⚠️ This provider averages 8.8K services per working day — physically unusual for an individual practitioner
Based on 22.0M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $39.5M in total Medicare payments ranks in the 99th percentile of Internal Medicine providers nationally.
Averaging 8.8K services per working day raises questions about billing patterns.
Medicare payments to this provider grew 620% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 100% 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 | $1.80 | $0.97 | 1.86x | $0.83 | $1.4M | 1.5M | 28 |
| 2015 | $2.81 | $1.11 | 2.53x | $1.70 | $1.8M | 1.6M | 31 |
| 2016 | $3.33 | $1.38 | 2.41x | $1.95 | $2.1M | 1.6M | 31 |
| 2017 | $2.89 | $0.99 | 2.92x | $1.90 | $3.4M | 3.4M | 27 |
| 2018 | $2.93 | $0.78 | 3.76x | $2.15 | $2.9M | 3.8M | 33 |
| 2019 | $3.41 | $0.94 | 3.63x | $2.47 | $3.3M | 3.5M | 30 |
| 2020 | $3.76 | $0.99 | 3.80x | $2.77 | $2.5M | 2.5M | 32 |
| 2021 | $4.90 | $2.13 | 2.30x | $2.77 | $4.0M | 1.9M | 41 |
| 2022 | $13.01 | $6.60 | 1.97x | $6.41 | $7.9M | 1.2M | 41 |
| 2023 | $13.99 | $8.71 | 1.61x | $5.28 | $10.3M | 1.2M | 36 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter | 11.9K | $10.3M | $859.83 | 1.46x |
| J0878 | Injection, daptomycin, 1 mg | 20.9M | $7.1M | $0.34 | 4.18x |
| Q4253 | Zenith amniotic membrane, per square centimeter | 5.3K | $4.1M | $766.98 | 1.32x |
| J0875 | Injection, dalbavancin, 5 mg | 312.3K | $3.6M | $11.67 | 2.50x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 46.1K | $2.4M | $52.54 | 2.75x |
| J2507 | Injection, pegloticase, 1 mg | 776 | $1.7M | $2.3K | 2.07x |
| J1335 | Injection, ertapenem sodium, 500 mg | 36.6K | $1.2M | $31.99 | 3.11x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12.3K | $1.1M | $86.13 | 2.03x |
| J2357 | Injection, omalizumab, 5 mg | 32.9K | $975.8K | $29.62 | 2.65x |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 15.2K | $862.0K | $56.86 | 1.99x |
| Q4197 | Puraply xt, per square centimeter | 4.1K | $856.8K | $209.24 | 3.17x |
| J2406 | Injection, oritavancin (kimyrsa), 10 mg | 17.6K | $576.0K | $32.65 | 2.57x |
| 96367 | Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less | 20.5K | $476.3K | $23.20 | 3.30x |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 2.8K | $440.2K | $157.56 | 2.01x |
| J7336 | Capsaicin 8% patch, per square centimeter | 138.7K | $353.4K | $2.55 | 2.63x |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 5.4K | $346.0K | $63.73 | 1.78x |
| J3490 | Unclassified drugs | 415 | $337.4K | $812.89 | 2.63x |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 4.0K | $334.8K | $83.96 | 1.89x |
| J0121 | Injection, omadacycline, 1 mg | 105.6K | $284.2K | $2.69 | 2.69x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.9K | $228.8K | $123.19 | 2.27x |
This provider submits charges 2.42 times higher than what Medicare actually pays.
A markup ratio of 2.42x means for every $100 Medicare pays, this provider initially charges $242. 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 |
|---|---|---|---|
| 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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