This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 252% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 65% in 2015
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $143.11 | $46.88 | 3.05x | $96.23 | $152.6K | 2.5K | 1.5K |
| 2015 | $145.98 | $50.91 | 2.87x | $95.07 | $251.0K | 4.0K | 2.4K |
| 2016 | $149.28 | $52.20 | 2.86x | $97.08 | $270.6K | 4.9K | 3.0K |
| 2017 | $147.30 | $51.66 | 2.85x | $95.64 | $302.8K | 5.6K | 4.0K |
| 2018 | $92.01 | $37.35 | 2.46x | $54.66 | $291.3K | 6.6K | 5.3K |
| 2019 | $81.74 | $33.84 | 2.42x | $47.90 | $389.7K | 10.7K | 8.3K |
| 2020 | $85.19 | $35.49 | 2.40x | $49.70 | $464.8K | 13.4K | 10.0K |
| 2021 | $84.12 | $34.40 | 2.45x | $49.72 | $419.5K | 12.3K | 9.5K |
| 2022 | $89.69 | $37.99 | 2.36x | $51.70 | $420.9K | 12.1K | 9.7K |
| 2023 | $91.55 | $38.00 | 2.41x | $53.55 | $536.3K | 13.1K | 10.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 17.4K | $1.4M | $80.44 | 3.09x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 5.1K | $642.7K | $126.56 | 2.06x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.5K | $156.3K | $104.32 | 3.54x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.6K | $138.3K | $52.22 | 3.18x |
| 90670 | Pneumococcal vaccine for injection into muscle | 511 | $100.9K | $197.55 | 1.74x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 1.2K | $90.9K | $77.88 | 2.49x |
| G0444 | Annual depression screening, 15 minutes | 4.7K | $87.4K | $18.65 | 2.06x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 428 | $86.6K | $202.37 | 2.70x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 4.0K | $68.3K | $17.06 | 2.03x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 486 | $63.1K | $129.87 | 2.86x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 4.3K | $58.2K | $13.61 | 2.03x |
| 90662 | Vaccine for influenza for injection into muscle | 1.1K | $57.6K | $50.69 | 1.90x |
| 80053 | Blood test, comprehensive group of blood chemicals | 4.7K | $50.1K | $10.75 | 2.03x |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 251 | $43.1K | $171.79 | 2.08x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 277 | $39.4K | $142.36 | 2.77x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 4.5K | $35.2K | $7.89 | 2.04x |
| 84439 | Thyroxine (thyroid chemical) measurement | 3.3K | $30.5K | $9.17 | 2.03x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 2.0K | $30.0K | $14.83 | 3.80x |
| G0008 | Administration of influenza virus vaccine | 1.2K | $29.7K | $24.58 | 2.00x |
| 84153 | PSA (prostate specific antigen) measurement | 1.4K | $26.4K | $18.60 | 2.04x |
This provider submits charges 2.67 times higher than what Medicare actually pays.
A markup ratio of 2.67x means for every $100 Medicare pays, this provider initially charges $267. 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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