This provider's $3.9M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $148.10 | $69.06 | 2.14x | $79.04 | $419.2K | 6.6K | 3.5K |
| 2015 | $144.19 | $66.82 | 2.16x | $77.37 | $469.4K | 7.4K | 4.0K |
| 2016 | $145.97 | $64.80 | 2.25x | $81.17 | $390.2K | 6.5K | 3.6K |
| 2017 | $146.56 | $66.65 | 2.20x | $79.91 | $366.0K | 6.6K | 3.5K |
| 2018 | $162.66 | $72.54 | 2.24x | $90.12 | $356.7K | 6.2K | 3.2K |
| 2019 | $156.69 | $77.18 | 2.03x | $79.51 | $380.8K | 5.9K | 3.0K |
| 2020 | $158.15 | $75.88 | 2.08x | $82.27 | $331.5K | 5.0K | 2.6K |
| 2021 | $171.30 | $81.77 | 2.09x | $89.53 | $406.8K | 5.4K | 2.9K |
| 2022 | $170.00 | $78.96 | 2.15x | $91.04 | $408.1K | 5.4K | 2.9K |
| 2023 | $170.09 | $82.12 | 2.07x | $87.97 | $345.0K | 4.2K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 12.4K | $936.4K | $75.44 | 2.32x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.6K | $506.2K | $52.86 | 2.37x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 6.6K | $459.3K | $69.83 | 2.01x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 4.7K | $245.3K | $52.17 | 2.11x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.3K | $181.7K | $54.42 | 1.92x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.2K | $148.7K | $127.75 | 1.72x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 909 | $139.3K | $153.23 | 1.63x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 594 | $117.3K | $197.52 | 2.50x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.4K | $114.7K | $83.18 | 2.64x |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.3K | $106.3K | $81.95 | 2.44x |
| 90670 | Pneumococcal vaccine for injection into muscle | 473 | $84.0K | $177.69 | 1.22x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 958 | $77.5K | $80.87 | 1.57x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 410 | $66.3K | $161.69 | 1.39x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 1.0K | $64.6K | $64.01 | 1.95x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 608 | $64.1K | $105.44 | 2.13x |
| 76700 | Ultrasound of abdomen | 612 | $57.0K | $93.17 | 2.31x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.6K | $53.3K | $32.89 | 3.04x |
| 76770 | Ultrasound behind abdominal cavity | 591 | $51.3K | $86.73 | 2.21x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple | 1.1K | $45.0K | $40.94 | 2.93x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 260 | $40.6K | $156.20 | 2.43x |
This provider submits charges 2.16 times higher than what Medicare actually pays.
A markup ratio of 2.16x means for every $100 Medicare pays, this provider initially charges $216. 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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