⚠️ This provider averages 511 services per working day — physically unusual for an individual practitioner
Based on 382.9K total services over 3 years (250 working days/year). Learn about impossible service volumes →
This provider's $8.5M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 511 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 11641% from 2021 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 6832% in 2022
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2021 | $93.55 | $61.19 | 1.53x | $32.36 | $45.1K | 737 | 14 |
| 2022 | $115.26 | $47.21 | 2.44x | $68.05 | $3.1M | 66.2K | 10 |
| 2023 | $46.10 | $16.76 | 2.75x | $29.34 | $5.3M | 316.0K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J3241 | Injection, teprotumumab-trbw, 10 mg | 17.6K | $4.4M | $250.68 | 2.18x |
| J1306 | Injection, inclisiran, 1 mg | 121.6K | $1.1M | $9.39 | 2.86x |
| J3245 | Injection, tildrakizumab, 1 mg | 8.5K | $929.6K | $109.36 | 3.33x |
| J0897 | Injection, denosumab, 1 mg | 45.5K | $832.8K | $18.29 | 3.13x |
| J3111 | Injection, romosozumab-aqqg, 1 mg | 84.6K | $670.9K | $7.93 | 2.93x |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 2.9K | $98.3K | $33.60 | 2.90x |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 3.4K | $88.6K | $25.84 | 6.44x |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 1.3K | $75.5K | $59.23 | 2.55x |
| J0174 | Injection, lecanemab-irmb, 1 mg | 61.0K | $64.2K | $1.05 | 2.91x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 449 | $47.8K | $106.54 | 2.57x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 265 | $26.2K | $98.96 | 1.59x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 399 | $20.7K | $51.96 | 4.62x |
| Q0138 | Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) | 33.7K | $14.4K | $0.43 | 9.05x |
| 96372 | Injection of drug or substance under skin or into muscle | 451 | $5.2K | $11.47 | 2.55x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 30 | $4.1K | $137.60 | 1.18x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 15 | $3.5K | $230.90 | 1.48x |
| 99497 | Advance care planning by the physician or other qualified health care professional, first 30 minutes | 36 | $3.1K | $84.92 | 1.36x |
| 96415 | Administration of chemotherapy into vein, each additional hour | 126 | $2.9K | $23.00 | 2.55x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 38 | $2.8K | $74.99 | 1.49x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 154 | $2.5K | $16.41 | 2.56x |
This provider submits charges 2.63 times higher than what Medicare actually pays.
A markup ratio of 2.63x means for every $100 Medicare pays, this provider initially charges $263. 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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