OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
  1. Home
  2. Providers
  3. Norman Gaylis
⚕️
MDIndividual

Norman Gaylis, M.D.

NPI: 1255440384
Aventura, FL
10 years of data
Rheumatology
$4.7M
Total Payments
42.5K
Beneficiaries
82.8K
Services
2.23x
Markup Ratio

Peer Comparison

96th
percentile in specialty
This provider$4.7M
Specialty median$352.6K

📋 Key Findings

1Billed $4.7M over 10 years
22.23x markup ratio (above median)
396th percentile in Rheumatology by payments
43 procedures with >3x markup
✓ No flags detected

🔎 Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$166.25$51.093.25x$115.16$305.3K6.9K4.0K
2015$203.34$57.383.54x$145.96$290.0K5.5K3.1K
2016$216.78$63.213.43x$153.57$426.2K7.6K3.8K
2017$186.23$65.772.83x$120.46$428.7K7.6K3.6K
2018$213.13$83.742.55x$129.39$531.2K7.3K3.7K
2019$204.45$77.422.64x$127.03$555.2K7.5K3.8K
2020$174.85$69.272.52x$105.58$550.7K10.4K5.6K
2021$131.73$65.602.01x$66.13$591.4K12.4K6.9K
2022$171.30$81.572.10x$89.73$539.7K8.3K3.7K
2023$125.42$49.882.51x$75.54$492.5K9.4K4.3K

Top Procedures (20)

99213Established patient office or other outpatient visit, typically 15 minutes
$650.4K
10.5K services$62.15/svc1.76x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$602.0K
6.8K services$88.19/svc1.89x markup
96413Infusion of chemotherapy into a vein up to 1 hour
$558.2K
5.0K services$111.76/svc2.24x markup
J7327Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
$436.1K
650 services$670.85/svc2.11x markup
99204New patient office or other outpatient visit, typically 45 minutes
$224.7K
1.7K services$131.92/svc1.93x markup
J9310Injection, rituximab, 100 mg
$192.3K
310 services$620.41/svc1.47x markup
J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose
$181.0K
194 services$933.04/svc1.39x markup
99212Established patient office or other outpatient visit, typically 10 minutes
$178.6K
4.7K services$38.04/svc1.81x markup
96401Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle
$166.8K
2.7K services$62.83/svc1.59x markup
20611Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance
$159.4K
1.8K services$88.43/svc2.69x markup
96521Refilling and maintenance of portable pump
$157.5K
1.3K services$120.06/svc2.50x markup
20610Aspiration and/or injection of large joint or joint capsule
$117.2K
2.2K services$53.05/svc2.46x markup
J1745Injection infliximab, 10 mg
$116.7K
2.3K services$51.29/svc1.66x markup
96415Infusion of chemotherapy into a vein
$80.3K
3.3K services$24.46/svc2.45x markup
77080Bone density measurement using dedicated X-ray machine⚠ 3.1x markup
$53.1K
1.3K services$41.80/svc3.07x markup
64445Injection of anesthetic agent, sciatic nerve
$51.9K
407 services$127.40/svc1.97x markup
96365Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour
$51.1K
886 services$57.63/svc2.17x markup
73721MRI scan of leg joint⚠ 6.0x markup
$49.3K
383 services$128.62/svc5.97x markup
73221MRI scan of arm joint⚠ 6.3x markup
$46.8K
389 services$120.22/svc6.33x markup
J0897Injection, denosumab, 1 mg
$42.8K
2.8K services$15.10/svc1.68x markup
Show detailed table ▾
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99213Established patient office or other outpatient visit, typically 15 minutes10.5K$650.4K$62.151.76x
99214Established patient office or other outpatient, visit typically 25 minutes6.8K$602.0K$88.191.89x
96413Infusion of chemotherapy into a vein up to 1 hour5.0K$558.2K$111.762.24x
J7327Hyaluronan or derivative, monovisc, for intra-articular injection, per dose650$436.1K$670.852.11x
99204New patient office or other outpatient visit, typically 45 minutes1.7K$224.7K$131.921.93x
J9310Injection, rituximab, 100 mg310$192.3K$620.411.47x
J7326Hyaluronan or derivative, gel-one, for intra-articular injection, per dose194$181.0K$933.041.39x
99212Established patient office or other outpatient visit, typically 10 minutes4.7K$178.6K$38.041.81x
96401Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle2.7K$166.8K$62.831.59x
20611Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance1.8K$159.4K$88.432.69x
96521Refilling and maintenance of portable pump1.3K$157.5K$120.062.50x
20610Aspiration and/or injection of large joint or joint capsule2.2K$117.2K$53.052.46x
J1745Injection infliximab, 10 mg2.3K$116.7K$51.291.66x
96415Infusion of chemotherapy into a vein3.3K$80.3K$24.462.45x
77080Bone density measurement using dedicated X-ray machine1.3K$53.1K$41.803.07x
64445Injection of anesthetic agent, sciatic nerve407$51.9K$127.401.97x
96365Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour886$51.1K$57.632.17x
73721MRI scan of leg joint383$49.3K$128.625.97x
73221MRI scan of arm joint389$46.8K$120.226.33x
J0897Injection, denosumab, 1 mg2.8K$42.8K$15.101.68x

Markup Analysis

Charge-to-Payment Ratio

2.23x

This provider submits charges 2.23 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.23x means for every $100 Medicare pays, this provider initially charges $223. This is higher than the national average.

Location

Aventura, FL

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Rheumatology providers in FL for peer comparison.

Norman Gaylis (you)
$4.7M
Aymen Kenawy, M.D.
$56.3M
Vipul Joshi, MD
$41.8M
Adam Rosen, MD
$38.6M
Eugenia Rullan Bidot, MD
$38.2M
Marc Hirsh, M.D.
$33.8M
Show detailed table ▾
ProviderLocationTotal PaymentsStatus
Aymen Kenawy, M.D.Lynn Haven, FL$56.3M✓ Clear
Vipul Joshi, MDBrandon, FL$41.8M✓ Clear
Adam Rosen, MDClearwater, FL$38.6M✓ Clear
Eugenia Rullan Bidot, MDClearwater, FL$38.2M✓ Clear
Marc Hirsh, M.D.Delray Beach, FL$33.8M✓ Clear

Related

Browse
← Back to Provider Directory
State
All providers in FL →
Specialty
All Rheumatology providers →
Tool
Compare this provider →
Analysis
Fraud Watchlist →
Search
Search all providers →

Share This Provider

Share this provider's Medicare payment information

Share:

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • National Plan and Provider Enumeration System (NPPES)

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.

Believe this data is inaccurate? Dispute this data