claim|Median: $1,296.80
2.4× median
J9358Top 25%

$124K

19 claims · 0.2%

Your Cost: $6,547.55/claim|Median: $3,408.30
1.9× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$118K

4,365 claims · 0.2%

Your Cost: $27.03/claim|Median: $54.77
0.5× median
96401Normal range

$109K

3,407 claims · 0.2%

Your Cost: $31.98/claim|Median: $40.24
0.8× median
J0185Top 25%

$107K

507 claims · 0.2%

Your Cost: $211.02/claim|Median: $125.72
1.7× median
36415Top 25%

Collection of venous blood by venipuncture

$104K

34K claims · 0.2%

Your Cost: $3.11/claim|Median: $1.57
2.0× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$103K

1,905 claims · 0.2%

Your Cost: $54.25/claim|Median: $43.85
1.2× median
96415Normal range

Chemotherapy infusion, each additional hour

$103K

6,383 claims · 0.2%

Your Cost: $16.06/claim|Median: $43.68
0.4× median
96411Normal range

$95K

3,221 claims · 0.2%

Your Cost: $29.50/claim|Median: $33.16
0.9× median
96367Normal range

$94K

5,851 claims · 0.2%

Your Cost: $16.10/claim|Median: $29.27
0.6× median
J9070Normal range

$87K

331 claims · 0.1%

Your Cost: $261.66/claim|Median: $163.22
1.6× median
J9190Normal range

$65K

4,755 claims · 0.1%

Your Cost: $13.61/claim|Median: $9.86
1.4× median
J1750Top 25%

$63K

266 claims · 0.1%

Your Cost: $235.98/claim|Median: $97.22
2.4× median

Other Top Providers in Michigan

View all →

Guardiantrac. LLC

Community/Behavioral Health

$2.68B

Centria Healthcare LLC

Home Health

$590.6M

Integra Partners LLC

Orthotic Fitter

$422.3M

Community Mental Health Authority of Clinton Eaton Ingham Counties

Clinic/Center Mental Health (Including Community

$368.4M

Macomb Oakland Regional Center Inc.

Community/Behavioral Health

$342.6M

Similar Providers

Other top providers in Specialist

Department of Health and Senior Services

Trenton, NJ

$1.07B

← All providersAll providers in Michigan →How we detect fraud →