This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 70% 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 | $145.19 | $82.53 | 1.76x | $62.66 | $311.8K | 6.2K | 1.5K |
| 2015 | $141.65 | $78.39 | 1.81x | $63.26 | $321.0K | 6.8K | 1.3K |
| 2016 | $135.05 | $68.95 | 1.96x | $66.10 | $334.1K | 7.1K | 1.5K |
| 2017 | $138.48 | $73.85 | 1.88x | $64.63 | $417.3K | 8.0K | 1.8K |
| 2018 | $141.86 | $76.79 | 1.85x | $65.07 | $438.1K | 8.1K | 1.7K |
| 2019 | $155.02 | $85.87 | 1.81x | $69.15 | $308.6K | 5.2K | 1.2K |
| 2020 | $166.86 | $92.74 | 1.80x | $74.12 | $377.3K | 5.4K | 1.1K |
| 2021 | $165.77 | $93.06 | 1.78x | $72.71 | $525.8K | 6.8K | 1.2K |
| 2022 | $164.71 | $92.27 | 1.79x | $72.44 | $703.8K | 9.8K | 1.8K |
| 2023 | $160.62 | $84.76 | 1.89x | $75.86 | $529.5K | 12.0K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 41.0K | $1.4M | $33.67 | 2.38x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 8.9K | $961.9K | $108.13 | 1.52x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 2.9K | $246.4K | $84.67 | 1.77x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.3K | $211.0K | $158.51 | 1.58x |
| 99337 | Established patient assisted living visit, typically 60 minutes | 1.3K | $195.8K | $152.11 | 1.48x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.3K | $163.0K | $129.02 | 1.66x |
| 99347 | Established patient home visit, typically 15 minutes | 4.1K | $154.5K | $37.94 | 1.98x |
| 99348 | Established patient home visit, typically 25 minutes | 2.3K | $133.0K | $58.31 | 2.14x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 2.2K | $127.1K | $58.38 | 2.06x |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.4K | $121.3K | $86.28 | 1.74x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 1.3K | $98.5K | $73.70 | 2.19x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 1.5K | $85.0K | $55.19 | 2.27x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.6K | $74.0K | $45.82 | 2.45x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 365 | $65.8K | $180.35 | 1.66x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 435 | $45.8K | $105.29 | 1.66x |
| 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 | 898 | $38.1K | $42.42 | 2.95x |
| 99220 | Hospital observation care typically 70 minutes per day | 198 | $28.7K | $144.87 | 1.55x |
| 99326 | New patient assisted living visit, typically 45 minutes | 234 | $23.4K | $100.07 | 1.65x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 294 | $20.9K | $70.94 | 1.76x |
| 99349 | Established patient home visit, typically 40 minutes | 210 | $20.2K | $96.29 | 1.82x |
This provider submits charges 1.95 times higher than what Medicare actually pays.
A markup ratio of 1.95x means for every $100 Medicare pays, this provider initially charges $195. 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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