This provider's $4.9M 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 | $109.24 | $53.78 | 2.03x | $55.46 | $454.9K | 9.4K | 5.5K |
| 2015 | $103.18 | $52.80 | 1.95x | $50.38 | $475.9K | 9.8K | 5.8K |
| 2016 | $92.35 | $45.80 | 2.02x | $46.55 | $475.5K | 10.9K | 6.9K |
| 2017 | $91.78 | $44.59 | 2.06x | $47.19 | $513.6K | 11.9K | 8.0K |
| 2018 | $94.03 | $47.11 | 2.00x | $46.92 | $568.6K | 12.4K | 8.0K |
| 2019 | $93.64 | $44.87 | 2.09x | $48.77 | $505.9K | 11.2K | 7.1K |
| 2020 | $102.50 | $39.76 | 2.58x | $62.74 | $413.6K | 8.8K | 6.6K |
| 2021 | $114.54 | $45.44 | 2.52x | $69.10 | $513.5K | 11.4K | 9.3K |
| 2022 | $112.51 | $44.11 | 2.55x | $68.40 | $459.1K | 10.6K | 8.6K |
| 2023 | $114.68 | $45.03 | 2.55x | $69.65 | $490.6K | 10.3K | 8.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 17.6K | $1.4M | $77.21 | 2.45x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 8.3K | $989.0K | $119.83 | 1.82x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 5.1K | $531.9K | $104.44 | 2.17x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.3K | $369.5K | $50.94 | 2.52x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 3.6K | $304.3K | $83.59 | 2.11x |
| 90662 | Vaccine for influenza for injection into muscle | 2.3K | $118.7K | $52.26 | 1.63x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 6.5K | $94.1K | $14.48 | 2.34x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.7K | $83.1K | $30.43 | 2.56x |
| G0444 | Annual depression screening, 15 minutes | 3.8K | $68.5K | $17.97 | 2.11x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 584 | $64.5K | $110.37 | 2.59x |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 387 | $61.7K | $159.34 | 1.73x |
| G0008 | Administration of influenza virus vaccine | 2.6K | $58.3K | $22.11 | 1.62x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 279 | $52.2K | $187.18 | 2.16x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 494 | $49.6K | $100.47 | 2.85x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 353 | $48.8K | $138.11 | 2.28x |
| 83036 | Hemoglobin A1C level | 3.9K | $43.8K | $11.19 | 1.99x |
| 99490 | Chronic care management services at least 20 minutes per calendar month | 1.4K | $42.8K | $30.94 | 2.17x |
| 64566 | Implantation of lower leg neurostimulator electrode, accessed through the skin | 395 | $38.4K | $97.26 | 2.01x |
| 90670 | Pneumococcal vaccine for injection into muscle | 201 | $34.4K | $171.31 | 1.34x |
| 36415 | Insertion of needle into vein for collection of blood sample | 8.6K | $30.7K | $3.58 | 1.92x |
This provider submits charges 2.19 times higher than what Medicare actually pays.
A markup ratio of 2.19x means for every $100 Medicare pays, this provider initially charges $219. 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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