This provider's $3.6M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 977% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 100% in 2015
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 | $85.88 | $45.57 | 1.88x | $40.31 | $61.5K | 860 | 761 |
| 2015 | $88.00 | $30.37 | 2.90x | $57.63 | $122.9K | 2.5K | 2.3K |
| 2016 | $81.12 | $27.95 | 2.90x | $53.17 | $149.1K | 3.4K | 3.0K |
| 2017 | $87.09 | $29.18 | 2.98x | $57.91 | $155.9K | 3.8K | 3.5K |
| 2018 | $90.18 | $30.03 | 3.00x | $60.15 | $186.2K | 4.5K | 4.0K |
| 2019 | $90.03 | $32.73 | 2.75x | $57.30 | $274.9K | 5.8K | 5.0K |
| 2020 | $93.47 | $35.26 | 2.65x | $58.21 | $345.6K | 8.1K | 7.2K |
| 2021 | $145.13 | $42.39 | 3.42x | $102.74 | $626.0K | 11.8K | 10.4K |
| 2022 | $171.56 | $41.96 | 4.09x | $129.60 | $967.3K | 16.5K | 13.1K |
| 2023 | $162.14 | $44.66 | 3.63x | $117.48 | $662.5K | 11.2K | 9.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 15.3K | $937.6K | $61.35 | 4.25x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 8.1K | $598.4K | $74.32 | 3.88x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.6K | $404.7K | $88.02 | 4.04x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 6.0K | $318.1K | $53.21 | 5.27x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 6.0K | $301.9K | $50.14 | 4.31x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.8K | $214.5K | $118.37 | 3.86x |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 2.6K | $130.8K | $50.48 | 3.46x |
| 0241U | Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 687 | $96.0K | $139.78 | 1.25x |
| 69210 | Removal of impact ear wax, one ear | 1.7K | $57.9K | $35.02 | 3.20x |
| 71046 | X-ray of chest, 2 views | 2.2K | $52.0K | $23.99 | 3.65x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 2.2K | $49.7K | $22.14 | 2.17x |
| 99201 | New patient office or other outpatient visit, typically 10 minutes | 1.1K | $45.0K | $42.36 | 2.18x |
| 12002 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs | 317 | $28.5K | $89.95 | 2.83x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 234 | $27.4K | $117.01 | 3.42x |
| 12001 | Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs | 381 | $27.3K | $71.61 | 2.88x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 112 | $19.0K | $169.63 | 3.51x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 179 | $16.6K | $92.66 | 2.66x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 1.2K | $15.7K | $13.35 | 4.20x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 1.1K | $13.2K | $12.35 | 3.27x |
| 71020 | X-ray of chest, 2 views, front and side | 641 | $12.5K | $19.48 | 2.87x |
This provider submits charges 3.94 times higher than what Medicare actually pays.
A markup ratio of 3.94x means for every $100 Medicare pays, this provider initially charges $394. This is higher 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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