This provider averages 79 services per working day
Based on 198.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $10.5M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 79 services per working day raises questions about billing patterns.
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 | $75.45 | $56.44 | 1.34x | $19.01 | $944.1K | 18.3K | 12.1K |
| 2015 | $73.44 | $53.27 | 1.38x | $20.17 | $1.1M | 23.7K | 12.1K |
| 2016 | $75.65 | $48.32 | 1.57x | $27.33 | $956.4K | 20.3K | 10.3K |
| 2017 | $78.79 | $51.26 | 1.54x | $27.53 | $871.7K | 18.4K | 9.7K |
| 2018 | $75.86 | $42.67 | 1.78x | $33.19 | $841.7K | 18.7K | 10.1K |
| 2019 | $97.55 | $52.27 | 1.87x | $45.28 | $994.8K | 19.3K | 11.8K |
| 2020 | $103.36 | $55.90 | 1.85x | $47.46 | $939.6K | 17.7K | 11.4K |
| 2021 | $104.99 | $57.16 | 1.84x | $47.83 | $1.2M | 20.2K | 13.7K |
| 2022 | $117.31 | $62.16 | 1.89x | $55.15 | $1.4M | 20.9K | 14.3K |
| 2023 | $130.07 | $59.41 | 2.19x | $70.66 | $1.3M | 20.4K | 12.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 25.8K | $2.3M | $87.68 | 1.86x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 35.9K | $2.0M | $55.10 | 1.98x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 8.8K | $1.1M | $124.75 | 1.18x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 24.9K | $883.7K | $35.51 | 1.74x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 6.5K | $558.6K | $85.53 | 1.39x |
| 99491 | Chronic care management services by qualified health care professional, 30 minutes or more per calendar month | 4.1K | $277.7K | $67.99 | 1.84x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 1.2K | $236.7K | $203.15 | 1.50x |
| 96116 | Neurobehavioral status examination, interpretation, and report by psychologist or physician per hour | 3.2K | $230.3K | $71.47 | 1.92x |
| 90670 | Pneumococcal vaccine for injection into muscle | 1.3K | $221.2K | $176.28 | 1.33x |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 7.0K | $190.6K | $27.32 | 1.68x |
| G0442 | Annual alcohol misuse screening, 15 minutes | 7.7K | $145.3K | $18.88 | 2.14x |
| G0444 | Annual depression screening, 15 minutes | 7.1K | $133.3K | $18.82 | 2.17x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.3K | $128.9K | $98.69 | 1.55x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $127.3K | $113.55 | 2.26x |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 438 | $122.4K | $279.38 | 2.06x |
| G0008 | Administration of influenza virus vaccine | 4.9K | $116.7K | $23.63 | 1.69x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 8.9K | $113.9K | $12.80 | 3.09x |
| 17000 | Destruction of skin growth | 2.0K | $100.7K | $49.41 | 1.75x |
| 99354 | Prolonged office or other outpatient service first hour | 1.0K | $97.9K | $96.18 | 1.57x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 899 | $89.1K | $99.11 | 1.51x |
This provider submits charges 1.76 times higher than what Medicare actually pays.
A markup ratio of 1.76x means for every $100 Medicare pays, this provider initially charges $176. 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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