This provider averages 69 services per working day
Based on 173.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.2M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 69 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 253% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 77% in 2016
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 | $96.17 | $44.95 | 2.14x | $51.22 | $334.0K | 11.3K | 8.9K |
| 2015 | $87.96 | $41.83 | 2.10x | $46.13 | $295.7K | 10.3K | 8.4K |
| 2016 | $94.95 | $47.45 | 2.00x | $47.50 | $522.1K | 14.6K | 10.3K |
| 2017 | $119.06 | $57.90 | 2.06x | $61.16 | $747.2K | 24.2K | 18.1K |
| 2018 | $108.66 | $51.92 | 2.09x | $56.74 | $808.4K | 27.6K | 19.7K |
| 2019 | $114.69 | $46.80 | 2.45x | $67.89 | $679.1K | 23.3K | 16.8K |
| 2020 | $115.09 | $46.50 | 2.48x | $68.59 | $705.9K | 13.5K | 10.8K |
| 2021 | $169.34 | $66.62 | 2.54x | $102.72 | $1.0M | 16.5K | 12.4K |
| 2022 | $177.65 | $58.68 | 3.03x | $118.97 | $913.5K | 15.1K | 11.0K |
| 2023 | $178.62 | $63.27 | 2.82x | $115.35 | $1.2M | 17.3K | 10.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 25.7K | $2.2M | $83.95 | 2.63x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 9.0K | $1.1M | $120.89 | 1.88x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 18.4K | $1.0M | $56.57 | 2.72x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.1K | $221.3K | $105.63 | 2.82x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 952 | $159.8K | $167.89 | 1.96x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 2.2K | $153.5K | $71.34 | 2.46x |
| 90662 | Vaccine for influenza for injection into muscle | 2.6K | $143.9K | $54.36 | 1.68x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 598 | $119.1K | $199.17 | 2.51x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 8.1K | $110.5K | $13.72 | 3.47x |
| 80053 | Blood test, comprehensive group of blood chemicals | 8.8K | $108.7K | $12.35 | 3.90x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 763 | $104.3K | $136.67 | 1.96x |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 3.6K | $97.2K | $26.64 | 2.08x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 1.6K | $94.6K | $58.74 | 2.69x |
| G0442 | Annual alcohol misuse screening, 15 minutes | 5.2K | $94.0K | $18.04 | 2.14x |
| G0444 | Annual depression screening, 15 minutes | 5.2K | $93.3K | $18.07 | 2.20x |
| 83721 | LDL cholesterol level | 7.2K | $86.6K | $12.05 | 2.13x |
| G0008 | Administration of influenza virus vaccine | 3.1K | $70.5K | $22.98 | 1.79x |
| 76881 | Ultrasound of leg or arm | 896 | $70.0K | $78.17 | 2.19x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 801 | $59.8K | $74.67 | 2.10x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 731 | $59.2K | $81.05 | 2.82x |
This provider submits charges 2.44 times higher than what Medicare actually pays.
A markup ratio of 2.44x means for every $100 Medicare pays, this provider initially charges $244. 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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