This provider averages 112 services per working day
Based on 279.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.7M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 112 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 153% from 2014 to 2023.
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 | $122.34 | $45.59 | 2.68x | $76.75 | $412.5K | 11.2K | 8.4K |
| 2015 | $127.58 | $50.06 | 2.55x | $77.52 | $507.4K | 13.8K | 9.1K |
| 2016 | $115.44 | $46.98 | 2.46x | $68.46 | $748.6K | 21.7K | 11.6K |
| 2017 | $103.79 | $41.73 | 2.49x | $62.06 | $653.7K | 20.3K | 11.1K |
| 2018 | $86.54 | $41.41 | 2.09x | $45.13 | $798.2K | 28.7K | 18.8K |
| 2019 | $80.14 | $33.76 | 2.37x | $46.38 | $837.4K | 36.0K | 24.6K |
| 2020 | $79.00 | $34.86 | 2.27x | $44.14 | $893.5K | 39.2K | 25.7K |
| 2021 | $76.78 | $35.49 | 2.16x | $41.29 | $868.3K | 36.5K | 23.2K |
| 2022 | $71.32 | $33.24 | 2.15x | $38.08 | $971.1K | 35.0K | 22.3K |
| 2023 | $83.37 | $38.84 | 2.15x | $44.53 | $1.0M | 36.5K | 23.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99490 | Chronic care management services at least 20 minutes per calendar month | 69.1K | $2.4M | $34.38 | 1.60x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.6K | $1.1M | $81.94 | 2.48x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 5.6K | $690.4K | $122.45 | 2.08x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.5K | $411.5K | $54.85 | 2.46x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.5K | $275.3K | $111.04 | 2.43x |
| 93922 | Ultrasound study of arteries of both arms and legs | 3.1K | $191.6K | $62.76 | 4.06x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 2.2K | $169.7K | $77.09 | 1.30x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 8.5K | $160.8K | $18.85 | 1.75x |
| 82306 | Vitamin D-3 level | 3.9K | $121.6K | $30.85 | 2.01x |
| 82607 | Cyanocobalamin (vitamin B-12) level | 6.4K | $110.3K | $17.18 | 1.38x |
| 84481 | Thyroid hormone, T3 measurement | 6.0K | $104.5K | $17.51 | 1.89x |
| 82746 | Folic acid level | 5.9K | $98.0K | $16.74 | 1.72x |
| 82728 | Ferritin (blood protein) level | 6.1K | $94.5K | $15.46 | 1.67x |
| 84439 | Thyroxine (thyroid chemical) measurement | 8.5K | $85.6K | $10.11 | 1.77x |
| G0442 | Annual alcohol misuse screening, 15 minutes | 4.6K | $84.5K | $18.28 | 1.37x |
| 80053 | Blood test, comprehensive group of blood chemicals | 7.0K | $76.8K | $10.92 | 2.01x |
| G0444 | Annual depression screening, 15 minutes | 4.2K | $76.6K | $18.22 | 1.10x |
| 93000 | Routine EKG using at least 12 leads including interpretation and report | 6.3K | $74.5K | $11.75 | 7.32x |
| 77080 | Bone density measurement using dedicated X-ray machine | 1.8K | $72.9K | $39.62 | 4.42x |
| 83036 | Hemoglobin A1C level | 6.7K | $71.5K | $10.68 | 4.96x |
This provider submits charges 2.14 times higher than what Medicare actually pays.
A markup ratio of 2.14x means for every $100 Medicare pays, this provider initially charges $214. 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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