Providers
MEDICAL ONCOLOGY HEMATOLOGY CONSULTANTS PA
NPI 1235199316, organization, Newark, DE, Internal Medicine, Hematology & Oncology
5
Evidence tier
informational
score 32 of 100, rank 10669, $8.8M at stake
Public list actions
Medicare revocation effective April 1, 2021, barred from re-enrolling until September 5, 2026
424.535(a)(1) noncompliance (dme standards not met), DME Supplier - Physician - General Surgery, DE
Paid after the action
Months in which Medicaid paid claims for this provider after a public action that should have triggered a screening check. This is a record of payments, not a determination that they were improper.
| list | identity check | action date | window closed | months paid after | first | last | paid after | 12 months before |
|---|---|---|---|---|---|---|---|---|
| Medicare revocation list 424.535(a)(1) noncompliance (dme standards not met) | Exact NPI, name verified | Apr 1, 2021 | Sep 5, 2026 | 44 | May 2021 | Dec 2024 | $8.8M | $643K |
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | MEDICAL ONCOLOGY HEMATOLOGY CONSULTANTS PA |
| Type | Organization |
| Status | Active |
| NPI issued | March 24, 2006, last updated May 4, 2018 |
| Practice location | 4701 OGLETOWN STANTON RD, SUITE 2200, Newark, DE 19713-2055, 302-366-1200 |
| Authorized official | AMDREW HIMELSTEIN (President) |
| Specialties | Internal Medicine, Hematology & Oncology (207RH0003X, primary) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
Medicaid, largest codes
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| J9271 | Injection, pembrolizumab, 1 mg | $6.8M | 76% | $12K | $8K (top 5% from $16K) | 80th percentile | |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | $456K | 5% | $151 | $120 (top 5% from $408) | 64th percentile | |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $333K | 4% | $74 | $60 (top 5% from $133) | 69th percentile | |
| J1454 | Injection, fosnetupitant 235 mg and palonosetron 0.25 mg | $259K | 3% | $472 | too few months to rank | ||
| J1437 | Injection, ferric derisomaltose, 10 mg | $210K | 2% | $1K | too few months to rank | ||
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | $174K | 2% | $50 | $44 (top 5% from $110) | 61st percentile | |
| J0897 | Injection, denosumab, 1 mg | $167K | 2% | $2K | $689 (top 5% from $2K) | 91st percentile | |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or morehistory of abuse | $133K | 1% | $102 | $88 (top 5% from $210) | 60th percentile |
In this area
7 providers in New Castle County, DE carry an indicator in the public record, with $643K at stake between them. The most common is more hours than a day holds, on 5 of them, followed by named in an enforcement record on 1.
| tier | provider | at stake | why |
|---|---|---|---|
| 2 | RITU RASTOGI Wilmington, DE, ranked 744 | $316K |
|
| 3 | SHAYASTA MUFTI Bear, DE, ranked 5349 | $0 |
|
| 4 | QAYYUM NAZAR Bear, DE, ranked 8019 | $227K |
|
| 4 | NIEEMA MAHDI Wilmington, DE, ranked 8390 | $55K |
|
| 4 | MELISSA SCHNECK Wilmington, DE, ranked 9765 | $3K |
|
| 4 | MALIKA MCMEANS SPRUILL Townsend, DE, ranked 9776 | $617 |
|
| 5 | BIOTEK REMEDYS, INC. New Castle, DE, ranked 11792 | $41K |
Recent enforcement in DE
All releasesDepartment of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.
DOJPleaded guiltyJul 2, 2026
South Dakota Man Pleads Guilty to Aggravated Identity Theft and Obtaining Drugs by Fraud
Mauldin used his access as a medical biller and credentialer to steal medical professionals' licensure information to order thousands of opioid pills, falsified his own electronic medical records to pose as a cancer patient and obtain pain management services paid by his private health insurer, and held himself out as a licensed nurse to perform Transcranial Magnetic Stimulation therapy and submit false claims to Medicaid.
DOJComplaint filedJun 30, 2026
Civil Complaint Filed Over False Laboratory Claims
The United States alleges the defendants violated the False Claims Act by submitting thousands of claims to government health care programs for laboratory diagnostic tests that lacked a valid medical purpose, were conducted in violation of laboratory clinical standards, and in numerous cases were not conducted at all.
DOJCivil settlementApr 29, 2026
Former Delaware Physician to Pay $180,000 to Resolve Allegations of Genetic Testing Fraud
A physician agreed to pay $180,000 to resolve False Claims Act allegations that she ordered medically unnecessary genetic tests for more than 100 Medicare beneficiaries with whom she had no established physician-patient relationship, often based only on brief telemedicine consultations or none at all.
DOJIndictedDec 15, 2025
Medical Biller Charged with Diverting Opioids and Federal Health Care Fraud
A medical biller and credentialer used stolen identities and licensure information of medical professionals to order and prescribe himself thousands of opioid pills, falsified his own medical records to obtain pain management treatment paid by a private insurer, and submitted false claims to Medicaid for Transcranial Magnetic Stimulation therapy he performed while posing as a nurse.
DOJComplaint filedJul 7, 2025
United States Files False Claim Act Complaint Against Delaware Medical Provider
The United States alleges that Dr. Mufti referred more than 100 Medicare beneficiaries for medically unnecessary genetic laboratory tests based on brief telemedicine consultations or no consultation, causing false claims to Medicare.
Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.