This provider's $4.7M in total Medicare payments ranks in the 96th percentile of Rheumatology providers nationally.
Medicare payments to this provider grew 61% from 2014 to 2023.
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 | $166.25 | $51.09 | 3.25x | $115.16 | $305.3K | 6.9K | 4.0K |
| 2015 | $203.34 | $57.38 | 3.54x | $145.96 | $290.0K | 5.5K | 3.1K |
| 2016 | $216.78 | $63.21 | 3.43x | $153.57 | $426.2K | 7.6K | 3.8K |
| 2017 | $186.23 | $65.77 | 2.83x | $120.46 | $428.7K | 7.6K | 3.6K |
| 2018 | $213.13 | $83.74 | 2.55x | $129.39 | $531.2K | 7.3K | 3.7K |
| 2019 | $204.45 | $77.42 | 2.64x | $127.03 | $555.2K | 7.5K | 3.8K |
| 2020 | $174.85 | $69.27 | 2.52x | $105.58 | $550.7K | 10.4K | 5.6K |
| 2021 | $131.73 | $65.60 | 2.01x | $66.13 | $591.4K | 12.4K | 6.9K |
| 2022 | $171.30 | $81.57 | 2.10x | $89.73 | $539.7K | 8.3K | 3.7K |
| 2023 | $125.42 | $49.88 | 2.51x | $75.54 | $492.5K | 9.4K | 4.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 10.5K | $650.4K | $62.15 | 1.76x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.8K | $602.0K | $88.19 | 1.89x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 5.0K | $558.2K | $111.76 | 2.24x |
| J7327 | Hyaluronan or derivative, monovisc, for intra-articular injection, per dose | 650 | $436.1K | $670.85 | 2.11x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $224.7K | $131.92 | 1.93x |
| J9310 | Injection, rituximab, 100 mg | 310 | $192.3K | $620.41 | 1.47x |
| J7326 | Hyaluronan or derivative, gel-one, for intra-articular injection, per dose | 194 | $181.0K | $933.04 | 1.39x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.7K | $178.6K | $38.04 | 1.81x |
| 96401 | Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle | 2.7K | $166.8K | $62.83 | 1.59x |
| 20611 | Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance | 1.8K | $159.4K | $88.43 | 2.69x |
| 96521 | Refilling and maintenance of portable pump | 1.3K | $157.5K | $120.06 | 2.50x |
| 20610 | Aspiration and/or injection of large joint or joint capsule | 2.2K | $117.2K | $53.05 | 2.46x |
| J1745 | Injection infliximab, 10 mg | 2.3K | $116.7K | $51.29 | 1.66x |
| 96415 | Infusion of chemotherapy into a vein | 3.3K | $80.3K | $24.46 | 2.45x |
| 77080 | Bone density measurement using dedicated X-ray machine | 1.3K | $53.1K | $41.80 | 3.07x |
| 64445 | Injection of anesthetic agent, sciatic nerve | 407 | $51.9K | $127.40 | 1.97x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 886 | $51.1K | $57.63 | 2.17x |
| 73721 | MRI scan of leg joint | 383 | $49.3K | $128.62 | 5.97x |
| 73221 | MRI scan of arm joint | 389 | $46.8K | $120.22 | 6.33x |
| J0897 | Injection, denosumab, 1 mg | 2.8K | $42.8K | $15.10 | 1.68x |
This provider submits charges 2.23 times higher than what Medicare actually pays.
A markup ratio of 2.23x means for every $100 Medicare pays, this provider initially charges $223. 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 Rheumatology providers in FL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Aymen Kenawy, M.D. | Lynn Haven, FL | $56.3M | ✓ Clear |
| Vipul Joshi, MD | Brandon, FL | $41.8M | ✓ Clear |
| Adam Rosen, MD | Clearwater, FL | $38.6M | ✓ Clear |
| Eugenia Rullan Bidot, MD | Clearwater, FL | $38.2M | ✓ Clear |
| Marc Hirsh, M.D. | Delray Beach, FL | $33.8M | ✓ 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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