This provider's $4.0M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 172% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 65% in 2022
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 | $89.13 | $50.00 | 1.78x | $39.13 | $291.9K | 3.7K | 2.7K |
| 2015 | $131.90 | $74.55 | 1.77x | $57.35 | $244.8K | 3.0K | 2.1K |
| 2016 | $136.25 | $77.12 | 1.77x | $59.13 | $239.8K | 2.9K | 2.2K |
| 2017 | $128.62 | $74.71 | 1.72x | $53.91 | $262.6K | 3.6K | 2.6K |
| 2018 | $126.46 | $69.41 | 1.82x | $57.05 | $339.2K | 4.5K | 3.0K |
| 2019 | $136.15 | $76.84 | 1.77x | $59.31 | $370.9K | 4.5K | 2.9K |
| 2020 | $121.73 | $70.43 | 1.73x | $51.30 | $354.1K | 4.6K | 3.0K |
| 2021 | $108.44 | $69.62 | 1.56x | $38.82 | $399.4K | 4.9K | 3.7K |
| 2022 | $129.21 | $80.91 | 1.60x | $48.30 | $657.8K | 7.7K | 5.7K |
| 2023 | $133.73 | $79.14 | 1.69x | $54.59 | $795.0K | 10.5K | 8.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 21.7K | $1.7M | $78.32 | 1.82x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 9.4K | $1.1M | $119.06 | 1.53x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.9K | $389.9K | $56.13 | 1.89x |
| 99497 | Advance care planning, first 30 minutes | 2.0K | $160.0K | $78.84 | 1.36x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 961 | $132.6K | $137.97 | 1.65x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 944 | $101.2K | $107.18 | 1.63x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 890 | $88.9K | $99.84 | 2.01x |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 374 | $60.7K | $162.28 | 1.25x |
| G0444 | Annual depression screening, 15 minutes | 2.9K | $52.0K | $17.90 | 1.28x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 287 | $47.5K | $165.68 | 1.13x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 130 | $27.4K | $211.13 | 1.58x |
| 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 | 437 | $17.8K | $40.65 | 2.05x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 175 | $10.7K | $61.28 | 2.46x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 827 | $10.4K | $12.59 | 2.24x |
| 99212 | Established patient outpatient visit, total time 10-19 minutes | 277 | $10.4K | $37.46 | 1.95x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 41 | $5.9K | $143.79 | 1.86x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 519 | $5.8K | $11.27 | 4.13x |
| G0179 | Physician re-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 im | 176 | $5.4K | $30.95 | 2.09x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 34 | $1.4K | $41.11 | 3.41x |
| 69210 | Removal of impact ear wax, one ear | 38 | $1.4K | $35.86 | 1.68x |
This provider submits charges 1.7 times higher than what Medicare actually pays.
A markup ratio of 1.7x means for every $100 Medicare pays, this provider initially charges $170. 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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