This provider averages 67 services per working day
Based on 167.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.7M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 67 services per working day raises questions about billing patterns.
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 | $64.19 | $50.17 | 1.28x | $14.02 | $539.5K | 17.5K | 12.6K |
| 2015 | $61.34 | $46.15 | 1.33x | $15.19 | $667.7K | 21.4K | 15.9K |
| 2016 | $60.36 | $45.11 | 1.34x | $15.25 | $645.7K | 21.7K | 16.0K |
| 2017 | $62.24 | $48.23 | 1.29x | $14.01 | $651.9K | 21.2K | 16.0K |
| 2018 | $62.03 | $48.99 | 1.27x | $13.04 | $663.6K | 20.7K | 15.6K |
| 2019 | $61.32 | $46.39 | 1.32x | $14.93 | $573.5K | 19.0K | 14.7K |
| 2020 | $50.06 | $40.32 | 1.24x | $9.74 | $417.1K | 11.9K | 7.9K |
| 2021 | $61.05 | $47.17 | 1.29x | $13.88 | $465.1K | 10.9K | 6.9K |
| 2022 | $63.69 | $48.02 | 1.33x | $15.67 | $534.0K | 11.6K | 7.2K |
| 2023 | $48.90 | $34.79 | 1.41x | $14.11 | $494.2K | 11.8K | 7.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.9K | $826.5K | $55.32 | 1.41x |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 6.8K | $825.9K | $121.84 | 1.03x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.7K | $698.8K | $90.30 | 1.43x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 4.8K | $447.1K | $93.86 | 1.60x |
| 90670 | Pneumococcal vaccine for injection into muscle | 1.2K | $203.7K | $166.67 | 1.03x |
| 84443 | Blood test, thyroid stimulating hormone (TSH) | 9.6K | $193.7K | $20.10 | 1.11x |
| 80053 | Blood test, comprehensive group of blood chemicals | 12.8K | $146.0K | $11.44 | 1.23x |
| 82306 | Vitamin D-3 level | 4.1K | $145.6K | $35.28 | 1.12x |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 10.3K | $144.5K | $14.07 | 1.30x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 2.1K | $141.2K | $66.66 | 1.49x |
| 90662 | Vaccine for influenza for injection into muscle | 3.0K | $127.6K | $42.46 | 1.02x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.4K | $122.9K | $85.97 | 1.28x |
| G0444 | Annual depression screening, 15 minutes | 6.5K | $119.0K | $18.28 | 1.04x |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test | 12.2K | $113.2K | $9.29 | 1.12x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 651 | $103.0K | $158.15 | 1.38x |
| 99495 | Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge | 651 | $89.1K | $136.86 | 1.30x |
| 99496 | Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge | 398 | $82.0K | $206.08 | 1.28x |
| G0008 | Administration of influenza virus vaccine | 3.1K | $71.5K | $23.16 | 1.17x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.0K | $61.4K | $59.37 | 1.30x |
| 83036 | Hemoglobin A1C level | 5.2K | $60.2K | $11.69 | 1.16x |
This provider submits charges 1.28 times higher than what Medicare actually pays.
A markup ratio of 1.28x means for every $100 Medicare pays, this provider initially charges $128. This is lower 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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