This provider's $4.6M 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 | $119.80 | $62.94 | 1.90x | $56.86 | $364.7K | 8.7K | 4.2K |
| 2015 | $122.47 | $65.39 | 1.87x | $57.08 | $394.1K | 8.8K | 4.5K |
| 2016 | $127.18 | $67.37 | 1.89x | $59.81 | $406.0K | 9.4K | 4.8K |
| 2017 | $127.47 | $73.54 | 1.73x | $53.93 | $466.8K | 9.5K | 4.9K |
| 2018 | $129.81 | $69.16 | 1.88x | $60.65 | $485.9K | 10.1K | 5.3K |
| 2019 | $137.84 | $68.73 | 2.01x | $69.11 | $481.1K | 10.8K | 5.5K |
| 2020 | $139.87 | $70.71 | 1.98x | $69.16 | $463.2K | 10.6K | 5.4K |
| 2021 | $126.92 | $62.97 | 2.02x | $63.95 | $546.5K | 10.5K | 5.4K |
| 2022 | $143.41 | $73.90 | 1.94x | $69.51 | $501.2K | 8.1K | 4.8K |
| 2023 | $141.05 | $71.51 | 1.97x | $69.54 | $508.0K | 9.0K | 4.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 22.5K | $1.9M | $84.10 | 2.43x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 5.4K | $681.8K | $125.57 | 1.54x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 1.7K | $348.6K | $207.25 | 1.41x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 13.7K | $213.0K | $15.50 | 2.52x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 1.3K | $191.7K | $152.12 | 1.69x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.6K | $182.1K | $113.78 | 2.37x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.9K | $167.7K | $87.26 | 2.31x |
| 83036 | Hemoglobin A1C level | 8.5K | $95.4K | $11.20 | 2.68x |
| 90670 | Pneumococcal vaccine for injection into muscle | 575 | $94.8K | $164.93 | 1.21x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 2.5K | $85.2K | $33.68 | 1.48x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 405 | $66.0K | $162.94 | 2.38x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 608 | $63.7K | $104.71 | 2.97x |
| 36415 | Insertion of needle into vein for collection of blood sample | 17.2K | $58.8K | $3.41 | 2.93x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 951 | $50.4K | $52.98 | 2.53x |
| G0008 | Administration of influenza virus vaccine | 2.0K | $46.8K | $23.66 | 1.55x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.3K | $45.4K | $34.85 | 2.29x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 253 | $39.6K | $156.34 | 2.49x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 219 | $38.3K | $174.87 | 1.15x |
| 90732 | Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older | 330 | $33.2K | $100.56 | 1.55x |
| G0181 | Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of c | 332 | $28.4K | $85.68 | 2.38x |
This provider submits charges 2.13 times higher than what Medicare actually pays.
A markup ratio of 2.13x means for every $100 Medicare pays, this provider initially charges $213. 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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