This provider's $4.2M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Medicare payments to this provider grew 423% from 2014 to 2023.
67% of their billing comes from a single procedure code (99309 — Subsequent nursing facility visit, typically 25 minutes per day).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 112% 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 |
|---|---|---|---|---|---|---|---|
| 2014 | $234.12 | $92.32 | 2.54x | $141.80 | $264.8K | 3.1K | 1.1K |
| 2015 | $256.45 | $105.10 | 2.44x | $151.35 | $271.1K | 3.3K | 1.2K |
| 2016 | $259.13 | $89.88 | 2.88x | $169.25 | $251.0K | 3.2K | 973 |
| 2017 | $298.67 | $82.34 | 3.63x | $216.33 | $237.6K | 3.2K | 1.0K |
| 2018 | $312.37 | $85.01 | 3.67x | $227.36 | $168.5K | 2.1K | 772 |
| 2019 | $197.22 | $77.27 | 2.55x | $119.95 | $131.4K | 1.6K | 525 |
| 2020 | $262.00 | $109.98 | 2.38x | $152.02 | $262.7K | 3.0K | 779 |
| 2021 | $233.33 | $96.51 | 2.42x | $136.82 | $399.1K | 5.0K | 595 |
| 2022 | $246.20 | $93.18 | 2.64x | $153.02 | $847.7K | 10.6K | 794 |
| 2023 | $243.18 | $103.23 | 2.36x | $139.95 | $1.4M | 15.2K | 874 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 37.3K | $2.8M | $75.51 | 2.63x |
| 99310 | Subsequent nursing facility visit, typically 35 minutes per day | 7.7K | $831.4K | $108.04 | 2.62x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.8K | $233.6K | $130.65 | 2.61x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 1.0K | $108.6K | $104.48 | 2.63x |
| 99316 | Nursing facility discharge management, more than 30 minutes | 512 | $42.7K | $83.44 | 2.66x |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 247 | $36.7K | $148.71 | 2.28x |
| 99337 | Established patient assisted living visit, typically 60 minutes | 232 | $34.3K | $147.73 | 2.50x |
| 99327 | New patient assisted living visit, typically 60 minutes | 155 | $23.4K | $150.77 | 2.52x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 211 | $21.0K | $99.72 | 2.45x |
| 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 imple | 444 | $18.4K | $41.50 | 4.08x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 192 | $14.5K | $75.60 | 2.51x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 196 | $12.1K | $61.58 | 2.71x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 64 | $6.5K | $101.19 | 2.47x |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 29 | $4.9K | $168.70 | 1.48x |
| 99318 | Nursing facility annual assessment, typically 30 minutes | 54 | $4.1K | $75.69 | 3.32x |
| 99345 | Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes | 25 | $4.1K | $162.63 | 2.55x |
| 99328 | New patient assisted living visit, typically 75 minutes | 19 | $3.2K | $168.89 | 3.03x |
| G0179 | Physician re-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 imp | 70 | $2.2K | $31.56 | 3.55x |
| 99407 | Smoking and tobacco use intensive counseling, greater than 10 minutes | 39 | $1.0K | $25.99 | 1.92x |
| 99315 | Nursing facility discharge day management, 30 minutes or less | 13 | $760.11 | $58.47 | 2.57x |
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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