This provider averages 183 services per working day
Based on 457.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.9M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 183 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 2495% from 2014 to 2023.
75% of their billing comes from a single procedure code (K1034 — Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 3258% in 2023
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 | $141.79 | $59.61 | 2.38x | $82.18 | $203.2K | 3.4K | 20 |
| 2015 | $181.12 | $81.10 | 2.23x | $100.02 | $425.1K | 5.2K | 19 |
| 2016 | $189.36 | $87.38 | 2.17x | $101.98 | $351.6K | 4.0K | 18 |
| 2017 | $207.46 | $80.06 | 2.59x | $127.40 | $175.2K | 2.2K | 11 |
| 2018 | $193.81 | $65.05 | 2.98x | $128.76 | $88.8K | 1.4K | 8 |
| 2019 | $201.59 | $59.87 | 3.37x | $141.72 | $72.1K | 1.2K | 11 |
| 2020 | $219.24 | $59.41 | 3.69x | $159.83 | $54.5K | 918 | 4 |
| 2021 | $232.12 | $64.85 | 3.58x | $167.27 | $57.1K | 880 | 6 |
| 2022 | $156.86 | $59.00 | 2.66x | $97.86 | $157.0K | 2.7K | 15 |
| 2023 | $24.94 | $12.11 | 2.06x | $12.83 | $5.3M | 435.5K | 13 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 431.8K | $5.1M | $11.76 | 2.04x |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 6.1K | $350.0K | $57.24 | 3.25x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 3.7K | $290.6K | $77.56 | 2.41x |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 3.1K | $252.9K | $82.16 | 2.88x |
| 99337 | Established patient assisted living visit, typically 60 minutes | 1.6K | $225.3K | $144.98 | 1.38x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1.8K | $92.5K | $50.84 | 2.53x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 936 | $92.2K | $98.56 | 2.02x |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.0K | $82.9K | $82.60 | 2.93x |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 1.7K | $76.3K | $44.27 | 1.90x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 343 | $54.6K | $159.30 | 2.25x |
| 99238 | Hospital discharge day management, 30 minutes or less | 898 | $51.4K | $57.22 | 3.49x |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 1.2K | $42.1K | $34.61 | 2.17x |
| 99487 | Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 289 | $27.0K | $93.47 | 1.90x |
| 99328 | New patient assisted living visit, typically 75 minutes | 154 | $25.1K | $163.28 | 1.42x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 63 | $10.2K | $161.33 | 2.09x |
| 99217 | Hospital observation care on day of discharge | 159 | $8.5K | $53.19 | 3.74x |
| 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 implem | 202 | $8.2K | $40.81 | 2.84x |
| 99489 | Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 154 | $7.8K | $50.81 | 1.69x |
| 99493 | Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes | 65 | $6.5K | $100.00 | 4.38x |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 191 | $6.5K | $33.83 | 2.96x |
This provider submits charges 2.16 times higher than what Medicare actually pays.
A markup ratio of 2.16x means for every $100 Medicare pays, this provider initially charges $216. 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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