This provider averages 56 services per working day
Based on 138.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $9.4M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 56 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 157% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 58% in 2018
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $122.44 | $75.59 | 1.62x | $46.85 | $498.4K | 7.3K | 1.9K |
| 2015 | $123.17 | $69.36 | 1.78x | $53.81 | $495.7K | 7.2K | 2.3K |
| 2016 | $165.86 | $76.33 | 2.17x | $89.53 | $725.4K | 10.9K | 2.7K |
| 2017 | $143.36 | $70.29 | 2.04x | $73.07 | $752.2K | 11.0K | 3.2K |
| 2018 | $105.82 | $64.05 | 1.65x | $41.77 | $1.2M | 17.5K | 4.2K |
| 2019 | $87.79 | $62.41 | 1.41x | $25.38 | $1.2M | 18.4K | 4.7K |
| 2020 | $83.25 | $56.27 | 1.48x | $26.98 | $1.2M | 19.0K | 3.5K |
| 2021 | $104.47 | $65.10 | 1.60x | $39.37 | $973.0K | 14.1K | 3.3K |
| 2022 | $101.60 | $65.10 | 1.56x | $36.50 | $1.1M | 15.1K | 3.5K |
| 2023 | $117.34 | $64.95 | 1.81x | $52.39 | $1.3M | 18.2K | 4.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 34.7K | $2.9M | $82.81 | 1.44x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 22.1K | $1.6M | $72.23 | 1.42x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 18.3K | $989.7K | $54.08 | 1.43x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 16.8K | $954.2K | $56.93 | 1.51x |
| 99356 | Prolonged inpatient or observation hospital service first hour | 12.4K | $887.1K | $71.64 | 1.39x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.4K | $370.2K | $83.45 | 1.97x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.0K | $307.3K | $152.81 | 1.50x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 1.4K | $238.2K | $174.73 | 2.38x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.7K | $227.0K | $130.30 | 1.39x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 1.3K | $139.8K | $105.68 | 1.39x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.0K | $114.8K | $58.11 | 1.61x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 753 | $89.3K | $118.65 | 1.64x |
| 71250 | CT scan chest | 1.4K | $57.5K | $41.66 | 1.66x |
| 71045 | X-ray of chest, 1 view | 7.8K | $55.5K | $7.13 | 1.82x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 1.6K | $52.9K | $34.16 | 1.73x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 415 | $49.5K | $119.32 | 1.97x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 432 | $46.8K | $108.26 | 1.52x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 389 | $39.0K | $100.18 | 1.50x |
| 31624 | Irrigation and suction of lung airways to obtain cells using an endoscope | 305 | $34.6K | $113.59 | 1.55x |
| 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 1.1K | $33.4K | $29.07 | 1.91x |
This provider submits charges 1.51 times higher than what Medicare actually pays.
A markup ratio of 1.51x means for every $100 Medicare pays, this provider initially charges $151. 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 Internal Medicine providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Patrick Anastasio, D.O. | Fort Walton Beach, FL | $39.5M | ✓ Clear |
| Steven Newman, MD | Naples, FL | $35.4M | ⚠️ Flagged |
| Abraham Schwarzberg, MD | Palm Springs, FL | $34.6M | ✓ 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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