⚠️ This provider averages 627 services per working day — physically unusual for an individual practitioner
Based on 1.6M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $23.5M in total Medicare payments ranks in the 99th percentile of Rheumatology providers nationally.
Averaging 627 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 91% from 2014 to 2023.
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 | $37.51 | $20.99 | 1.79x | $16.52 | $1.6M | 77.6K | 39 |
| 2015 | $30.28 | $18.20 | 1.66x | $12.08 | $1.5M | 83.2K | 30 |
| 2016 | $30.90 | $20.06 | 1.54x | $10.84 | $1.6M | 82.0K | 28 |
| 2017 | $29.20 | $16.06 | 1.82x | $13.14 | $2.1M | 128.5K | 28 |
| 2018 | $28.57 | $16.13 | 1.77x | $12.44 | $2.1M | 133.1K | 29 |
| 2019 | $30.28 | $17.12 | 1.77x | $13.16 | $2.8M | 163.9K | 31 |
| 2020 | $28.38 | $16.16 | 1.76x | $12.22 | $2.8M | 172.0K | 26 |
| 2021 | $26.63 | $14.43 | 1.85x | $12.20 | $3.1M | 211.6K | 24 |
| 2022 | $25.20 | $12.16 | 2.07x | $13.04 | $2.8M | 226.7K | 24 |
| 2023 | $24.16 | $10.80 | 2.24x | $13.36 | $3.1M | 288.7K | 22 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 121.5K | $4.4M | $36.08 | 1.55x |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 73.2K | $3.5M | $47.92 | 1.69x |
| J0717 | Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 605.8K | $3.2M | $5.21 | 2.42x |
| J0897 | Injection, denosumab, 1 mg | 192.7K | $2.9M | $15.19 | 1.68x |
| J9312 | Injection, rituximab, 10 mg | 24.8K | $1.7M | $69.90 | 1.53x |
| J1602 | Injection, golimumab, 1 mg, for intravenous use | 115.4K | $1.6M | $13.95 | 2.53x |
| J9310 | Injection, rituximab, 100 mg | 2.4K | $1.5M | $611.14 | 1.48x |
| J3262 | Injection, tocilizumab, 1 mg | 338.4K | $1.3M | $3.86 | 2.46x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 9.7K | $872.4K | $89.95 | 1.56x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 5.3K | $618.5K | $115.77 | 1.87x |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 6.7K | $434.8K | $64.43 | 1.44x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 7.1K | $421.9K | $59.04 | 1.49x |
| J3111 | Injection, romosozumab-aqqg, 1 mg | 35.7K | $277.3K | $7.77 | 1.67x |
| 20610 | Aspiration and/or injection of fluid from large joint | 4.9K | $207.7K | $42.62 | 2.56x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 948 | $122.8K | $129.50 | 1.62x |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 1.4K | $95.4K | $68.25 | 2.86x |
| 96415 | Administration of chemotherapy into vein, each additional hour | 2.5K | $60.4K | $24.62 | 3.69x |
| 99203 | New patient outpatient visit, total time 30-44 minutes | 528 | $44.0K | $83.43 | 1.80x |
| 76881 | Complete ultrasound scan of joint | 866 | $30.7K | $35.44 | 4.26x |
| J3489 | Injection, zoledronic acid, 1 mg | 1.3K | $25.8K | $20.32 | 3.59x |
This provider submits charges 1.86 times higher than what Medicare actually pays.
A markup ratio of 1.86x means for every $100 Medicare pays, this provider initially charges $186. This is lower 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.
Other Rheumatology providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Aymen Kenawy, M.D. | Lynn Haven, FL | $56.3M | ✓ Clear |
| Vipul Joshi, MD | Brandon, FL | $41.8M | ✓ Clear |
| Adam Rosen, MD | Clearwater, FL | $38.6M | ✓ Clear |
| Eugenia Rullan Bidot, MD | Clearwater, FL | $38.2M | ✓ Clear |
| Marc Hirsh, M.D. | Delray Beach, FL | $33.8M | ✓ Clear |
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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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